2021
DOI: 10.1186/s12939-021-01414-5
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The effect of COVID-19 on maternal newborn and child health (MNCH) services in Bangladesh, Nigeria and South Africa: call for a contextualised pandemic response in LMICs

Abstract: Global response to COVID-19 pandemic has inadvertently undermined the achievement of existing public health priorities and laregely overlooked local context. Recent evidence suggests that this will cause additional maternal and childhood mortality and morbidity especially in low- and middle-income countries (LMICs). Here we have explored the contextual factors influencing maternal, neonatal and children health (MNCH) care in Bangladesh, Nigeria and South Africa amidst the pandemic. Our findings suggest that be… Show more

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Cited by 129 publications
(175 citation statements)
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“…This ranged from the institution of new telehealth services [ 29 , 33 , 35 , [40] , [41] , [42] , [43] , [44] , [45] , [46] , [47] ], altered hospital admission and discharge protocols [ 27 , 30 , [48] , [49] , [50] ], variance in anaesthetic management [ 27 , 36 , 51 , 52 ], and harmonisation of regional antenatal screening services [ 32 , 53 , 54 ]. Only 14 of the 56 papers reported data from low- or middle-income (LMIC) countries according to World Bank classification [ 13 , 28 , 37 , [54] , [55] , [56] , [57] , [58] , [59] , [60] , [61] , [62] , [63] , [64] ]. Lockdown measures in countries included in the studies varied from a GRSI [17] of 6667 to 1000.…”
Section: Resultsmentioning
confidence: 99%
See 3 more Smart Citations
“…This ranged from the institution of new telehealth services [ 29 , 33 , 35 , [40] , [41] , [42] , [43] , [44] , [45] , [46] , [47] ], altered hospital admission and discharge protocols [ 27 , 30 , [48] , [49] , [50] ], variance in anaesthetic management [ 27 , 36 , 51 , 52 ], and harmonisation of regional antenatal screening services [ 32 , 53 , 54 ]. Only 14 of the 56 papers reported data from low- or middle-income (LMIC) countries according to World Bank classification [ 13 , 28 , 37 , [54] , [55] , [56] , [57] , [58] , [59] , [60] , [61] , [62] , [63] , [64] ]. Lockdown measures in countries included in the studies varied from a GRSI [17] of 6667 to 1000.…”
Section: Resultsmentioning
confidence: 99%
“…Twenty-five studies [ 13 , 26 , 28 , 29 , 33 , [35] , [36] , [37] , 40 , 42 , [44] , [45] , [46] , [47] , 50 , [56] , [57] , [58] , 60 , [65] , [66] , [67] , [68] , [69] , [70] ] reported on antenatal clinic attendance during the pandemic using a variety of metrics. In several settings, no alteration was made to the standard antenatal care protocol, but decreased antenatal clinic attendance was reported in the majority of studies; in high income settings a decline in face to face contacts was offset by an increase in remote or virtual clinic appointments and the nature but not the number of the appointments varied [ 26 , 29 , 35 , 40 , [42] , [43] , [44] , [45] , 47 , 66 , 70 ].…”
Section: Resultsmentioning
confidence: 99%
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“…In rural South Africa, a single centre interrupted time series analysis, found no significant change in total admissions during 2020, but did find significant changes between subgroups of admissions(5). Hospital level data from South Africa and Nigeria, documented that antenatal visits decreased whereas evidence was mixed for facility-based deliveries and caesarean sections(6). Interviews of community stakeholders from Kenya and Nigeria, found that stakeholders perceived a reduction in access to healthcare during COVID-19 lockdowns; perceived barriers were cost, reduced availability of transport and fear of infection(7).…”
Section: Introductionmentioning
confidence: 99%