Effect of COVID-19 Pandemic on Provision of Sexual and Reproductive Health Services in Primary Health Facilities in Nigeria: a Cross-sectional Study

Adelekan, Babatunde; Goldson, Erika; Abubakar, Zubaida; Mueller, Ulla; Alayande, Audu; Ojogun, Tellson; Ntoimo, Lorretta; Williams, Bukky; Ibrahim, Mohammed; Okonofua, Friday

doi:10.21203/rs.3.rs-526735/v1

Cited by 5 publications

(15 citation statements)

References 4 publications

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“…There is a need to sensitize corporate / international donors about the dangers of reducing their contributions during emergencies so that resources remain accessible during crises. It is important to involve key stakeholders at local and national levels, including government and non-governmental agencies to advocate for the proper allocation and regulation of available health resources [41].…”

Section: Discussionmentioning

confidence: 99%

“…Disruption in service provision and utilization was a major theme illuminated in many of the included studies [28,29,32,36,37,39,[41][42][43][44][45][46][47][48][49][50]. Clinic attendance and hospital admissions were significantly reduced for children under the age of five [28].…”

Section: Disruption In Service Provision and Utilizationmentioning

confidence: 99%

“…In areas where early marriage, unexpected pregnancies and unsafe abortions are prevalent, it becomes crucial to continually provide MNCH services [42,48] and provide proper transportation to these services during crises [48]. Both government and non-governmental agencies are needed to strengthen the delivery of and access to these services, and regulate the costs of health care procedures and personal protective equipment during current and future pandemics [41,51].…”

Section: Mitigation Strategies and Recommendationsmentioning

confidence: 99%

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The direct and indirect impact of COVID-19 pandemic on maternal and child health services in Africa: a scoping review

Adu

Stallwood

Adebola

et al. 2022

glob health res policy

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Introduction The novel coronavirus disease 2019 (COVID-19) continues to disrupt the availability and utilization of routine and emergency health care services, with differing impacts in jurisdictions across the world. In this scoping review, we set out to synthesize documentation of the direct and indirect effect of the pandemic, and national responses to it, on maternal, newborn and child health (MNCH) in Africa. Methods A scoping review was conducted to provide an overview of the most significant impacts identified up to March 15, 2022. We searched MEDLINE, Embase, HealthSTAR, Web of Science, PubMed, and Scopus electronic databases. We included peer reviewed literature that discussed maternal and child health in Africa during the COVID-19 pandemic, published from January 2020 to March 2022, and written in English. Papers that did not focus on the African region or an African country were excluded. A data-charting form was developed by the two reviewers to determine which themes to extract, and narrative descriptions were written about the extracted thematic areas. Results Four-hundred and seventy-eight articles were identified through our literature search and 27 were deemed appropriate for analysis. We identified three overarching themes: delayed or decreased care, disruption in service provision and utilization and mitigation strategies or recommendations. Our results show that minor consideration was given to preserving and promoting health service access and utilization for mothers and children, especially in historically underserved areas in Africa. Conclusions Reviewed literature illuminates the need for continued prioritization of maternity services, immunization, and reproductive health services. This prioritization was not given the much-needed attention during the COVID-19 pandemic yet is necessary to shield the continent’s most vulnerable population segments from the shocks of current and future global health emergencies.

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Section: Discussionmentioning

confidence: 99%

Section: Disruption In Service Provision and Utilizationmentioning

confidence: 99%

Section: Mitigation Strategies and Recommendationsmentioning

confidence: 99%

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The direct and indirect impact of COVID-19 pandemic on maternal and child health services in Africa: a scoping review

Adu

Stallwood

Adebola

et al. 2022

glob health res policy

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“…Of the 19 studies, 4 were cross sectional studies [1,14,10], 1 was an observational study [15], 1 was a descriptive analytical study [8] and the rest were qualitative studies.…”

Section: Characteristics Of the Included Studiesmentioning

confidence: 99%

“…While the impact of the COVID19 epidemic and lockdown has clearly impacted people from all walks of life, the impoverished, marginalised, and socially excluded are the most vulnerable and are likely to be disproportionately affected [16,13]. National mandates to contain the pandemic, such as complete or total lockdowns, curfews, and temporary closure of non-essential services (elective survey, cancer treatment, sexual and reproductive health [10], the re-sulting economic slowdowns have adverse effects on accessing, using, and providing RMNCAH services, particularly in low and middle income countries, and have a signifi-cant impact on individuals' physical and mental health, as well as their quality of life [2,14].Authors at the Guttmacher Institute and others have proposed that a sudden halt in the supply of SRH services will resut in an unexpected increase in poor Sexual and Reproductive Health [6].Using a thorough scoping review, this study maps the effects of COVID19 on sexual and reproductive health.…”

Section: Introductionmentioning

confidence: 99%

Impacts of COVID-19 on Accessibility of Sexual and Reproductive Health Services: Scoping Review

