295 lines
8.8 KiB
YAML
295 lines
8.8 KiB
YAML
abstract: 'Introduction With COVID-19, there is urgency for policymakers to
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understand and respond to the health needs of slum communities.
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Lockdowns for pandemic control have health, social and economic
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consequences. We consider access to healthcare before and during
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COVID-19 with those working and living in slum communities. Methods In
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seven slums in Bangladesh, Kenya, Nigeria and Pakistan, we explored
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stakeholder perspectives and experiences of healthcare access for
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non-COVID-19 conditions in two periods: pre-COVID-19 and during COVID-19
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lockdowns. Results Between March 2018 and May 2020, we engaged with 860
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community leaders, residents, health workers and local authority
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representatives. Perceived common illnesses in all sites included
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respiratory, gastric, waterborne and mosquitoborne illnesses and
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hypertension. Pre-COVID, stakeholders described various preventive,
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diagnostic and treatment services, including well-used antenatal and
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immunisation programmes and some screening for hypertension,
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tuberculosis, HIV and vectorborne disease. In all sites, pharmacists and
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patent medicine vendors were key providers of treatment and advice for
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minor illnesses. Mental health services and those addressing
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gender-based violence were perceived to be limited or unavailable. With
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COVID-19, a reduction in access to healthcare services was reported in
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all sites, including preventive services. Cost of healthcare increased
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while household income reduced. Residents had difficulty reaching
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healthcare facilities. Fear of being diagnosed with COVID-19 discouraged
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healthcare seeking. Alleviators included provision of healthcare by
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phone, pharmacists/drug vendors extending credit and residents receiving
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philanthropic or government support; these were inconsistent and
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inadequate. Conclusion Slum residents'' ability to seek healthcare for
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non-COVID-19 conditions has been reduced during lockdowns. To encourage
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healthcare seeking, clear communication is needed about what is
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available and whether infection control is in place. Policymakers need
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to ensure that costs do not escalate and unfairly disadvantage slum
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communities. Remote consulting to reduce face-to-face contact and
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provision of mental health and gender-based violence services should be
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considered.'
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affiliation: 'Griffiths, F (Corresponding Author), Univ Warwick, Warwick Med Sch,
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Div Hlth Sci, Coventry, W Midlands, England.
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Ahmed, Syed A. K. Shifat; Choudhury, Nazratun Nayeem; Yusuf, Rita, Independent Univ
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Bangladesh, Ctr Hlth Populat \& Dev, Dhaka, Bangladesh.
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Ajisola, Motunrayo, Univ Ibadan, Natl Inst Hlth Res Project, Ibadan, Oyo State,
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Nigeria.
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Azeem, Kehkashan; Rizvi, Narjis; Azam, Syed Iqbal; Iqbal, Romaina; Nazish, Ahsana;
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Tabani, Komal, Aga Khan Univ, Community Hlth Sci Dept, Karachi, Pakistan.
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Bakibinga, Pauline; Kibe, Peter; Kabaria, Caroline; Kisia, Lyagamula; Kyobutungi,
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Catherine; Mberu, Blessing; Mohamed, Shukri F., African Populat \& Hlth Res Ctr,
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Nairobi, Kenya.
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Chen, Yen-Fu; Griffiths, Frances; Harris, Bronwyn; Smith, Simon; Watson, Samuel,
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I; Wilson, Ria; Aujla, Navneet; Gill, Paramjit; Mohamed, Shukri F.; Oyebode, Oyinlola;
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Uthman, Olalekan A., Univ Warwick, Warwick Med Sch, Div Hlth Sci, Coventry, W Midlands,
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England.
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Fayehun, Olufunke, Univ Ibadan, Fac Social Sci, Dept Sociol, Ibadan, Oyo State,
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Nigeria.
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Griffiths, Frances, Univ Witwatersrand, Sch Publ Hlth, Ctr Hlth Policy, Johannesburg,
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South Africa.
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Lilford, Richard J.; Sartori, Jo; Watson, Samuel, I, Univ Birmingham, Inst Appl
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Hlth Res, Coll Med \& Dent Sci, Birmingham, W Midlands, England.
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Omigbodun, Akinyinka, Univ Ibadan, Coll Med, Fac Clin Sci, Dept Obstet \& Gynaecol,
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Ibadan, Oyo State, Nigeria.
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Yeboah, Godwin; Porto de Albuquerque, Joao; Tregonning, Grant, Univ Warwick, Inst
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Global Sustainable Dev, Coventry, W Midlands, England.
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Diggle, Peter J., Univ Lancaster, Lancaster Med Sch, Lancaster, England.
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Madan, Jason J., Univ Warwick, Warwick Med Sch, Warwick Clin Trials Unit, Coventry,
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W Midlands, England.
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Odubanjo, Oladoyin, Nigerian Acad Sci, Lagos, Nigeria.
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Osuh, Mary E., Univ Ibadan, Coll Med, Dept Periodontol \& Community Dent, Fac Dent,
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Ibadan, Oyo State, Nigeria.
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Owoaje, Eme, Univ Ibadan, Fac Publ Hlth, Coll Med, Dept Community Med, Ibadan, Oyo
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State, Nigeria.
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Rahman, Omar, Univ Liberal Arts Bangladesh, Dhaka, Bangladesh.
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Taiwo, Olalekan John, Univ Ibadan, Dept Geog, Fac Social Sci, Ibadan, Oyo State,
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Nigeria.'
