Direct and indirect effects of the covid-19 pandemic and response in South Asia

53

Appendix A

Sri Lanka
Interventions	Change in 2020				Change in 2021
	Q1	Q2	Q3	Q4	Q1	Q2
FP clients	-17%	-7%	-3%	-1%	-1%	-1%
Injectables	-22%	-12%	-6%	-2%	-2%	-2%
Condom	-11%	3%	2%	1%	1%	1%
IUD	-30%	-34%	-17%	-7%	-6%	-5%
Female sterilisation	-1%	-8%	-4%	-2%	-1%	-1%
Male sterilisation	-21%	-55%	-27%	-11%	-10%	-9%
Implant	-19%	-9%	-4%	-2%	-2%	-1%
Safe abortion servicess	--	--	--	--	--	--
Post abortion case management	--	--	--	--	--	--
Ectopic pregnancy case management	--	--	--	--	--	--
Antenatal care (4+ visits)	-6%	-2%	-1%	0%	0%	0%
Tetanus Toxoid (2 or more doses)	-6%	-2%	-1%	0%	0%	0%
Syphilis detection and treatment	--	--	--	--	--	--
Calcium supplementation	--	--	--	--	--	--
Iron supplementation in pregnancy	--	--	--	--	--	--
Hypertensive disorder case management	--	--	--	--	--	--
Diabetes case management	--	--	--	--	--	--
Malaria case management	--	--	--	--	--	--
MgSO4 management of pre-eclampsia	--	--	--	--	--	--
Fetal growth restriction detection and management	--	--	--	--	--	--
Total home deliveries by clinic staff	--	--	--	--	--	--
Facility births	-6%	-2%	-1%	0%	0%	0%
Postnatal visit within 2 days after birth	-6%	-2%	-1%	0%	0%	0%
Vitamin A supplementation	-19%	3%	1%	1%	1%	0%
Zinc Supplementation	--	--	--	--	--	--
Vaccine:BCG	--	--	--	--	--	--
Vaccine:OPV3	--	--	--	--	--	--
Vaccine:DPT3/Penta3	-14%	-27%	-13%	-5%	-5%	-4%
Vaccine:HepB3	--	--	--	--	--	--
Vaccine: PCV3	--	--	--	--	--	--
Vaccine:RV2	--	--	--	--	--	--
Vaccine: Measles	-12%	-23%	-12%	-5%	-4%	-4%
Fully immunization	--	--	--	--	--	--
Maternal sepsis case management	--	--	--	--	--	--
ORS- oral rehydration solution	--	--	--	--	--	--
Antibiotics for treatment of dysentery	--	--	--	--	--	--
Zinc for treatment of diarrhea – Zinc Supplementation	-7%	-48%	-24%	-10%	-9%	-8%
Antibiotics for pneumonia	-7%	-51%	-26%	-10%	-9%	-8%
Vitamin A for treatment of measles	--	--	--	--	--	--
ACTs - Artemisinin compounds for treatment of malaria	--	--	--	--	--	--
SAM- treatment for severe acute malnutrition	-8%	-67%	-34%	-13%	-12%	-11%

*Based on actual health systems data

*Approximated using related indicators for same country

54

Appendix B

Intervention		No additional mitigation			Hand Hygiene			Smart Lockdowns			Masks			All strategies
Country	Month	Cumulative Deaths	Hospitalizations	ICUs	Cumulative Deaths	Hospitalizations	ICUs	Cumulative Deaths	Hospitalizations	ICUs	Cumulative Deaths	Hospitalizations	ICUs	Cumulative Deaths	Hospitalizations	ICUs
India	1/Sep/20	65,228	NA	NA	65,228	NA	NA	65,228	NA	NA	65,228	NA	NA	65,228	NA	NA
	1/Oct/20	103,994	67,613	11,932	77,784	25,700	4,535	91,294	44,743	7,896	83,783	33,395	5,893	64,676	12,821	2,262
	1/Nov/20	139,937	76,074	13,425	90,662	21,920	3,868	114,432	43,770	7,724	100,998	30,865	5,447	71,214	9,104	1,607
	1/Dec/20	178,008	82,772	14,607	100,901	18,487	3,262	135,828	42,001	7,412	115,771	26,972	4,760	75,781	6,354	1,121
	1/Jan/21	222,202	87,896	15,511	109,545	14,824	2,616	156,109	39,629	6,993	128,184	23,101	4,077	78,916	4,283	756
	1/Feb/21	267,186	88,209	15,566	116,676	12,170	2,148	174,339	36,225	6,393	139,125	20,131	3,552	81,267	3,079	543
	1/Mar/21	307,089	84,831	14,970	122,100	10,026	1,769	189,569	32,850	5,797	147,704	16,959	2,993	82,653	2,141	378
	1/Apr/21	348,060	77,316	13,644	126,942	7,797	1,376	204,667	28,577	5,043	155,553	14,509	2,560	83,721	1,580	279
	1/May/21	383,795	70,447	12,432	130,592	6,555	1,157	217,388	24,415	4,309	162,042	12,363	2,182	84,526	1,048	185
	1/Jun/21	418,121	61,320	10,821	133,519	5,214	920	228,789	20,701	3,653	168,005	10,357	1,828	85,050	721	127
	1/Jul/21	445,995	52,311	9,231	135,935	4,275	754	238,071	17,314	3,055	172,840	8,383	1,479	85,412	538	95
	1/Aug/21	470,231	43,937	7,754	138,185	3,649	644	245,890	13,955	2,463	176,663	6,727	1,187	85,658	383	68
	1/Sep/21	491,117	36,442	6,431	139,977	3,014	532	252,419	11,724	2,069	179,485	5,200	918	85,821	215	38

Intervention