Nkole¹,

Chisotwa²,

Chikumbi³

et al. 2022

Preprint

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Introduction: Since its discovery in late 2019, the novel coronavirus (SARSCOVID-2) that causes COVID-19 has spread fast, prompting the World Health Organization (WHO) to designate the disease a worldwide pandemic on March 11, 2020.The epidemic has profoundly altered the preexisting global sexual and reproductive health landscape .The virus’s load has put ordinary services in jeopardy and harmed other health priorities. This encompasses both the provision and the supply of contraceptives, sexual health, new born and maternal health services. This Scoping review therefore mapped the availability evidence on the impact and effects of the COVID-19 disease outbreak on sexual and reproductive health. Methods: The methodological framework by Arksey and O’Malley guided this scoping review. A literature search was conducted from the following databases: Embase, PubMed, CINAHL, Scopus, WOS, and AJOL. The preferred reporting items for systematic reviews and meta-analyses (PRISMA) flow diagram and the preferred reporting items for systematic reviews and meta-analyses extension for scoping reviews (PRISMA-ScR) checklist were used to document the review process. The Strobe critical review checklist was used to determine the quality of the included studies. Results:19 studies were reviewed, out of which 4 were cross sectional studies, 1 was an observational study, 1 was a descriptive analytical study and the rest were qualitative studies .Majority of the studies showed evidence on the impact of COVID-19 and family planning service, maternal and child services, and three studies reported on COVID-19 and sexual behaviour. Five of the nineteen included studies reported on the impact of COVID-19 and family planning service. Conclusion: This scoping review has granted the assessment of the impact of novel SARS-CoV-2 on Sexual and reproductive health services with regards to sexual behaviour, family planning and maternal, neonatal and child health. From the 18 articles identified and reviewed, the overall responses stipulated a significant reduction in client’s utilization of services due to challenges experiences in service implementation such as stock outs. In addition, low demand for reproductive health services by clients due to restrictions imposed on the movements of people to curb the spread of the virus. It is therefore important that Governments and relevant stakeholders in Maternal and Sexual Reproductive Health prioritize development of policies and practices that protect women from the impacts of the pandemic. Furthermore, regular audits to detect trends in MSRH are necessary to inform on going mitigation efforts.

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Effects of the COVID-19 pandemic on maternal and perinatal health service utilisation and outcomes in Mozambique: an interrupted time series analysis

et al. 2022

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ObjectivesTo measure the effects of the COVID-19 pandemic on maternal and perinatal health services and outcomes in Mozambique.DesignThis is an observational study analysing routine service delivery data using interrupted time series analysis. We used 43 months of district-level panel data with April 2020 as the point of interruption, adjusting for seasonality and population growth to analyse service utilisation outcomes.SettingThe 222 public health facilities in Nampula Province, Mozambique, from January 2018 to July 2021.Outcome measuresThe change in the number of antenatal care (ANC) visits and facility deliveries, and the change in the rate of adverse birth outcomes at pandemic onset and over time compared with expected levels and trends, respectively.ResultsThere were no significant disruptions to ANC at pandemic onset. Following this, there was a significant monthly increase of 29.8 (18.2–41.4) first ANC visits and 11.3 (5.5–17.2) ANC visits within the first trimester per district above prepandemic trends. There was no significant change in the number of fourth ANC visits completed. At the onset of COVID-19, districts experienced a significant decrease of 71.1 (−110.5 to −31.7) facility deliveries, but the rate then increased significantly above prepandemic trends. There was no significant increase in any adverse birth outcomes during the pandemic. Conversely, districts observed a significant monthly decrease of 5.3 uterine rupture cases (−9.9 to −0.6) and 19.2 stillbirths (−33.83 to −4.58) per 100 000 facility deliveries below prepandemic trends. There was a significant drop of 23.5 cases of neonatal sepsis/100 000 facility deliveries per district at pandemic onset.ConclusionDespite pandemic interference, Nampula Province saw no disruptions to ANC, only temporary disruptions to facility deliveries and no increases in adverse birth outcomes. ANC visits surprisingly increased, and the rates of uterine rupture, stillbirth and neonatal sepsis decreased, suggesting that Nampula Province may offer insights about health system resilience.

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Effect of COVID-19 Pandemic on Provision of Sexual and Reproductive Health Services in Primary Health Facilities in Nigeria: a Cross-sectional Study

Cited by 5 publications

References 4 publications

The direct and indirect impact of COVID-19 pandemic on maternal and child health services in Africa: a scoping review

The direct and indirect impact of COVID-19 pandemic on maternal and child health services in Africa: a scoping review

Impacts of COVID-19 on Accessibility of Sexual and Reproductive Health Services: Scoping Review

Effects of the COVID-19 pandemic on maternal and perinatal health service utilisation and outcomes in Mozambique: an interrupted time series analysis

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