2022-02-06-世界卫生组织-Global_pulse_survey_on_continuity_of_essential_health_services_during_the_COVID-19_pandemic_54页_814kb

Global Pulse Survey on Continuity of Essential Health Services During COVID-19 Pandemic (Round 3) Summary

1. Survey Objectives & Methodology

• Provided a rapid snapshot of changes and challenges in service delivery during the pandemic.
• Integrated WHO programmatic area pulse surveys into a comprehensive approach focusing on essential health services.
• Assessed service disruptions over three rounds (Q3 2020, Q1 2021, Q4 2021), with data collected from 129 countries/territories across all regions.
• Limitations: Reporting bias (self-reported data), variation in key informant types, and limited subnational variability.

2. Key Findings

• Continued Service Disruptions: In Q4 2021, 92% of countries reported at least one essential health service disruption, averaging 45% of 66 tracer services affected. This remained similar to Q1 2021 levels.
• Increased Emergency Care Disruptions: Emergency services saw a notable rise in disruptions, with ambulance services and emergency surgeries increasing from 35-38% to 42-43% disruption between Q1 and Q4 2021.
• Backlogs: 40-44% of countries reported backlogs in services like cancer care, noncommunicable diseases, and rehabilitation.
• Disruption Factors: Supply-side issues (36%) and demand-side factors (39%) were the primary causes, including lack of health resources, policies to suspend services, and reduced care-seeking.
• Partial Recovery: While progress was made in some areas (e.g., sexual/reproductive health, immunization), most services remain disrupted. Compared to Q1 2021, disruptions improved slightly in some services but persisted in others.
• Vaccine & Diagnostic Bottlenecks: 92% of countries faced at least one bottleneck in scaling up COVID-19 tools, with health workforce shortages being the biggest barrier.

3. Mitigation & Recovery Actions

• Strategies Used: 100% of countries implemented at least one strategy, including home-based care, telemedicine, and catch-up campaigns.
• Health Financing: Over two-thirds allocated additional funding and invested in essential health products, workforce capacity building, and digital health infrastructure.

4. Political & Policy Response

• Plans & Strategies: 50% of countries reported having specific plans for service continuity, with priorities including workforce strengthening, policy guidance, and financial support.
• Long-term Investments: Investments focused on access to medicines, health workforce capacity, and digital health infrastructure.

5. Country-Specific Issues

• High Disruption Countries: Pakistan had ≥70% service disruption.
• Priority Needs: Countries highlighted gaps in assessment tools for health system capacity, guidance on service continuity policies, and deployment of trained and equipped health workers.

6. Priority Recommendation Areas

• Strengthen health workforce capacity
• Expand access to diagnostics and essential COVID-19 tools
• Invest in harmonized planning and supply chain management
• Develop robust risk communication and community engagement strategies
• Enhance access to essential medicines and prioritize continuous service monitoring

Resource Note

• WHO SPRP Tracking: Found that 53% of countries had functional capacities to address infodemic and misinformation during the 2021 surveys.
• Limitations: 12-15% of survey monitors viewed services as fully back to normal, but the "pre-pandemic" baseline is not yet defined.

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