Utilization cost of maternity services for childbirth among pregnant women with coronavirus disease 2019 in Nigeria’s epicenter

Banke-Thomas, Aduragbemi; Makwe, Christian Chigozie; Balogun, Mobolanle; Afolabi, Bosede Bukola; Alex-Nwangwu, Theresa Amaogechukwu; Ameh, Charles

doi:10.1002/ijgo.13436

Cited by 18 publications

(20 citation statements)

References 14 publications

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“…In particular, women in many LMICs have had challenges in accessing care with the resultant drop in antenatal care attendance and institutional deliveries in some of these countries [13]. There have also been additional stressors placed on skilled health personnel (nurses, midwives and doctors), large-scale lockdowns, restructuring of health services, increased cost of service utilization, and limited access to medical supplies [14][15][16]. These occurrences have resulted in a pressing need to understand the level of satisfaction of women with experienced care during the COVID-19 pandemic as well as the determinants of satisfaction.…”

Section: Introductionmentioning

confidence: 99%

Challenges in access and satisfaction with reproductive, maternal, newborn and child health services in Nigeria during the COVID-19 pandemic: A cross-sectional survey

et al. 2021

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Background The presence of COVID-19 has led to the disruption of health systems globally, including essential reproductive, maternal, newborn and child health (RMNCH) services. This study aimed to assess the challenges faced by women who used RMNCH services in Nigeria’s epicentre, their satisfaction with care received during the COVID-19 pandemic and the factors associated with their satisfaction. Methods This cross-sectional survey was conducted in Lagos, southwest Nigeria among 1,241 women of reproductive age who had just received RMNCH services at one of twenty-two health facilities across the primary, secondary and tertiary tiers of health care. The respondents were selected via multi-stage sampling and face to face exit interviews were conducted by trained interviewers. Client satisfaction was assessed across four sub-scales: health care delivery, health facility, interpersonal aspects of care and access to services. Bivariate and multivariate analyses were used to assess the relationship between personal characteristics and client satisfaction. Results About 43.51% of respondents had at least one challenge in accessing RMNCH services since the COVID-19 outbreak. Close to a third (31.91%) could not access service because they could not leave their houses during the lockdown and 18.13% could not access service because there was no transportation. The mean clients’ satisfaction score among the respondents was 43.25 (SD: 6.28) out of a possible score of 57. Satisfaction scores for the interpersonal aspects of care were statistically significantly lower in the PHCs and general hospitals compared to teaching hospitals. Being over 30 years of age was significantly associated with an increased clients’ satisfaction score (ß = 1.80, 95%CI: 1.10–2.50). Conclusion The COVID-19 lockdown posed challenges to accessing RMNCH services for a significant proportion of women surveyed. Although overall satisfaction with care was fairly high, there is a need to provide tailored COVID-19 sensitive inter-personal care to clients at all levels of care.

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Section: Introductionmentioning

confidence: 99%

Challenges in access and satisfaction with reproductive, maternal, newborn and child health services in Nigeria during the COVID-19 pandemic: A cross-sectional survey

et al. 2021

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“…Another set of studies covered the transmission dynamics of the virus among healthcare workers who are at the forefront of this pandemic [73][74][75][76]. Training healthcare workers in the effective use of personal protective equipment (PPE) to protect themselves and to prevent transmission have also been covered in the literature [77][78][79].…”

