Armauer Hansen Research Institute (AHRI), Addis Ababa, Ethiopia.
KNCV, Addis Ababa, Ethiopia.
Reprod Health. 2022 Feb 14;19(1):42. doi: 10.1186/s12978-022-01353-6.
In many settings, health care service provision has been modified to managing COVID-19 cases, and this has been affecting the provision of maternal and child health services. The aim of this study was to assess trends in selected maternal and child health services performance in the context of COVID-19 pandemic.
A cross-sectional data review was conducted in Addis Ababa, Ethiopia from April to May 2021. Routine health management information system database was reviewed from Addis Ababa Health Bureau for the period from July 2019 to March 2021 across all quarters. Proportion and mean with standard deviation were computed. T-test was used to assess statistically significant differences in services mean performance.
Postnatal care visit, new contraceptives accepters, safe abortion care and number of under-5 years old children treated for pneumonia significantly decreased by 9.3% (p-value 0.04), 20.3% (p-value 0.004), 23.7% (p-value 0.01) and 77.2% (p-value < 0.001), respectively during the first 8 months of the COVID-19 pandemic compared to the previous 8 months' average performance. The trends in Antenatal care first visit, new contraceptive accepters, pentavalent-3 vaccination and under-five children treated for pneumonia began to decline in January to March 2020, a quarter when the COVID-19 pandemic began; with accelerated declines in April to June 2020 following national lockdown. The trends for the stated services began to increase during July-September 2020, the last quarter of national lockdown. Contraceptive accepters and pentavalent-1 vaccination continued to decline and showed no recovery until January-March 2021 when this study was completed.
Most of the maternal and child health services performance declined following the onset of COVID-19 pandemic and national lockdown, and most of the services began recovering during July-September 2020, the last quarter of national lockdown. However, new and repeat contraceptive accepters and pentavalent-1 recipients continue to decline and show no recovery during end of the study period. Implementing COVID-19 prevention measures and assuring the community about the safety of service delivery is imperative to ensure continuity of the maternal and child health services. Regular monitoring and evaluation of services performance is required to identify slowly recovering services and respond to potentially volatile changes during the COVID-19 pandemic.
在许多环境下，医疗服务的提供已经调整以应对 COVID-19 病例，这对母婴保健服务的提供产生了影响。本研究旨在评估 COVID-19 大流行背景下母婴保健服务表现的变化趋势。
2021 年 4 月至 5 月，在埃塞俄比亚亚的斯亚贝巴进行了一项横断面数据回顾。从 2019 年 7 月至 2021 年 3 月，对亚的斯亚贝巴卫生局的常规卫生管理信息系统数据库进行了审查，涵盖了所有季度。计算了比例和平均值及其标准差。采用 t 检验评估服务表现均值的统计学差异。
COVID-19 大流行的前 8 个月，与前 8 个月的平均水平相比，产后护理访视、新接受避孕措施者、安全人工流产护理和 5 岁以下儿童肺炎治疗人数分别显著下降了 9.3%（p 值 0.04）、20.3%（p 值 0.004）、23.7%（p 值 0.01）和 77.2%（p 值 < 0.001）。2020 年 1 月至 3 月，即 COVID-19 大流行开始时，第一次产前护理访视、新接受避孕措施者、五联疫苗 3 剂接种和 5 岁以下儿童肺炎治疗人数的趋势开始下降；2020 年 4 月至 6 月，全国封锁后下降加速。2020 年 7 月至 9 月，即全国封锁的最后一个季度，上述服务的趋势开始增加。2021 年 1 月至 3 月，本研究完成时，避孕措施接受者和五联疫苗 1 剂接种人数继续下降，没有恢复迹象。
COVID-19 大流行和全国封锁开始后，大多数母婴保健服务的表现下降，2020 年 7 月至 9 月，即全国封锁的最后一个季度，大多数服务开始恢复。然而，新的和重复的避孕措施接受者以及五联疫苗 1 剂接种者继续下降，在研究结束时仍没有恢复迹象。实施 COVID-19 预防措施并向社区保证服务提供的安全性对于确保母婴保健服务的连续性至关重要。需要定期监测和评估服务表现，以识别恢复缓慢的服务，并应对 COVID-19 大流行期间潜在的不稳定变化。
