Impact of COVID-19 and mitigation plans on essential health services: institutional experience of a hospital in Ethiopia

Dandena, Firaol; Teklewold, Berhanetsehay; Anteneh, Dagmawi

doi:10.1186/s12913-021-07106-8

Cited by 19 publications

(17 citation statements)

References 10 publications

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“…As a result, the quantity and quality of essential services offered in these settings declined considerably. 30 , 31 The findings of our study build on the evidence in that the odds of encountering DA among laboring women were higher among those who delivered in a hospital versus delivering in a health center. The results of local studies in northern Shewa 11 , Wolega 12 , Arbaminch 17 , and Jimma 21 were also correlated with the current findings.…”

Section: Discussionsupporting

confidence: 64%

Disrespect and abuse experienced by women giving birth in public health facilities of Eastern Ethiopia: a multicenter cross-sectional study

et al. 2022

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Objective We assessed the magnitude of disrespect and abuse experienced by women giving birth at public health facilities in Dire Dawa, Eastern Ethiopia. Methods We conducted a facility-based quantitative cross-sectional study in Dire Dawa City Administration from 21 October to 8 December 2020. We used a pre-tested structured questionnaire to interview 555 randomly selected women who gave birth in public health facilities during the study period. Bivariate and multivariate logistic regression analysis was performed in statistical analysis. Results Among 555 women, 473 (85.2%) reported having experienced at least one form of disrespect and abuse. Giving birth at a hospital (adjusted odds ratio [AOR] = 4.15; 95% confidence interval [CI], 2.29–7.51) and being attended by male providers (AOR = 3.27; 95% CI, 1.57–6.81), as well as being attended by three or four providers (AOR = 0.44; 95% CI, 0.22–0.88) and delivering at night (AOR = 0.27; 95% CI, 0.15–0.48) were significantly associated with greater or less likelihood, respectively, of disrespect and abuse. Conclusion We revealed an unacceptable level of disrespect and abuse toward women giving birth at public health facilities. Health care providers must understand the importance of respectful maternity care. The city's health bureau should conduct provider training and enforce adherence to respectful care.

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Section: Discussionsupporting

confidence: 64%

Disrespect and abuse experienced by women giving birth in public health facilities of Eastern Ethiopia: a multicenter cross-sectional study

et al. 2022

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“…9,11,12,15 Evidence shows that the number of patients attending essential health care services declined during the COVID-19 in Ethiopia. 9,24,25 The Government of Ethiopia has taken numerous significant actions including lockdown during an initial sixmonth-long State of Emergency to mitigate the pandemic's overspread, which was implemented throughout the country. 2,25 Unlike developed countries, patients with chronic diseases in developing countries including Ethiopia lack follow-up through phone (telemedicine) and home-setting care.…”

Section: Introductionmentioning

confidence: 99%

“…9,24,25 The Government of Ethiopia has taken numerous significant actions including lockdown during an initial sixmonth-long State of Emergency to mitigate the pandemic's overspread, which was implemented throughout the country. 2,25 Unlike developed countries, patients with chronic diseases in developing countries including Ethiopia lack follow-up through phone (telemedicine) and home-setting care. 10 As chronic diseases are one of the major causes of mortality and morbidity, controlling them needs good follow-up and health-seeking behavior among the nation.…”

Section: Introductionmentioning

confidence: 99%

Impact of COVID-19 on Health Seeking Behavior of Patients with Chronic Disease at Public Hospitals in Jimma Zone, South West Ethiopia

Awel¹,

Ahmed²,

Beyene³

et al. 2022

RMHP

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Background: COVID-19 is a global pandemic with unprecedented medical, economic and social consequences affecting nations across the world. This epidemic arises while chronic diseases are continued to be a public health concern. Though evidence is generated on its impact on the health care system, little is known about the Impact of COVID −19 on the care-seeking behavior of chronic patients. Objective: To assess the Impact of COVID-19 on healthcare-seeking behavior of patients with chronic diseases attending follow-up at public hospitals in Jimma zone, South West Ethiopia. Methods: Facility-based cross-sectional study design was employed. The sample was calculated using the single population proportion formula. Hospitals were selected by using simple random sampling. Then, the final calculated sample size for the study was proportionally allocated to each selected hospital. Data were collected from 400 participants through face-to-face interviews and card reviews. Data were entered into Epi-Data version 3.1 and then exported to SPSS version 23 for analysis. Binary and multivariable logistic regression analyses with 95% CI for odds ratio (OR) were used to identify significant factors. Results: Of the total respondents 156 (39.0%) of them had poor health-seeking behavior. Contact history with COVID −19 patient (AOR = 2.8; 95% CI = 1.1-7.0), perceived moderate depression (AOR = 2.3; 95% CI = 1.2-4.2), perceived extreme depression (AOR = 4.3; 95% CI = 1.8-10.5), shortage of medication (AOR = 2.4; 95% CI = 1.0-6.2) increases the odds of poor health-seeking behavior. In addition, the odds of poor health-seeking in patients with no formal education were higher compared to patients with higher educational status (AOR = 2.7; 95% CI = 1.0-9.0). Conclusion: COVID −19 outbreaks affected the health-seeking behavior of patients with chronic diseases. The impact was found to be more significant among patients who had a contact history with COVID −19 patients. Moreover, perceived depression, shortage of medication, and low educational status were significant predictors of poor health-seeking behavior. Therefore, working on the barriers to the health-seeking behavior of chronic patients may reduce the effect of COVID-19.

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“…Urgent response measures have been put in place in most countries to curb the spread of the epidemic [9,10]. These measures have caused profound shocks to the health-care system [11][12][13][14][15].…”

Section: Introductionmentioning

confidence: 99%

Impact of COVID Pandemic on the Use of Services in a Peripheral Health Center in Southern Benin

Romeo¹,

Marius²,

Prudence³

et al. 2022

CAJPH

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Background: COVID-19 pandemic has had negative impacts on health systems of most countries. Methods: we conducted a descriptive and analytical cross-sectional study in a peripheral health center in southern Benin. The morbidity indicators and the functioning of the services were collected and analyzed 10 months before COVID and 10 months during COVID by a linear regression model. Results: The onset of the COVID pandemic led to a non-significant drop in the number of consultations among children aged 12 to 35 months [-8,100; 0.297], and borderline negative effects on malaria [-44.20; 0.098], and significant for acute respiratory infections [-34.200; 0.039] and diarrheal diseases [-4.100; 0.036]. Conclusion: Even in a rural outlying health center, the outbreak of the COVID-19 pandemic had an impact on the health system. This repercussion led to a drop in consultations on morbidity indicators such as malaria, acute respiratory infections and diarrheal diseases. This reflects both the fear of the populations to come to the health center in during pandemic period but also the reduction in the functioning of the center due to the outbreak. Strengthening measures are needed to ensure quality care for the population, Such as the increase in the number of health care workers, the increase in the security and protection arrangements for health workers and users of health centers.

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Impact of COVID-19 and mitigation plans on essential health services: institutional experience of a hospital in Ethiopia

Cited by 19 publications

References 10 publications

Disrespect and abuse experienced by women giving birth in public health facilities of Eastern Ethiopia: a multicenter cross-sectional study

Disrespect and abuse experienced by women giving birth in public health facilities of Eastern Ethiopia: a multicenter cross-sectional study

Impact of COVID-19 on Health Seeking Behavior of Patients with Chronic Disease at Public Hospitals in Jimma Zone, South West Ethiopia

Impact of COVID Pandemic on the Use of Services in a Peripheral Health Center in Southern Benin

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