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article-number: e003042
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author: Ahmed, Syed A. K. Shifat and Ajisola, Motunrayo and Azeem, Kehkashan and Bakibinga,
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Pauline and Chen, Yen-Fu and Choudhury, Nazratun Nayeem and Fayehun, Olufunke and
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Griffiths, Frances and Harris, Bronwyn and Kibe, Peter and Lilford, Richard J. and
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Omigbodun, Akinyinka and Rizvi, Narjis and Sartori, Jo and Smith, Simon and Watson
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I, Samuel and Wilson, Ria and Yeboah, Godwin and Aujla, Navneet and Azam, Syed Iqbal
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and Diggle, Peter J. and Gill, Paramjit and Iqbal, Romaina and Kabaria, Caroline
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and Kisia, Lyagamula and Kyobutungi, Catherine and Madan, Jason J. and Mberu, Blessing
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and Mohamed, Shukri F. and Nazish, Ahsana and Odubanjo, Oladoyin and Osuh, Mary
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E. and Owoaje, Eme and Oyebode, Oyinlola and Porto de Albuquerque, Joao and Rahman,
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Omar and Tabani, Komal and Taiwo, Olalekan John and Tregonning, Grant and Uthman,
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Olalekan A. and Yusuf, Rita and Collaborative, Improving Hlth Slums
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author-email: f.e.griffiths@warwick.ac.uk
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author_list:
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- family: Ahmed
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given: Syed A. K. Shifat
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- family: Ajisola
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given: Motunrayo
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- family: Azeem
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given: Kehkashan
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- family: Bakibinga
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given: Pauline
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- family: Chen
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given: Yen-Fu
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- family: Choudhury
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given: Nazratun Nayeem
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- family: Fayehun
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given: Olufunke
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- family: Griffiths
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given: Frances
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- family: Harris
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given: Bronwyn
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- family: Kibe
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given: Peter
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- family: Lilford
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given: Richard J.
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- family: Omigbodun
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given: Akinyinka
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- family: Rizvi
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given: Narjis
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- family: Sartori
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given: Jo
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- family: Smith
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given: Simon
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- family: Watson I
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given: Samuel
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- family: Wilson
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given: Ria
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- family: Yeboah
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given: Godwin
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- family: Aujla
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given: Navneet
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- family: Azam
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given: Syed Iqbal
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- family: Diggle
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given: Peter J.
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- family: Gill
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given: Paramjit
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- family: Iqbal
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given: Romaina
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- family: Kabaria
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given: Caroline
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- family: Kisia
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given: Lyagamula
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- family: Kyobutungi
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given: Catherine
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- family: Madan
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given: Jason J.
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- family: Mberu
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given: Blessing
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- family: Mohamed
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given: Shukri F.
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- family: Nazish
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given: Ahsana
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- family: Odubanjo
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given: Oladoyin
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- family: Osuh
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given: Mary E.
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- family: Owoaje
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given: Eme
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- family: Oyebode
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given: Oyinlola
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- family: Porto de Albuquerque
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given: Joao
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- family: Rahman
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given: Omar
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- family: Tabani
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given: Komal
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- family: Taiwo
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given: Olalekan John
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- family: Tregonning
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given: Grant
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- family: Uthman
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given: Olalekan A.
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- family: Yusuf
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given: Rita
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- family: Collaborative
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given: Improving Hlth Slums
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da: '2023-09-28'
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doi: 10.1136/bmjgh-2020-003042
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esi-highly-cited-paper: Y
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esi-hot-paper: N
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files: []
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issn: 2059-7908
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journal: BMJ GLOBAL HEALTH
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keywords: 'health policy; health systems; public health; other infection; disease;
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disorder; or injury; qualitative study'
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keywords-plus: DOMESTIC VIOLENCE; MODEL
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language: English
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month: AUG
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number: '8'
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number-of-cited-references: '54'
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orcid-numbers: 'Yeboah, Godwin/0000-0003-4618-3175
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de Albuquerque, Joao Porto/0000-0002-3160-3168
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Kibe, Peter Mwangi/0000-0002-9027-9054
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Oyebode, Oyinlola/0000-0003-0925-9839
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Ajisola, Motunrayo/0000-0002-1704-0944
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Owoaje, Eme/0000-0002-0491-6732
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Griffiths, Frances/0000-0002-4173-1438
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Kisia, Lyagamula/0000-0002-2045-6158
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Madan, Jason/0000-0003-4316-1480
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Lilford, Richard/0000-0002-0634-984X
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Sartori, Jo/0000-0002-8681-9329
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Fayehun, Olufunke/0000-0002-3769-2130
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Watson, Sam/0000-0002-8972-769X
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OSUH PhD, Mary Ebelechukwu/0000-0003-2367-6487
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Kyobutungi, Catherine/0000-0002-5344-5631
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Harris, Bronwyn/0000-0003-4695-008X
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Bakibinga, Pauline/0000-0001-7097-5450
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Ahmed, Syed A K Shifat/0000-0001-8166-7971
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Chen, Yen-Fu/0000-0002-9446-2761'
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papis_id: 24d71ff29ca6b86a56caeca5d49a5695
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ref: Ahmed2020impactsocietal
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researcherid-numbers: 'Yeboah, Godwin/D-5080-2015
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de Albuquerque, Joao Porto/O-2972-2019
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Kibe, Peter Mwangi/AAA-7500-2022
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Oyebode, Oyinlola/ABE-1256-2021
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Diggle, Peter J/A-3025-2009
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'
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times-cited: '144'
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title: 'Impact of the societal response to COVID-19 on access to healthcare for non-COVID-19
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health issues in slum communities of Bangladesh, Kenya, Nigeria and Pakistan: results
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of pre-COVID and COVID-19 lockdown stakeholder engagements'
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type: Article
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unique-id: WOS:000564358100009
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usage-count-last-180-days: '2'
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usage-count-since-2013: '32'
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volume: '5'
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web-of-science-categories: Public, Environmental \& Occupational Health
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year: '2020'
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