Section: How Covid-19 Impacted Medical and Nursing Training (Topic 5)mentioning

confidence: 99%

Teaching and Learning during the COVID-19 Pandemic: A Topic Modeling Study

Vijayan

2021

Education Sciences

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The coronavirus disease 2019 (COVID-19) pandemic caused significant disruption to teaching and learning activities at all levels. Faculty, students, institutions, and parents have had to rapidly adapt and adopt measures to make the best use of available resources, tools and teaching strategies. While much of the online teaching pedagogies have been theoretically and practically explored to a limited extent, the scale at which these were deployed was unprecedented. This has led a large number of researchers to share challenges, solutions and knowledge gleaned during this period. The main aim of this work was to thematically model the literature related to teaching and learning during, and about, COVID-19. Abstracts and metadata of literature were extracted from Scopus, and topic modeling was used to identify the key research themes. The research encompassed diverse scientific disciplines, including social sciences, computer science, and life sciences, as well as learnings in support systems, including libraries, information technology, and mental health. The following six key themes were identified: (i) the impact of COVID-19 on higher education institutions, and challenges faced by these institutions; (ii) the use of various tools and teaching strategies employed by these institutions; (iii) the teaching and learning experience of schools and school teachers; (iv) the impact of COVID-19 on the training of healthcare workers; (v) the learnings about COVID-19, and treatment strategies from patients; and (vi) the mental health of students as a result of COVID-19 and e-learning. Regardless of the key themes, what stood out was the inequities in education as a result of the digital divide. This has had a huge impact not only in middle- and low-income nations, but also in several parts of the developed world. Several important lessons have been learned, which, no doubt, will be actively incorporated into teaching and learning practices and teacher training. Nonetheless, the full effect of these unprecedented educational adaptions on basic education, expert training, and mental health of all stakeholders is yet to be fully fathomed.

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“…However, with all countries including donor countries facing significant challenges of their own with COVID-19, the international community was understandably not particularly a huge contributor in the middle of the crisis. Indeed, private sector and personal philanthropic donations became important sources of funding for health facilities during the pandemic [49].…”

Section: Appraising Implementation Of the State's Emergency Preparedness And Responsementioning

confidence: 99%

From Ebola to COVID-19: emergency preparedness and response plans and actions in Lagos, Nigeria

et al. 2021

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Background Lagos state is the industrial nerve centre of Nigeria and was the epicentre of the 2014 Ebola outbreak in Nigeria as it is now for the current Coronavirus Disease (COVID-19) outbreak. This paper describes how the lessons learned from the Ebola outbreak in 2014 informed the emergency preparedness of the State ahead of the COVID-19 outbreak and guided response. Discussion Following the Ebola outbreak in 2014, the Lagos State government provided governance by developing a policy on emergency preparedness and biosecurity and provided oversight and coordination of emergency preparedness strategies. Capacities for emergency response were strengthened by training key staff, developing a robust surveillance system, and setting up a Biosafety Level 3 laboratory and biobank. Resource provision, in terms of finances and trained personnel for emergencies was prioritized by the government. With the onset of COVID-19, Lagos state was able to respond promptly to the outbreak using the centralized Incident Command Structure and the key activities of the Emergency Operations Centre. Contributory to effective response were partnerships with the private sectors, community engagement and political commitment. Conclusion Using the lessons learned from the 2014 Ebola outbreak, Lagos State had gradually prepared its healthcare system for a pandemic such as COVID-19. The State needs to continue to expand its preparedness to be more resilient and future proof to respond to disease outbreaks. Looking beyond intra-state gains, lessons and identified best practices from the past and present should be shared with other states and countries.

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Utilization cost of maternity services for childbirth among pregnant women with coronavirus disease 2019 in Nigeria’s epicenter

Abstract: There is an urgent need to minimize novel costs that pregnant women now face in utilizing maternity services for childbirth because of the COVID-19 pandemic.

Cited by 18 publications

References 14 publications

Challenges in access and satisfaction with reproductive, maternal, newborn and child health services in Nigeria during the COVID-19 pandemic: A cross-sectional survey

Challenges in access and satisfaction with reproductive, maternal, newborn and child health services in Nigeria during the COVID-19 pandemic: A cross-sectional survey

Teaching and Learning during the COVID-19 Pandemic: A Topic Modeling Study

From Ebola to COVID-19: emergency preparedness and response plans and actions in Lagos, Nigeria

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