Provision and utilization of basic maternal healthcare during the pandemic in Ecuador: The health workers' perspective.

Context: Ecuador was one of the most affected counties in Latin America during coronavirus disease 2019 (COVID-19). Its health system already faced financing and organizational problems before the pandemic.

Aims: To analyze the effects of the pandemic on the provision and utilization of maternal health services in units of the Public Health of Ecuador as perceived by the health personnel.

[Effects of the COVID-19 pandemic on the immunization program for children under 5 years of age in EcuadorEfeitos da pandemia de COVID-19 no programa de imunização de menores de cinco anos no Equador].

Objective: To estimate the effect of the COVID-19 pandemic on the supply, uptake, coverage, and timeliness of vaccination in children under 5 years of age in Ecuador.

Methods: Concurrent mixed-methods design with two rapid evaluation cycles. In each cycle, questionnaires and semi-structured interviews were administered to health personnel and mothers of children under 5.

Looking at maternal health of Asháninka communities from the conceptual framework of the accessibility of care.

Background: Peru is one of the 20 countries that has significantly reduced maternal mortality before the pandemic due to implementing policies to strengthen maternal health care, mainly in rural areas with greater poverty. However, the implementation of these policies has been different across the territory; such is the case of the indigenous communities of the Peruvian Amazon that are characterized by the inaccessibility of their territory and continue to face severe problems in accessing maternity care in health services.

Objective: Analyze the main dimensions of accessibility for maternal care in public health services for women of the Asháninka community of Peru between 2016 and 2018.