Assessment of Effect of COVID 19 Pandemic on the Utilization of Maternal Newborn Child Health and Nutrition Services in Somali Region of Ethiopia

Oladeji, Olusola; Oladeji, Bibilola D.; Farah, Abdifatah Elmi; Ali, Yusuf; Ayanle, Mohamed

doi:10.26911/jepublichealth.2020.05.04.08

Cited by 5 publications

(8 citation statements)

References 11 publications

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“…A mixed method study in eight health facilities in Ethiopia comparing the service utilisation trends in the rst 6 months of COVID-19 with the corresponding time and data points of the preceding year showed reduced ANC visits (208.9 to 181.7/month, p=0.433) and under 5 visits (225.0 to 139.8/month, p=0.007) [8]. An assessment of effect of the pandemic on the uptake of MHC in Somali region of Ethiopia, through a retrospective chart review revealed that the mean number of ANC pre-pandemic was 4088 and intra-pandemic was 3498., a 14% decline in ANC attendance [39] . This decline in ANC visits was corroborated by a national study using reproductive, maternal, and newborn health services data from governmental health facilities in Ethiopia during a similar time period [11].…”

Section: Covid Concerns and Psychologicalmentioning

confidence: 99%

“…Studies in both Somalia and Ethiopia recorded over a 20% decrease in skilled birth attendant births [11,39]. A study in six regions of Ethiopia covering 91% of the population, found that a 77% reduced risk of facilitybased births during the pandemic compared to pre-pandemic compared to pre-COVID among urban women but no difference in facility-based births among rural women [26].…”

Section: Covid Concerns and Psychologicalmentioning

confidence: 99%

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An Integrative Literature Review on the Impact of COVID-19 on Maternal Health in Africa

Senkyire

Ohaja

Ewetan

et al. 2022

Preprint

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Africa has the highest rates of maternal deaths globally which have been linked to poorly functioning health care systems. The aim of this paper is to review the published literature on the impact of the COVID-19 pandemic on maternal health in Africa. The integrative review process delineated by Whittemore and Knafl (2005) was used to meet the study aims. The literature search of Ovid Medline, CINAHL, PubMed, WHO, Google and Google scholar, Africa journals online, MIDIRS was limited to publications between March 2020 and May 2022. All the studies went through the PRISMA stages, and 179 full text papers screened for eligibility, 36 papers met inclusion criteria. Of the studies, 6 were qualitative, 25 quantitative studies, and 5 mixed methods. Thematic analysis according to the methods of Braun and Clark (2006) were used to synthesize the data. From the search the four themes that emerged include: effects of lockdown measures, COVID concerns and psychological stress, reduced attendance at antenatal care and childhood vaccination, reduced facility-based births and increase maternal mortality. A review of the literature revealed the following policy issues: The need for government to develop robust response mechanism to public health emergencies that negatively affect maternal health issues and devise health policies to mitigate negative effects of lockdown. In times of pandemic there is need to maintain special access for both antenatal care and child delivery services and limit a shift to use of untrained birth attendants to reduce maternal and neonatal deaths. These could be achieved by soliciting investments from various sectors to provide high-quality care that ensures sustainability to all layers of the population.

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Section: Covid Concerns and Psychologicalmentioning

confidence: 99%

Section: Covid Concerns and Psychologicalmentioning

confidence: 99%

An Integrative Literature Review on the Impact of COVID-19 on Maternal Health in Africa

Senkyire

Ohaja

Ewetan

et al. 2022

Preprint

View full text Add to dashboard Cite

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“… Oladeji O., Oladeji B., Farah A.E., et al, 2020. Ethiopia [ 37 ] Assess effect of the pandemic on the utilization of MNCH health services. Quantitative retrospective chart review January–March 2020, April–June 2020.…”

Section: Resultsmentioning

confidence: 99%

“…A mixed method study in eight health facilities in Ethiopia comparing the service utilisation trends in the first 6 months of COVID-19 with the corresponding time and data points of the preceding year showed reduced ANC visits (208.9 to 181.7/month, p = 0.433) and under 5 visits (225.0 to 139.8/month, p = 0.007) [ 8 ]. An assessment of effect of the pandemic on the uptake of MHC in Somali region of Ethiopia, through a retrospective chart review revealed that the mean number of ANC pre-pandemic was 4088 and intra-pandemic was 3498., reflecting a 14% decline in ANC attendance [ 37 ] . This decline in ANC visits was corroborated by a national study using reproductive, maternal, and newborn health services data from governmental health facilities in Ethiopia during a similar time period [ 11 ].…”

