Impact of COVID-19 on utilization of maternal, newborn and child health services in Nigeria: protocol for a country-level mixed-methods study

Akaba, Godwin; Dirisu, Osasuyi; Okunade, Kehinde Sharafadeen; Adams, Eseoghene; Ohioghame, Jane; Obikeze, Obioma; Izuka, Emmanuel; Sulieman, Maryam; Edeh, Michael

doi:10.12688/f1000research.26283.1

Cited by 11 publications

(14 citation statements)

References 10 publications

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“…This is in agreement with the study done in developing countries [17], and Nepal [19]. This is because economically independent women do not rely on other people to decide to utilize maternal health services [20].…”

Section: Discussionsupporting

confidence: 91%

“…Furthermore, mothers who did travel 25-74 km and 75-99 km to reach the health facility were 63% and 90% less likely to utilize maternal health service during the COVID-19 pandemic than those who did travel < 24 km to reach the health facility respectively. This might be due to a change of plan of ANC follow-up, childbirth, and other maternal health services hence the first delay, and planning to have home deliveries [6, 20]. Besides, the odds of utilizing maternal health service during the COVID-19 pandemic in mothers who did not fear COVID-19 infection was 2.79 times higher than those who did fear COVID-19 infection.…”

Section: Discussionmentioning

confidence: 99%

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Maternal health care services utilization in the amid of COVID-19 pandemic in West Shoa Zone, Central Ethiopia

Temesgen

Wakgari

Tefera

et al. 2020

Preprint

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The novel coronavirus (COVID-19) is an infectious disease caused by a newly discovered coronavirus. Despite strong efforts that have been taking place to control the pandemic globally, the virus is on the rise in many countries. Hence, this study assessed the maternal health care services utilization in the amid of the COVID-19 pandemic in West Shoa Zone, Central Ethiopia. Community-based cross-sectional study was conducted among 844 pregnant women or those gave birth in the last 6 months before the study. A multi-stage sampling technique was used to select the study participants. The data were collected through face-to-face interview using a semi-structured questionnaire. Logistic regressions were performed to identify the presence of significant associations, and adjusted odds ratio with 95%CI was employed for the strength and directions of association between the independent and outcome variables. A P-value of <0.05 was used to declare statistical significance. The prevalence of maternal health service utilization during the COVID-19 pandemic was 64.8%. The odds of maternal health service utilization was higher among mothers who had primary (AOR=2.16, 95%CI: 1.29-3.60), secondary (AOR=1.97, 95%CI: 1.13-3.44), and college and above education (AOR=2.89, 95%CI: 1.34-6.22) than those who could not read and write. In addition, mothers who did travel 25-74 km (AOR= 0.37, 95%CI: 0.23-0.59) and 75-99 km (AOR= 0.10, 95%CI: 0.05-0.19) to reach health facility had a lower odds of maternal health service utilization than those who did travel < 24 km. Moreover, mothers who earn 1000-2000 (AOR= 3.10, 95%CI: 1.73-5.55) and > 2000 birr (AOR=2.66 95%CI: 1.52-4.64) had higher odds of maternal health service utilization than those who earn <500 birr. Similarly, the odds of utilizing maternal health service were higher among mothers who did not fear COVID-19 infection (AOR= 2.79, 95%CI: 1.85-4.20), who had not had to request permission from husband to visit the health facility (AOR= 7.24, 95%CI: 2.65-19.75), who had practiced COVID-19 prevention measure (AOR=5.82, 95%CI: 3.87-8.75), and used face mask (AOR= 2.06, 95% CI: 1.28-3.31) than their counterpart. Empowering mothers and creating awareness on the COVID-19 prevention is recommended to improve maternal health service utilization during the COVID-19 pandemic.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Maternal health care services utilization in the amid of COVID-19 pandemic in West Shoa Zone, Central Ethiopia

Temesgen

Wakgari

Tefera

et al. 2020

Preprint

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“…Pregnant women abandonment of maternal health care service as part of COVID-19 risk minimization was also described by other previous study. 36 , 37 …”

Section: Discussionmentioning

confidence: 99%

Exploring COVID-19 Related Factors Influencing Antenatal Care Services Uptake: A Qualitative Study among Women in a Rural Community in Southwest Ethiopia

