Change in childbearing intention, use of contraception, unwanted pregnancies, and related adverse events during the COVID-19 pandemic: Results from a panel study in rural Burkina Faso

Druetz, Thomas; Cooper, Sarah; Bicaba, Frank; Bila, Alice; Shareck, Martine; Milot, David-Martin; Tiendrebeogo, Cheick; Bicaba, Abel

doi:10.1371/journal.pgph.0000174

Cited by 15 publications

(12 citation statements)

References 39 publications

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“…The results presented here reflect those reported elsewhere, both in the USA and Italy [ 14 , 16 , 18 , 19 ]. Furthermore, in Burkina Faso, a decrease in the desire to have children was reported in comparison to the pre-pandemic period [ 22 ]. In Nigeria, 8.8% also reported a lesser desire to reproduce due to concerns about the COVID-19 pandemic [ 24 ].…”

Section: Discussionmentioning

confidence: 99%

“…The study inclusion criteria included cisgender women aged between 15 and 49, who had been married for at least 2 years in order to capture marriages prior to the COVID-19 pandemic with subsequent reproductive opportunities [ 22 ]. Participants also met the inclusion criteria if they were living with a spouse in the same place, had an active electronic file in the Sib system and willingness join the study.…”

Section: Methodsmentioning

confidence: 99%

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Comparing reproductive intentions before and during the COVID-19 pandemic: a cross-sectional study

Rezaei

Amiri‐Farahani

Haghani

et al. 2023

BMC Health Serv Res

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Background and Aim Reproductive behaviors and intentions are affected by several factors, including the COVID-19 pandemic crisis. This study was conducted with the aim of comparing the intention to reproduce and its causes in Iran during the period prior to and during the COVID-19 pandemic. Methods This descriptive-comparative study included 425 cisgender women from 6 urban health centers and 10 rural centers in Babol city, Mazandaran province, Iran. Urban and rural health centers were selected using a multi-stage approach with proportional allocation. A questionnaire was used to collect data in relation to individual characteristics and reproductive intentions. Results Most participants aged between 20 and 29 years had a diploma level of education, were housewives and lived in the city. The intention to reproduce decreased from 11.4% before the pandemic to 5.4% during the pandemic (p = 0.006). The most common reason for wanting to have children prior to the pandemic was not having children (54.2%). During the pandemic, a desire to reach the ideal number of children was the most common reason to want to have children (59.1%), though no statistically significant difference was observed between the two periods (p = 0.303). The most common reason for not wanting to have children in both periods was having enough children already (45.2% before and 40.9% during the pandemic). The reasons for not wanting to have children had a statistically significant difference between the two periods (p < 0.001). Reproductive intentions had a statistically significant relationship with the variables of age (p < 0.001), the education level of both participants (p < 0.001) and spouses (p = 0.006), occupation (p = 0.004), and socio-economic status (p < 0.001). Conclusion Despite restrictions and lockdowns, the COVID-19 pandemic had a negative impact on people’s desire to reproduce in this context. Economic problems caused by the sanctions which increased during the COVID-19 crisis may be one of the reasons for a reduction in people’s intentions to become parents. Future research could usefully investigate whether this decrease in the desire to reproduce will lead to significant changes in population level and future birth rates.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Comparing reproductive intentions before and during the COVID-19 pandemic: a cross-sectional study

Rezaei

Amiri‐Farahani

Haghani

et al. 2023

BMC Health Serv Res

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“…This study is a natural experiment that takes advantage of a research platform designed before the COVID-19 pandemic for a previous investigation by our group [ 2 ]. It uses primary data from repeated surveys conducted in a panel of 1,200 households.…”

Section: Methodsmentioning

confidence: 99%

“…Since January 2020, the COVID-19 pandemic has been responsible for more than 6 million deaths worldwide, forcing many countries to take unprecedented measures to reduce its burden [ 1 ]. Efforts to reduce transmission have had indirect consequences on health systems, including disruption of supply chains, reduced mobility and access to services, closure of health facilities, and fear of visiting health facilities, all of which have likely worsened endemic disparities in access to healthcare services [ 2 ]. In many countries, logistical barriers and measures to reduce the risk of COVID-19 transmission have adversely affected door-to-door campaigns, and community-based programmatic efforts have been similarly disrupted [ 3 , 4 ].…”

Section: Introductionmentioning

confidence: 99%

Vaccination coverage in rural Burkina Faso under the effects of COVID-19: evidence from a panel study in eight districts

