COVID-19 Disruptions of Food Systems and Nutrition Services in Ethiopia: Evidence of the Impacts and Policy Responses.

IF 2.6 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Annals of Global Health Pub Date : 2023-05-05 eCollection Date: 2023-01-01 DOI:10.5334/aogh.3980
Juliet McCann, Lea Sinno, Eki Ramadhan, Nega Assefa, Hanna Y Berhane, Isabel Madzorera, Wafaie Fawzi
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引用次数: 2

Abstract

Background: Since its first case of COVID-19 on March 13, 2020, Ethiopia has exerted efforts to curb the spread of SARS-CoV-2 (COVID-19) without imposing a nationwide lockdown. Globally, COVID-19 related disruptions and mitigation measures have impacted livelihoods and food systems, nutrition, as well as access and use of health services.

Objective: To develop a comprehensive understanding of the impacts of the COVID-19 pandemic on food systems, health services, and maternal and child nutrition and to synthesize lessons from policy responses to the COVID-19 pandemic in Ethiopia.

Methods: We conducted a review of literature and 8 key informant interviews across government agencies, donors, and non-governmental organizations (NGOs), to map the impacts of the COVID-19 pandemic on the food and health systems in Ethiopia. We summarized policy responses and identified recommendations for future actions related to the COVID-19 pandemic and other future emergencies.

Results: The impacts of the COVID-19 pandemic were felt across the food system and include limited agriculture inputs due to travel restrictions and closed borders restricting trade, reduced in-person support by agriculture extension workers, income losses, increases in food prices, and the reduction in food security and dietary diversity. Maternal and child health services were disrupted due to fear of contacting COVID-19, diversion of resources, and lack of personal protective equipment. Disruptions eased over time due to the expansion of social protection through the Productive Safety Net Program, and the increased outreach and home service provision by the health extension workers.

Conclusion: Ethiopia experienced disruptions to food systems and maternal and child nutrition services due to the COVID-19 pandemic. However, by expanding existing social protection programs and public health infrastructure and leveraging partnerships with non-state actors, the extent of the impact of the pandemic was largely minimized. Nevertheless, vulnerabilities and gaps remain and there is a need for a long-term strategy that considers the potential for future pandemics and other shocks.

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新冠肺炎对埃塞俄比亚粮食系统和营养服务的破坏:影响和政策应对的证据。
背景:自2020年3月13日出现首例新冠肺炎病例以来,埃塞俄比亚一直在努力遏制SARS-CoV-2(新冠肺炎)的传播,而没有实施全国封锁。在全球范围内,与新冠肺炎相关的中断和缓解措施影响了生计和粮食系统、营养以及卫生服务的获取和使用。目的:全面了解新冠肺炎大流行对粮食系统、卫生服务以及孕产妇和儿童营养的影响,并综合埃塞俄比亚应对新冠肺炎大流行政策的经验教训,绘制新冠肺炎疫情对埃塞俄比亚粮食和卫生系统的影响图。我们总结了政策应对措施,并确定了与新冠肺炎大流行和其他未来紧急情况有关的未来行动建议。结果:新冠肺炎疫情的影响波及整个粮食系统,包括由于旅行限制和边境关闭限制贸易而导致的农业投入有限、农业推广工作者的住院支持减少、收入损失、粮食价格上涨以及粮食安全和饮食多样性下降。由于担心接触新冠肺炎、资源转移和缺乏个人防护设备,妇幼保健服务中断。随着时间的推移,由于通过生产安全网计划扩大了社会保护,以及卫生推广工作者增加了外展和家庭服务,干扰有所缓解。结论:由于新冠肺炎大流行,埃塞俄比亚的粮食系统和妇幼营养服务受到干扰。然而,通过扩大现有的社会保护计划和公共卫生基础设施,并利用与非国家行为者的伙伴关系,疫情的影响程度在很大程度上被最小化。尽管如此,脆弱性和差距仍然存在,需要制定一项长期战略,考虑未来流行病和其他冲击的可能性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Annals of Global Health
Annals of Global Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
5.30
自引率
3.40%
发文量
95
审稿时长
11 weeks
期刊介绍: ANNALS OF GLOBAL HEALTH is a peer-reviewed, open access journal focused on global health. The journal’s mission is to advance and disseminate knowledge of global health. Its goals are improve the health and well-being of all people, advance health equity and promote wise stewardship of the earth’s environment. The journal is published by the Boston College Global Public Health Program. It was founded in 1934 by the Icahn School of Medicine at Mount Sinai as the Mount Sinai Journal of Medicine. It is a partner journal of the Consortium of Universities for Global Health.
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