How did health service utilization and delivery change during the COVID-19 pandemic? Frontline healthcare workers’ perceptions from the Central African Republic, the Democratic Republic of Congo, and Bangladesh

During the first year of the COVID-19 pandemic, HCWs reported varying healthcare utilization according to different services and contexts in three humanitarian settings. Program adaptations to address COVID-19 risks were introduced. Although guidance existed at the global level, contextual factors such as insecurity, displacement, and pre-existing capacity affected healthcare utilization and health service delivery more than the COVID-19 pandemic, especially in DRC and CAR, where the number of reported COVID-19 cases remained low for several months.