Cooper,

Bicaba,

Tiendrebeogo

et al. 2023

BMC Health Serv Res

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Background Improving infant immunization completion and promoting equitable vaccination coverage are crucial to reducing global under-5 childhood mortality. Although there have been hypotheses that the impact of the COVID-19 pandemic would decrease the delivery of health services and immunization campaigns in low- and middle-income countries, the available evidence is still inconclusive. We conducted a study in rural Burkina Faso to assess changes in vaccination coverage during the pandemic. A secondary objective was to examine long-term trends in vaccination coverage throughout 2010–2021. Methods Using a quasi-experimental approach, we conducted three rounds of surveys (2019, 2020, 2021) in rural Burkina Faso that we pooled with two previous rounds of demographic and household surveys (2010, 2015) to assess trends in vaccination coverage. The study population comprised infants aged 0–13 months from a sample of 325 households randomly selected in eight districts (n = 736). We assessed vaccination coverage by directly observing the infants’ vaccination booklet. Effects of the pandemic on infant vaccination completion were analyzed using multi-level logistic regression models with random intercepts at the household and district levels. Results A total of 736 child-year observations were included in the analysis. The proportion of children with age-appropriate complete vaccination was 69.76% in 2010, 55.38% in 2015, 50.47% in 2019–2020, and 64.75% in 2021. Analyses assessing changes in age-appropriate full-vaccination coverage before and during the pandemic show a significant increase (OR: 1.8, 95% CI: 1.14–2.85). Our models also confirmed the presence of heterogeneity in full vaccination between health administrative districts. The pandemic could have increased inequities in infant vaccination completion between these districts. The analyses suggest no disruption in age-appropriate full vaccination due to COVID-19. Our findings from our sensitivity analyses to examine trends since 2010 did not show any steady trends. Conclusion Our findings in Burkina Faso do not support the predicted detrimental effects of COVID-19 on the immunization schedule for infants in low- and middle-income countries. Analyses comparing 2019 and 2021 show an improvement in age-appropriate full vaccination. Regardless of achieving and sustaining vaccination coverage levels in Burkina Faso, this should remain a priority for health systems and political agendas.

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“…The scourge has set in motion an already fragile and poorly organized health system, with repercussions on women and girls’ access to reproductive health services, particularly family planning [1, 8]. There was a disruption in the supply chains of contraceptive products, the closure of health planning services and increased women’s fear of going to health facilities [9, 10].…”

Section: Introductionmentioning

confidence: 99%

Effects of the Covid-19 pandemic on the continuity of sexual and reproductive health care in the maternity ward of a health and social promotion centre in Burkina Faso: a qualitative study

Ngangue,

Mahamat,

Sandra Yopa

et al. 2024

Preprint

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The COVID-19 pandemic has significantly impacted the continuity of maternity care in Burkina Faso. This study aimed to compare the volumes of in-person visits and explore the experiences of healthcare providers and users regarding the continuity of healthcare in the maternity ward of a Health and Social Promotion Center (HSPC) before, during, and after the lockdown during the COVID-19 pandemic in Ouagadougou, Burkina Faso. Methods We conducted a multimethod, cross-sectional exploratory study with a phenomenological approach. Monthly health administrative data regarding family planning visits, antenatal visits, deliveries, and postnatal care before, during, and after COVID-19 were collected and compared. Qualitative data were collected through semi-structured interviews with family healthcare providers and users and thematically analyzed. Results The study found that the pandemic led to a decline in the demand for healthcare, as people were afraid of contracting COVID-19. This was particularly true for pregnant women who had recently given birth. The study also found that the pandemic disrupted the supply of essential medicines and medical supplies, which made it difficult for healthcare providers to provide quality care. The qualitative analysis allowed us to highlight three themes: the representation of respondents on COVID-19, their perception of the effectiveness of barrier measures and their analysis of the continuity of care in times of COVID-19: the picture of respondents on COVID-19, their perception of the efficacy of barrier measures and their analysis of the continuity of care in times of COVID-19. Despite these challenges, the study found that healthcare providers and users could find ways to maintain continuity of care. Conclusion The study concludes that the COVID-19 pandemic has significantly impacted the continuity of maternity care in Burkina Faso. However, healthcare providers and users have found ways to maintain continuity of care, and the study provides recommendations for improving continuity of care in the future.

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Change in childbearing intention, use of contraception, unwanted pregnancies, and related adverse events during the COVID-19 pandemic: Results from a panel study in rural Burkina Faso

Cited by 15 publications

References 39 publications

Comparing reproductive intentions before and during the COVID-19 pandemic: a cross-sectional study

Comparing reproductive intentions before and during the COVID-19 pandemic: a cross-sectional study

Vaccination coverage in rural Burkina Faso under the effects of COVID-19: evidence from a panel study in eight districts

Effects of the Covid-19 pandemic on the continuity of sexual and reproductive health care in the maternity ward of a health and social promotion centre in Burkina Faso: a qualitative study

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