The Potential Impact of COVID-19 Pandemic on the Antenatal Care as Perceived by Non-COVID-19 Pregnant Women: Women’s Experience Research Brief

Patabendige, Malitha; Gamage, Madhawa M.; Jayawardane, Asanka

doi:10.1177/2374373521998820

Cited by 12 publications

(9 citation statements)

References 13 publications

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“…A facility-based descriptive cross-sectional study from Sri Lanka recorded a decline in ANC during the pandemic. [ 11 ] In contrast, the current study revealed that approximately 90% of pregnant women availed ANC without experiencing any challenges, which supports a descriptive study conducted in South Africa that established that the use of ANC remained relatively steady during the pandemic. [ 12 ] A minor proportion of women reported issues related to health facility and movement restrictions which supports a qualitative study conducted in rural Ethiopia on factors influencing ANC uptake.…”

Section: Discussionsupporting

confidence: 81%

Effect on essential health services during COVID-19 at the Primary level in India

Ahmed¹,

Dumka²,

Bhagat³

et al. 2022

Journal of Family Medicine and Primary Care

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Background: Coronavirus diesease (COVID-19) led to increased demand on the Indian health system due to the pandemic as well as other communicable and non-communicable diseases. Guidance was thus issued by the Ministry of Health and Family Welfare (MoHFW), India, in April 2020 to maintain the delivery of essential health services. Objectives: To determine the extent of disruptions of essential healthcare services, identify associated factors, and establish pertinent correlations to address specific needs. Methods: The Mother and child tracking facilitation centre (MCTFC) conducted a telephonic survey with the front-line workers (FLWs) and beneficiaries in 21 Indian states. The sample size was determined using the infinite population sample size formula, and respondents were selected through a computer-generated random sequence technique. Data were quantitatively analysed using STATA-16. Descriptive univariate analysis was conducted using the Chi-square test. Findings: The majority of the essential health services were being satisfactorily delivered by FLWs ( N = 1596; accredited social health activist (ASHA) = 798, auxiliary nurse midwife (ANM) = 798), where most of the beneficiaries ( N = 1410; Pregnant Women = 708, Postnatal Women = 702) continued accessing services with minor issues concerning referral transport. FLWs reported issues in the provisioning of medicines (P = 0.000 ) for patients with non-communicable diseases and more ANMs than ASHAs reported it. FLWs commonly experienced challenges in extending services due to community resistance and unavailability of general health services at healthcare facilities, where a greater number of ASHAs faced it ( P = 0.000). Both FLWs and beneficiaries ( N = 3006; FLWs = 1596, beneficiaries = 1410) demonstrated appropriate COVID-19 knowledge and behavior. Conclusion: Although overwhelmed, the Indian health system performed satisfactorily well during pandemic in terms of essential health services.

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Section: Discussionsupporting

confidence: 81%

Effect on essential health services during COVID-19 at the Primary level in India

Ahmed¹,

Dumka²,

Bhagat³

et al. 2022

Journal of Family Medicine and Primary Care

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“…Although this study was conducted at the time of COVID-19 pandemic, the COVID-19-related variables and their relationship with antenatal depression were not assessed in this study. Recent studies from Sri Lanka suggested that the pandemic had resulted in an increase in perinatal depression directly as well as indirectly by impacting the antenatal care (ANC) system 50 51. Similar observations were also made by studies from Nepal 20 32.…”

Section: Discussionmentioning

confidence: 63%

Antenatal depression and its associated factors among women of Godawari Municipality, Lalitpur, Nepal: a cross-sectional study

Chalise

Shrestha

Paudel³

et al. 2022

BMJ Open

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ObjectivesTo estimate the prevalence of antenatal depression and identify its associated factors among pregnant women of Godawari Municipality, Lalitpur, Nepal.DesignCommunity-based cross-sectional study.SettingGodawari Municipality, Lalitpur, Nepal, between September and November 2021.Participants250 randomly selected pregnant women of Godawari Municipality, Lalitpur, Nepal.Main outcome measuresThe level of antenatal depression was assessed using Edinburgh Postnatal Depression Scale. χ2test and multivariate logistic regression analysis were applied to determine the association between antenatal depression and related variables at 95% level of confidence.ResultsThe prevalence of antenatal depression was found to be 24.8% (95% CI: 19.2 to 30.7). Multigravida (AOR: 2.219, 95% CI: 1.113 to 4.423), unintended pregnancy (AOR: 2.547, 95% CI: 1.204 to 5.388), male sex preference of child by family (AOR: 2.531, 95% CI: 1.204 to 5.321) and intimate partner violence (AOR: 2.276, 95% CI: 1.116 to 4.640) were found to be the positive predictors of antenatal depression.ConclusionThis study showed a high prevalence of depression among pregnant women. The results suggest a need for mental health assessment during pregnancy. Screening for depression should be part of routine antenatal checkups for early detection and management of mental health concerns during this vulnerable period.

