Publication:
Disruptions in Maternal and Child Health Service Utilization during COVID-19: Analysis from Eight Sub-Saharan African Countries

Simple item page
dc.contributor.authorAhmed, Tashrik
dc.contributor.authorShapira, Gil
dc.contributor.authorDrouard, Salome Henriette Paulette
dc.contributor.authorFernandez, Pablo Amor
dc.contributor.authorNzelu, Charles
dc.contributor.authorKandpal, Eeshani
dc.contributor.authorSanford Wesseh, Chea
dc.contributor.authorMohamud, Nur Ali
dc.contributor.authorSmart, Francis
dc.contributor.authorMwansambo, Charles
dc.contributor.authorBaye, Martina L
dc.contributor.authorDiabate, Mamatou
dc.contributor.authorYuma, Sylvain
dc.contributor.authorOgunlayi, Munirat
dc.contributor.authorDe Dieu Rusatira, Rwema Jean
dc.contributor.authorHashemi, Tawab
dc.contributor.authorVergeer, Petra
dc.contributor.authorFriedman, Jed
dc.date.accessioned2021-12-14T20:04:58Z
dc.date.available2021-12-14T20:04:58Z
dc.date.issued2021-06-19
dc.description.abstractThe coronavirus-19 pandemic and its secondary effects threaten the continuity of essential health services delivery, which may lead to worsened population health and a protracted public health crisis. We quantify such disruptions, focusing on maternal and child health, in eight sub-Saharan countries. Service volumes are extracted from administrative systems for 63 954 facilities in eight countries: Cameroon, Democratic Republic of Congo, Liberia, Malawi, Mali, Nigeria, Sierra Leone and Somalia. Using an interrupted time series design and an ordinary least squares regression model with facility-level fixed effects, we analyze data from January 2018 to February 2020 to predict what service utilization levels would have been in March–July 2020 in the absence of the pandemic, accounting for both secular trends and seasonality. Estimates of disruption are derived by comparing the predicted and observed service utilization levels during the pandemic period. All countries experienced service disruptions for at least 1 month, but the magnitude and duration of the disruptions vary. Outpatient consultations and child vaccinations were the most commonly affected services and fell by the largest margins. We estimate a cumulative shortfall of 5 149 491 outpatient consultations and 328 961 third-dose pentavalent vaccinations during the 5 months in these eight countries. Decreases in maternal health service utilization are less generalized, although significant declines in institutional deliveries, antenatal care and postnatal care were detected in some countries. There is a need to better understand the factors determining the magnitude and duration of such disruptions in order to design interventions that would respond to the shortfall in care. Service delivery modifications need to be both highly contextualized and integrated as a core component of future epidemic response and planning.en
dc.identifier.citationHealth Policy and Planning
dc.identifier.doi10.1596/36730
dc.identifier.urihttps://hdl.handle.net/10986/36730
dc.publisherOxford University Press
dc.rightsCC BY-NC-ND 3.0 IGO
dc.rights.holderWorld Bank
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/igo
dc.subjectESSENTIAL HEALTH SERVICE
dc.subjectSERVICE DISRUPTION
dc.subjectMATERNAL HEALTH
dc.subjectREPRODUCTIVE HEALTH
dc.subjectHEALTH MANAGEMENT INFORMATION SYSTEM
dc.subjectCORONAVIRUS
dc.subjectCOVID-19
dc.subjectCHILD HEALTH
dc.subjectHEALTH SERVICE DELIVERY
dc.subjectPRENATAL CARE
dc.titleDisruptions in Maternal and Child Health Service Utilization during COVID-19en
dc.title.subtitleAnalysis from Eight Sub-Saharan African Countriesen
dc.typeJournal Articleen
dc.typeArticle de journalfr
dc.typeArtículo de revistaes
dspace.entity.typePublication
okr.associatedcontenthttps://academic.oup.com/heapol/article/36/7/1140/6306443 Journal website (version of record)en
okr.date.disclosure2022-12-19
okr.date.doiregistration2025-05-06T10:56:09.079806Z
okr.doctypePublications & Research
okr.doctypePublications & Research::Journal Article
okr.externalcontentExternal Content
okr.identifier.doi10.1093/heapol/czab064
okr.identifier.report168220
okr.journal.nbpages1140-51
okr.language.supporteden
okr.peerreviewAcademic Peer Review
okr.region.administrativeAfrica
okr.region.administrativeAfrica Eastern and Southern (AFE)
okr.region.administrativeAfrica Western and Central (AFW)
okr.region.geographicalSub-Saharan Africa
okr.topicHealth, Nutrition and Population::Disease Control & Prevention
okr.topicHealth, Nutrition and Population::Early Child and Children's Health
okr.topicHealth, Nutrition and Population::Health Service Management and Delivery
okr.topicHealth, Nutrition and Population::Reproductive Health
okr.unitDevelopment Research Group, Development Economics
okr.volume36(7)
relation.isAuthorOfPublication41f6725d-021b-5878-8750-949260b0f2ca
relation.isAuthorOfPublication26a2ca34-bd4e-5179-817c-e303c2d3c4b7
relation.isAuthorOfPublication5b6f36d3-c0a4-5a3a-b01c-d543e4573c19
relation.isAuthorOfPublication.latestForDiscovery5b6f36d3-c0a4-5a3a-b01c-d543e4573c19
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
HPP2021.pdf
Size:
2.19 MB
Format:
Adobe Portable Document Format
Description:
Journal Article
Download
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.71 KB
Format:
Item-specific license agreed upon to submission
Description:
Download
Collections
Journal articles published externally