Hailemariam

Agegnehu

Derese

2021

J Prim Care Community Health

116

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Introduction: Evidences suggest a significant decline in maternal health service uptake following the coronavirus disease 2019 (COVID-19) pandemic in Ethiopia. However, COVID-19 related factors impacting the service uptake are not sufficiently addressed. Hence, the current study was intended to explore COVID-19 related factors influencing antenatal care service uptake in rural Ethiopia. Methods: A community-based qualitative study was conducted from September 25/2020 to November 25/2020 among selected pregnant women residing in rural districts of Bench-Sheko Zone, and healthcare providers working in the local health care facilities. Six focus group discussions and 9 in-depth interviews were made between pregnant women, and health care providers, respectively. Data was collected by health education and behavioral science professionals who also have experience in qualitative data collection procedure. Data were transcribed, translated, and analyzed thematically using Open Code 4.0 software. Result: The study revealed several COVID-19 related factors influencing the uptake of antenatal care service during the pandemic. Health facility related barriers, perceived poor quality of care during the pandemic, government measures against COVID-19, anxiety related to the pandemic, and risk minimization were the identified factors possibly influencing the current antenatal care service uptake among women in rural Bench-Sheko Zone. Conclusion: COVID-19 preventive measures, and health facility related factors and individual factors were responsible for the current decline in antenatal care service uptake. Preserving essential health care service is critical to prevent avoidable losses of maternal and child lives during the pandemic period. Hence, programs and strategies designed to maintain maternal health services particularly, antenatal care service have better take the above determinants into consideration.

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“…This is in agreement with the studies done in developing countries [ 17 ], and Nepal [ 19 ]. This is because economically independent women do not rely on other people to decide to utilize maternal health services [ 20 ].…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, mothers who did travel 30–60 minutes and 60–90 minutes to reach the health facility were 63% and 90% less likely to utilize maternal health service during the COVID-19 pandemic than those who did travel <30 minutes to reach the health facility respectively. This might be due to a change of plan of ANC follow-up, childbirth, and other maternal health services hence the first delay, and planning to have home deliveries [ 6 , 20 ]. Besides, the odds of utilizing maternal health service during the COVID-19 pandemic in mothers who did not fear COVID-19 infection was 2.79 times higher than those who did fear COVID-19 infection.…”

Section: Discussionmentioning

confidence: 99%

Maternal health care services utilization amidstCOVID-19 pandemic in West Shoa zone, central Ethiopia

et al. 2021

View full text Add to dashboard Cite

The novel coronavirus (COVID-19) is an infectious disease caused by a newly discovered coronavirus. Despite strong efforts that have been taking place to control the pandemic globally, the virus is on the rise in many countries. Hence, this study assessed the maternal health care services utilization amidst the COVID-19 pandemic in West Shoa zone, Central Ethiopia. A community-based cross-sectional study was conducted among 844 pregnant women or those who gave birth in the last 6 months before the study. A multi-stage sampling technique was used to select the study participants. The data were collected through face-to-face interviews using a semi-structured questionnaire. Logistic regressions were performed to identify the presence of significant associations, and an adjusted odds ratio with 95%CI was employed for the strength and directions of association between the independent and outcome variables. A P-value of <0.05 was used to declare statistical significance. The prevalence of maternal health service utilization during the COVID-19 pandemic was 64.8%. The odds of maternal health service utilization was higher among mothers who had primary (AOR = 2.16, 95%CI: 1.29–3.60), secondary (AOR = 1.97, 95%CI: 1.13–3.44), and college and above education (AOR = 2.89, 95%CI: 1.34–6.22) than those who could not read and write. Besides, mothers who did travel 30–60 minutes (AOR = 0.37, 95%CI: 0.23–0.59) and 60-90minutes (AOR = 0.10, 95%CI: 0.05–0.19) to reach the health facility had a lower odds of maternal health service utilization than those who did travel <30 minutes. Moreover, mothers who earn 1000–2000 (AOR = 3.10, 95%CI: 1.73–5.55) and > 2000 birrs (AOR = 2.66 95%CI: 1.52–4.64) had higher odds of maternal health service utilization than those who earn <500 birrs. Similarly, the odds of utilizing maternal health service were higher among mothers who did not fear COVID-19 infection (AOR = 2.79, 95%CI: 1.85–4.20), who had not had to request permission from husband to visit the health facility (AOR = 7.24, 95%CI: 2.65–19.75), who had practicedCOVID-19 prevention measure (AOR = 5.82, 95%CI: 3.87–8.75), and used face mask (AOR = 2.06, 95% CI: 1.28–3.31) than their counterpart. Empowering mothers and creating awareness on COVID-19 preventionis recommended to improve maternal health service utilization during the COVID-19 pandemic.

show abstract

Impact of COVID-19 on utilization of maternal, newborn and child health services in Nigeria: protocol for a country-level mixed-methods study

Cited by 11 publications

References 10 publications

Maternal health care services utilization in the amid of COVID-19 pandemic in West Shoa Zone, Central Ethiopia

Maternal health care services utilization in the amid of COVID-19 pandemic in West Shoa Zone, Central Ethiopia

Exploring COVID-19 Related Factors Influencing Antenatal Care Services Uptake: A Qualitative Study among Women in a Rural Community in Southwest Ethiopia

Maternal health care services utilization amidstCOVID-19 pandemic in West Shoa zone, central Ethiopia

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