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“…Limited resources to respond to a pandemic might necessitate reallocation away from routine activities and may impact the provision of essential health services through reduced clinic hours, caps on patient intake, and changes in the types of services offered. Demand-side factors, such as mobility restrictions, shutdowns of public transportation, perceived changes in quality of services, or fear of contracting COVID-19 at health facilities, may impede service accessibility and care-seeking [ 8 ]. The economic contraction caused by the pandemic may constrain the ability to pay for health services [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

Healthcare utilization and maternal and child mortality during the COVID-19 pandemic in 18 low- and middle-income countries: An interrupted time-series analysis with mathematical modeling of administrative data

et al. 2022

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Background The Coronavirus Disease 2019 (COVID-19) pandemic has had wide-reaching direct and indirect impacts on population health. In low- and middle-income countries, these impacts can halt progress toward reducing maternal and child mortality. This study estimates changes in health services utilization during the pandemic and the associated consequences for maternal, neonatal, and child mortality. Methods and findings Data on service utilization from January 2018 to June 2021 were extracted from health management information systems of 18 low- and lower-middle-income countries (Afghanistan, Bangladesh, Cameroon, Democratic Republic of the Congo (DRC), Ethiopia, Ghana, Guinea, Haiti, Kenya, Liberia, Madagascar, Malawi, Mali, Nigeria, Senegal, Sierra Leone, Somalia, and Uganda). An interrupted time-series design was used to estimate the percent change in the volumes of outpatient consultations and maternal and child health services delivered during the pandemic compared to projected volumes based on prepandemic trends. The Lives Saved Tool mathematical model was used to project the impact of the service utilization disruptions on child and maternal mortality. In addition, the estimated monthly disruptions were also correlated to the monthly number of COVID-19 deaths officially reported, time since the start of the pandemic, and relative severity of mobility restrictions. Across the 18 countries, we estimate an average decline in OPD volume of 13.1% and average declines of 2.6% to 4.6% for maternal and child services. We projected that decreases in essential health service utilization between March 2020 and June 2021 were associated with 113,962 excess deaths (110,686 children under 5, and 3,276 mothers), representing 3.6% and 1.5% increases in child and maternal mortality, respectively. This excess mortality is associated with the decline in utilization of the essential health services included in the analysis, but the utilization shortfalls vary substantially between countries, health services, and over time. The largest disruptions, associated with 27.5% of the excess deaths, occurred during the second quarter of 2020, regardless of whether countries reported the highest rate of COVID-19-related mortality during the same months. There is a significant relationship between the magnitude of service disruptions and the stringency of mobility restrictions. The study is limited by the extent to which administrative data, which varies in quality across countries, can accurately capture the changes in service coverage in the population. Conclusions Declines in healthcare utilization during the COVID-19 pandemic amplified the pandemic’s harmful impacts on health outcomes and threaten to reverse gains in reducing maternal and child mortality. As efforts and resource allocation toward prevention and treatment of COVID-19 continue, essential health services must be maintained, particularly in low- and middle-income countries.

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The Potential Impact of COVID-19 Pandemic on the Antenatal Care as Perceived by Non-COVID-19 Pregnant Women: Women’s Experience Research Brief

Cited by 12 publications

References 13 publications

Effect on essential health services during COVID-19 at the Primary level in India

Effect on essential health services during COVID-19 at the Primary level in India

Antenatal depression and its associated factors among women of Godawari Municipality, Lalitpur, Nepal: a cross-sectional study

Healthcare utilization and maternal and child mortality during the COVID-19 pandemic in 18 low- and middle-income countries: An interrupted time-series analysis with mathematical modeling of administrative data

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