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From the Document: With many countries already facing a rising burden of disease from COVID-19 [coronavirus disease 2019], and others bracing for the looming threat, governments around the world are focused on \'flattening the curve \' These efforts are critical to limit the direct health impacts of COVID-19 and to prevent already-stretched health systems from being overwhelmed But even as the pandemic accelerates, governments must also protect other essential health services Already, there have been numerous reports of disrupted access to services ranging from labor and delivery and immunization to HIV and tuberculosis care to dialysis and cancer treatment--most notably in countries with strict lockdowns [ ] This note presents an initial scoping of select trade-offs that LMIC [low- and middle-income countries] decision makers and global health partners must balance across the wider spectrum of health needs as they mount a response to COVID-19 With a focus on the subset of impacts related to delivering routine healthcare, it provides examples across types of services and population groups that might be most vulnerable to the indirect effects of the pandemic and drills down on specific aspects for assessing these adverse impacts It then highlights possible strategies for mitigation, drawing on past epidemics while noting the need to tailor approaches to LMIC settings and connect to funding sources It concludes by underscoring the need for further research and enhanced evidence to guide response decisions that are attentive to the net health impacts over time COVID-19 (Disease);Disaster recovery;World health;Public health
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Balancing the COVID-19 Response with Wider Health Needs: Key Decision-Making Considerations for Low- and Middle-Income Countries
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