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Int J MCH AIDS. 2024 Dec 20;13:e026. doi: 10.25259/IJMA_41_2024. eCollection 2024.
ABSTRACT
The integration of telehealth into maternal and child health (MCH) care presents an opportunity to enhance health equity, offering solutions to bridge gaps in access and quality of care. This paper explores the impact and reach of telehealth services on MCH, emphasizing its potential to address disparities in healthcare access, particularly for underserved and marginalized populations. Telehealth facilitates improved access to care by reducing geographical barriers, offering convenient and flexible consultation options, and providing cost-effective solutions for low-income families. This paper also crystallizes the importance of telehealth services on the continuity of care through consistent remote monitoring, which is crucial for managing chronic conditions and ensuring timely interventions during pregnancy and early childhood. However, the effective implementation of telehealth in MCH also faces significant challenges, including the digital divide, which limits technology access and digital literacy among vulnerable populations. Enhancing digital literacy is essential for empowering individuals to navigate telehealth services effectively and to make informed health decisions. To advance health equity, it is crucial to address these challenges by expanding technology access, improving digital literacy, and developing supportive policies that ensure comprehensive telehealth coverage while considering the Social Determinants of Health (SDoH). This paper explores the importance of leveraging telehealth and other timely interventions to improve MCH equity and justice, including the provision of technological resources and comprehensive policy frameworks. By addressing these factors, telehealth can significantly contribute to reducing health disparities and promoting equitable care for all maternal and child populations.
PMID:39776789 | PMC:PMC11705165 | DOI:10.25259/IJMA_41_2024
Front Glob Womens Health. 2024 Dec 24;5:1235475. doi: 10.3389/fgwh.2024.1235475. eCollection 2024.
ABSTRACT
During the COVID-19 pandemic, family planning services over the world have been disrupted. There are still uncertainties about the impact on access to contraception, particularly among marginalised populations. This study aimed to assess the effect of COVID-19 on women's access to contraception, focusing on those experiencing loss of income and self-isolation. The International Sexual Health and Reproductive Health (I-SHARE) survey collected data from 5,216 women in 30 countries. Multivariable logistic regression was conducted to assess the association between loss of income during the pandemic, self-isolation and reduced access to contraception. Women experiencing loss of income and those who had self-isolated had reduced access to contraception (respectively aOR 2.3 and 1.7, for both p < 0.001). Most women reported inaccessibility of health centres, fear of COVID-19, and stockouts as reasons for reduced access. This study highlights how socio-demographic differences may have impacted access to contraception during the pandemic. People experiencing income loss and self-isolation might have faced increased barriers to family planning during the pandemic. Contraception should be prioritised in times of crisis: when planning services, financial support, telehealth and other measures should be implemented in order to increase access and reduce inequalities.
PMID:39776787 | PMC:PMC11703851 | DOI:10.3389/fgwh.2024.1235475
Focus (Am Psychiatr Publ). 2025 Jan;23(1):19-24. doi: 10.1176/appi.focus.20240035. Epub 2025 Jan 15.
ABSTRACT
Historically, the suicide rates in rural and Indigenous communities have been disproportionately high. Since the COVID-19 pandemic, stigma, mental health workforce shortages, and the diminished health care infrastructure in rural and remote regions have only amplified this trend. Fortunately, several innovative and culturally responsive approaches have been developed in the context of these communities to address these persisting mental health disparities. Two specific approaches, embedded school mental health partnerships and telehealth solutions, are described in detail in this article. Both examples have shown considerable promise in stemming the tide of these sobering epidemiological trends in rural and Indigenous communities.
PMID:39776456 | PMC:PMC11701816 | DOI:10.1176/appi.focus.20240035
Acta Paediatr. 2025 Jan 7. doi: 10.1111/apa.17576. Online ahead of print.
ABSTRACT
AIM: Homecare for neonates has advanced, but combative analysis of contact methods remains unexplored. The aim was to identify predictors of readmission during homecare and to compare home visit, telemedicine or outpatient visit.
METHODS: This retrospective study included infants receiving homecare from 1 January 2015 to 31 December 2022. Data were obtained from local databases from six neonatal units in Denmark. The medical records of readmitted infants were reviewed. The main outcome were causes and predictors of readmission during homecare. The secondary outcome was exclusive breastfeeding at discharge.
RESULTS: The cohort consisted of 4827 infants (boys = 54.0%). The rate of unplanned readmissions was 4.6%. A gestational age (GA) <32 weeks (p-value <0.01) or bronchopulmonary dysplasia (BPD) (p-value <0.01) were predictors of readmission. There was no difference in unplanned readmissions based on contact method (p-value = 0.46 for telemedicine, p-value = 0.11 for outpatient visit). The overall exclusive breastfeeding rate at discharge from homecare was 64.1%.
CONCLUSION: Homecare can be provided for preterm and term infants while establishing oral feeding, with caution on infants with a GA < 32 or BPD. All types of contact methods during homecare investigated can be provided equally in relation to readmission and exclusive breastfeeding.
PMID:39775953 | DOI:10.1111/apa.17576
JAMA. 2025 Jan 8. doi: 10.1001/jama.2024.24179. Online ahead of print.
NO ABSTRACT
PMID:39775779 | DOI:10.1001/jama.2024.24179