Section: Resultsmentioning

confidence: 99%

“…The magnitude of decline in facility births ranged from a low of 3% in Uganda [ 24 ] to 15%-point decrease in 5 regions of Ghana [ 23 ]. Studies in both Somalia and Ethiopia recorded over a 20% decrease in skilled birth attendant births [ 11 , 37 ]. A study in six regions of Ethiopia covering 91% of the population, found 77% reduced risk of facility-based births during the pandemic compared to pre-pandemic among urban women but no difference in facility-based births among rural women [ 47 ].…”

Section: Resultsmentioning

confidence: 99%

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An integrative literature review on the impact of COVID-19 on maternal and child health in Africa

Senkyire

Ewetan

Azuh

et al. 2023

BMC Pregnancy Childbirth

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Africa has the highest rates of maternal deaths globally which have been linked to poorly functioning health care systems. The pandemic revealed already known weaknesses in the health systems in Africa, such as workforce shortages, lack of equipment and resources. The aim of this paper is to review the published literature on the impact of the COVID-19 pandemic on maternal and child health in Africa. The integrative review process delineated by Whittemore and Knafl (2005) was used to meet the study aims. The literature search of Ovid Medline, CINAHL, PubMed, WHO, Google and Google scholar, Africa journals online, MIDIRS was limited to publications between March 2020 and May 2022. All the studies went through the PRISMA stages, and 179 full text papers screened for eligibility, 36 papers met inclusion criteria. Of the studies, 6 were qualitative, 25 quantitative studies, and 5 mixed methods. Thematic analysis according to the methods of Braun and Clark (2006) were used to synthesize the data. From the search the six themes that emerged include: effects of lockdown measures, COVID concerns and psychological stress, reduced attendance at antenatal care, childhood vaccination, reduced facility-based births, and increase maternal and child mortality. A review of the literature revealed the following policy issues: The need for government to develop robust response mechanism to public health emergencies that negatively affect maternal and child health issues and devise health policies to mitigate negative effects of lockdown. In times of pandemic there is need to maintain special access for both antenatal care and child delivery services and limit a shift to use of untrained birth attendants to reduce maternal and neonatal deaths. These could be achieved by soliciting investments from various sectors to provide high-quality care that ensures sustainability to all layers of the population.

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Effect of COVID-19 pandemic on the incidence of acute diarrheal disease and pneumonia among under 5 children in Ethiopia- A database study

Negsso,

Arega,

Abdissa

et al. 2023

PLOS Glob Public Health

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COVID-19 has had a devastating impact on preventable and treatable pediatric diseases in Ethiopia. This study looks at the impact of COVID-19 on pneumonia and acute diarrheal diseases in the country, as well as the differences between administrative regions. In Ethiopia, we conducted a retrospective pre-post study to assess the impact of COVID-19 on children under the age of five who had acute diarrhea and pneumonia and were treated in health facilities during the pre-COVID-19 era (March 2019 to February 2020) and the COVID-19 era (March 2020 to February 2021). From the National Health Management District Health Information System (DHIS2, HMIS), we retrieved data on total acute diarrheal disease and pneumonia, along with their regional and monthly distribution. We calculated incidence rate ratios comparing the rates of acute diarrhea and pneumonia during the pre-and post-COVID-19 eras and adjusted for the year, using Poisson regression. The number of under-five children treated for acute pneumonia decreased from 2,448,882 before COVID-19 to 2,089,542 ((14.7% reduction (95%CI;8.72–21.28), p<0.001)) during COVID-19. Similarly, the number of under-five children treated for acute diarrheal disease decreased from 3,287,850 in pre-COVID-19 to, 2,961,771((9.91% reduction (95%CI;6.3–17.6%),p<0.001)) during COVID-19. In the majority of the administrative regions studied, pneumonia and acute diarrhea diseases decreased during COVID-19, but they increased in Gambella, Somalia, and Afar. During the COVID-19 period, the greatest reduction of children with pneumonia (54%) and diarrhea disease (37.3%) was found in Addis Ababa (p<0.001). The majority of administrative regions included in this study have seen a decrease in pneumonia and acute diarrheal diseases among children under the age of five, while three regions namely, Somalia, Gambela, and Afar saw an increase in cases during the pandemic. This emphasizes the importance of using tailored approaches in mitigating the impact of infectious diseases such as diarrhea and pneumonia during situations of a pandemic such as COVID-19.

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Assessment of Effect of COVID 19 Pandemic on the Utilization of Maternal Newborn Child Health and Nutrition Services in Somali Region of Ethiopia

Cited by 5 publications

References 11 publications

An Integrative Literature Review on the Impact of COVID-19 on Maternal Health in Africa

An Integrative Literature Review on the Impact of COVID-19 on Maternal Health in Africa

An integrative literature review on the impact of COVID-19 on maternal and child health in Africa

Effect of COVID-19 pandemic on the incidence of acute diarrheal disease and pneumonia among under 5 children in Ethiopia- A database study

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