Effects of the COVID-19 pandemic on antenatal care utilisation in Kenya: a cross-sectional study

Landrian, Amanda; Mboya, John; Golub, Ginger; Moucheraud, Corrina; Kepha, Stella; Sudhinaraset, May

doi:10.1136/bmjopen-2021-060185

Cited by 29 publications

(43 citation statements)

References 24 publications

(42 reference statements)

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“…Several studies con rmed a decrease in ANC and skilled birth attendants leading to an increase in pregnancyrelated problems and decrease in immunizations [21,22,23,31,40,42]. Reduced attendance at ANC was a reality due to the public health concerns of the disease being spread among groups of people.…”

Section: Discussionmentioning

confidence: 99%

“…An interrupted-times series analysis compared 1189 women who delivering in healthcare facilities before the COVID-19 pandemic (September 2019-January 2020) and 540 women who delivered during the pandemic (July through November 2020) [42]. The analysis found that women who delivered during COVID-19 had a 72% higher odds of delayed ANC commencement compared to pre-pandemic data (aOR 1.72, 95% CI 1.24 to 2.37).…”

Section: Covid Concerns and Psychologicalmentioning

confidence: 99%

“…The analysis found that women who delivered during COVID-19 had a 72% higher odds of delayed ANC commencement compared to pre-pandemic data (aOR 1.72, 95% CI 1.24 to 2.37). Moreover, 47% of women who delivered during COVID-19 stated that the pandemic affected their capability to access ANC [42]. A study using a similar design in Ghana, documented a 25% reduction in women attending at least 4 ANC visits during the pandemic compared to pre-pandemic [23].…”

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: Discussionmentioning

confidence: 99%

Section: Covid Concerns and Psychologicalmentioning

confidence: 99%

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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“…For example, Rabbani et al 15 showed that about one-third of pregnant women in Saudi Arabia missed their antenatal care visit during the COVID-19 pandemic. In addition, in a study from six healthcare facilities in Kenya, Landrian et al 16 reported that pregnant women had significantly higher odds of delay in antenatal care visits during the COVID-19 pandemic. On the other hand, a study from 11 rural primary healthcare clinics in South Africa showed that lockdown strategies significantly decreased daily counts of child healthcare visits, but did not affect daily counts of antenatal care, postnatal care and family planning visits 17…”

Section: Introductionmentioning

confidence: 99%

Effect of the COVID-19 pandemic on maternal healthcare indices in Southern Iran: an interrupted time series analysis

et al. 2022

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ObjectivesEpidemics are anticipated to influence the coverage of health services. We assessed the impact of the COVID-19 pandemic on maternal healthcare indices and care providers’ performance.Setting1801 maternal healthcare centres under the auspices of Shiraz University of Medical Sciences, Shiraz, Southern Iran.ParticipantsApproximately 63 000 pregnant women.Primary and secondary outcome measuresIn this prospective ecological study, interrupted time series analysis was used to model and compare the trend of maternal healthcare indices before and after the COVID-19 pandemic announcement.ResultsThe results showed a significant drop in count of preconception healthcare visits, first routine laboratory tests, first trimester prenatal care, first trimester sonography, prenatal screening for birth defects at weeks 11–13, prenatal care visits at weeks 16–20, second routine laboratory tests, second trimester sonography, prenatal care visits at weeks 24–30, prenatal care visits at weeks 31–34, postpartum care visits at days 10–15 and postpartum care visits at days 30–42 with the start of the COVID-19 pandemic (−50% (95% CI −48.68% to –51.36%), −19.67% (95% CI −22.12% to –17.15%), −25.88% (95% CI −28.46% to –23.21%), −23.84% (95% CI −26.26% to –21.34%), −20.16% (95% CI −23.01% to –17.20%), −18.53% (95% CI −21.25% to –15.71%), −28.63% (95% CI −31.03% to –26.14%), −27.48% (95% CI −30.07% to –24.79%), −31.08% (95% CI −33.43% to –28.61%), −31.84% (95% CI −34.35% to –29.23%), 32.55% (95% CI −35.12% to –29.89%) and −39.28% (95% CI −41.59% to –36.88%), respectively). Nevertheless, the trend in coverage of these services showed recovery in the subsequent months (8.36%, 10.55%, 5.74%, 8.01%, 4.40%, 5.06%, 11.20%, 7.58%, 7.38%, 7.80%, 9.59% and 9.61% per month, respectively).ConclusionsUsing ecological data during the COVID-19 pandemic era, we observed a ‘level change and slope change’ as the major pattern of interruption of maternal healthcare coverage, indicating a possible indirect effect rather than a causative relationship. Such relative predictability might assist with future pandemic planning.

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“…Similarly concluded by Landrian et al said that Women who delivered during COVID-19 were asked to report how the pandemic affected their ability to access or attend ANC, nearly half (47%) of all women reported any effects to ANC due to COVID-19. 14 Among these women (n=255), the most reported effects included facilities being closed, too busy or not accepting patients (61%), being scared to contract COVID-19 if going to a hospital or health facility (20%) or going out into the community (15%), an inability to afford care because of COVID-19 (15%) and COVID-related restrictions, such as curfews or mask mandates, hindering ANC access (12%).…”

Section: Discussionmentioning

confidence: 99%

Impact of COVID-19 on antenatal care utilization-a tertiary care center study in New Delhi

Maan

Dhiman²

2022

Int J Reprod Contracept Obstet Gynecol

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Background: The COVID19 pandemic has impacted people’s daily lives all around the world. A lack of resources caused by COVID19 has put many health systems under pressure and sparked protest from many quarters. As COVID19 care was the primary focus of the majority of Delhi’s healthcare delivery facilities, several staff members became positive, staff members became involved in COVID19 emergency duties, and staff members were forced into mandatory quarantines, which limited the provision of antenatal care to routine care. The aim of this study was to know the impact of COVID-19 on routine antenatal care utilization.Methods: This was a questionnaire-based study was conducted in the Department of Obstetrics and Gynecology in MAMC and Lok Nayak Hospital New Delhi, between December 2020 to May 2021 over a period of 6 months. A total of 55 antenatal cases who fulfilled the inclusion and exclusion criteria were included in the study presenting to hospital over a period of 6 months.Results: Only 12% women were booked, 23% women had fear of getting infection, all routine investigation were done in only 14.5% women, 20% women had travel difficulties, 50% women missed their first trimester visit, 50.9% women could get the anomaly scan done.Conclusions: The COVID-19 had a substantial impact on antenatal care, delaying the diagnosis, travel to the medical facility, and subsequent treatment. Age of the mother, suspension and diversion of maternity health care, fear of the COVID-19 pandemic, lack of family support, and transportation accessibility were all important factors that affected how little antenatal care pregnant women used.

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Effects of the COVID-19 pandemic on antenatal care utilisation in Kenya: a cross-sectional study

Cited by 29 publications

References 24 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

Effect of the COVID-19 pandemic on maternal healthcare indices in Southern Iran: an interrupted time series analysis

Impact of COVID-19 on antenatal care utilization-a tertiary care center study in New Delhi

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