Severe disruptions in health services due to the Covid-19 pandemic may have resulted in an additional 239,000 child and maternal deaths in South Asia last year, the United Nations agencies said in a report.
In a new report that covered Pakistan, Afghanistan, Bangladesh, Nepal, India and Sri Lanka, UN Children’s Fund (UNICEF), World Health Organization (WHO) and UN Population Fund (UNFPA) said that the impact also included sharp drops in the number of young children treated for severe acute malnutrition as well as in childhood immunizations.
According to George Laryea-Adjei, UNICEF Regional Director for South Asia, the fall-off of these critical services has had a devastating impact on the health and nutrition of the poorest and most vulnerable families. “It is absolutely vital that these services are fully restored for children and mothers who are in desperate need of them, and that everything possible is done to ensure that people feel safe to use them”, he stressed.
The region also suffered increased levels of unemployment, poverty and food insecurity due to the pandemic, further undermining public health, the report said.
The report also found that about 420 million children were out of school due to the pandemic and its related control measures. It warned that 4.5 million girls are likely to never return to school, and are at particular risk due to deteriorating access to sexual and reproductive health and information services.
“Given the cultural and social context of South Asia, the suspension of these services is deepening inequalities and is likely to lead to an increase in the number of maternal and neonatal deaths”, Bjorn Andersson, UNFPA Regional Director for Asia and the Pacific said. “There are also likely to be an additional 3.5 million unintended pregnancies in this region”, he warned.
Wider impact of Covid-19 also included increased risk of child marriage and stunting – impaired growth and development due to poor nutrition and health. The UN agencies called for prioritizing essential health services for pregnant women, adolescents and young infants, as well as strengthening supply chains for the delivery of vaccines and other essential childhood medicines.
Poonam Khetrapal Singh, WHO Regional Director for South-East Asia, underlined that maintaining essential health services is vital for the region’s Covid-19 response strategy. “Countries in the region have been focusing efforts on continuation and restoration of essential services, as disruption would only increase the risk of deaths from preventable causes”, she said. The report also called for ensuring uninterrupted and improved health services for all, helping vulnerable populations address health needs, and stepping up of key Covid-19 prevention measures. It also urged cash transfer programmes to support the poorest families.
