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Covid-19 pandemic impact on maternal and child health services access in Nampula, Mozambique: a mixed methods research

das Neves Martins Pires, Paulo Henrique ; Macaringue, Cynthia ; Abdirazak, Ahmed ; Mucufo, Jaibo Rassul ; Mupueleque, Martins Abudo ; Zakus, David ; Siemens, Ronald ; Belo, Celso Fernando

BMC health services research, 2021-08, Vol.21 (1), p.1-860, Article 860 [Periódico revisado por pares]

London: BioMed Central Ltd

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Covid-19 pandemic impact on maternal and child health services access in Nampula, Mozambique: a mixed methods research
Autor: das Neves Martins Pires, Paulo Henrique ; Macaringue, Cynthia ; Abdirazak, Ahmed ; Mucufo, Jaibo Rassul ; Mupueleque, Martins Abudo ; Zakus, David ; Siemens, Ronald ; Belo, Celso Fernando
Assuntos: Adolescent health ; Children & youth ; Children health ; Childrens health ; Community ; Community health care ; Control ; Coronaviruses ; Covid-19 ; COVID-19 vaccines ; Cross infection ; Epidemics ; Families & family life ; Health care access ; Health services ; Health services access ; Hospitals ; Intervention ; Interviews ; Maternal & child health ; Maternal health ; Medical care ; Mixed methods research ; Mozambique ; Nosocomial infections ; Pandemics ; Pregnancy ; Prevention ; State of emergency ; Statistical significance ; Teenagers ; Tropical diseases ; Utilization ; Womens health
É parte de: BMC health services research, 2021-08, Vol.21 (1), p.1-860, Article 860
Notas: ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Feature-3
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ObjectType-Review-1
Descrição: Abstract Background The Covid-19 pandemic has so far infected more than 30 million people in the world, having major impact on global health with collateral damage. In Mozambique, a public state of emergency was declared at the end of March 2020. This has limited people’s movements and reduced public services, leading to a decrease in the number of people accessing health care facilities. An implementation research project, The Alert Community for a Prepared Hospital, has been promoting access to maternal and child health care, in Natikiri, Nampula, for the last four years. Nampula has the second highest incidence of Covid-19. The purpose of this study is to assess the impact of Covid-19 pandemic Government restrictions on access to maternal and child healthcare services. We compared health centres in Nampula city with healthcare centres in our research catchment area. We wanted to see if our previous research interventions have led to a more resilient response from the community. Methods Mixed-methods research, descriptive, cross-sectional, retrospective, using a review of patient visit documentation. We compared maternal and child health care unit statistical indicators from March–May 2019 to the same time-period in 2020. We tested for significant changes in access to maternal and child health services, using KrushKall Wallis, One-way Anova and mean and standard deviation tests. We compared interviews with health professionals, traditional birth attendants and patients in the two areas. We gathered data from a comparable city health centre and the main city referral hospital. The Marrere health centre and Marrere General Hospital were the two Alert Community for a Prepared Hospital intervention sites. Results Comparing 2019 quantitative maternal health services access indicators with those from 2020, showed decreases in most important indicators: family planning visits and elective C-sections dropped 28%; first antenatal visit occurring in the first trimester dropped 26%; hospital deliveries dropped a statistically significant 4% (p = 0.046), while home deliveries rose 74%; children vaccinated down 20%. Conclusion Our results demonstrated the negative collateral effects of Covid-19 pandemic Government restrictions, on access to maternal and child healthcare services, and highlighted the need to improve the health information system in Mozambique.
Editor: London: BioMed Central Ltd
Idioma: Inglês

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Covid-19 pandemic impact on maternal and child health services access in Nampula, Mozambique: a mixed methods research

das Neves Martins Pires, Paulo Henrique ; Macaringue, Cynthia ; Abdirazak, Ahmed ; Mucufo, Jaibo Rassul ; Mupueleque, Martins Abudo ; Zakus, David ; Siemens, Ronald ; Belo, Celso Fernando

London: BioMed Central Ltd

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