Sharma Saurabh, Singh Lucky, Yadav Jeetendra, Gupta Urvashi, Singh Khangembam Jitenkumar, Rao Mendu Vishnu Vardhana
ICMR-National Institute of Medical Statistics, Ansari Nagar, New Delhi, 110029, India.
Clin Epidemiol Glob Health. 2023 May-Jun;21:101285. doi: 10.1016/j.cegh.2023.101285. Epub 2023 Mar 31.
BACKGROUND/OBJECTIVES: Studies globally have documented the impact of COVID 19 on maternal and newborn health services. This study assesses the impact of COVID-19 on essential maternal and child health (MCH) services in India based on the national Health Management Information System (HMIS).
Present retrospective study used secondary data analysis upon the routinely collected data accessed from Health Management Information System. Microdata on maternal and newborn indicators was extracted for all states between April and June during 2019, 2020 and 2021. Relative change for each indicator were taken into consideration for the year 2020 and 2021; with respect to the outcomes in 2019.
Compared to 2019, antenatal care registrations saw a decline in all states for both periods in 2020 and 2021 except for Sikkim, Telangana, Maharashtra and Andhra Pradesh. Similarly, the relative changes in 2019 pertaining to the proportion of pregnant women provided with emergency obstetric care for pregnancy complications registered a decline in all states except for Himachal Pradesh, Telangana and Arunachal Pradesh. There was a decreasing trend noted in institutional deliveries in 2020 and 2021 among all major states. However, an increasing trend was seen in the number of immunization sessions held among all major states.
The study demonstrates a disruption in service delivery during the lockdown period in the first wave and the peak of the second wave. Further qualitative studies need to be undertaken to generate evidence for maintaining continuum of care during a pandemic situation.
背景/目的：全球范围内的研究记录了新冠疫情对孕产妇和新生儿健康服务的影响。本研究基于国家卫生管理信息系统（HMIS）评估新冠疫情对印度基本妇幼保健（MCH）服务的影响。
本回顾性研究对从卫生管理信息系统获取的常规收集数据进行二次数据分析。提取了2019年、2020年和2021年4月至6月期间所有邦的孕产妇和新生儿指标微观数据。考虑了2020年和2021年各指标相对于2019年结果的相对变化。
与2019年相比，除锡金邦、特伦甘纳邦、马哈拉施特拉邦和安得拉邦外，2020年和2021年两个时期所有邦的产前检查登记人数均有所下降。同样，2019年因妊娠并发症接受紧急产科护理的孕妇比例的相对变化，除喜马偕尔邦、特伦甘纳邦和阿鲁纳恰尔邦外，所有邦均有所下降。2020年和2021年所有主要邦的机构分娩呈下降趋势。然而，所有主要邦的免疫接种场次数量呈上升趋势。
该研究表明在第一波疫情封锁期和第二波疫情高峰期服务提供出现中断。需要进一步开展定性研究，以获取在大流行情况下维持连续护理的证据。
