COVID-19 疫情期间埃塞俄比亚初级卫生保健单位提供的孕产妇、新生儿护理和儿童保健服务。

Availability of Maternal, Newborn care and Child Health Services at Primary Health Care Unit during COVID-19 Outbreak in Ethiopia.

机构信息

University of Gonder, College of Medicine and Health Science, Institute of Public Health, Ethiopia.

eHealthLab Ethiopia, University of Gondar, Ethiopia.

出版信息

Ethiop J Health Sci. 2023 Oct;33(Spec Iss 2):117-126. doi: 10.4314/ejhs.v33i2.5S.

DOI:10.4314/ejhs.v33i2.5S

PMID:38352671

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10859739/

Abstract

BACKGROUND

The COVID-19 pandemic is putting a pressure on global health systems. The disruption of essential health services (EHS) has an impact on the health of mothers, neonate and children in developing countries. Therefore, the main aim of this study was assessing the availability of Maternal, Newborn care and Child health (MNCHS) services at primary health care unit during COVID-19 outbreak.

METHODS

A cross-sectional survey was conducted in five regions of Ethiopia in 2021. Descriptive analyses were undertaken using STATA 16 software and the results presented using tables and different graphs. A continuity of EHS assessment tool adopted from WHO was used for data collection.

RESULT

During COVID -19 pandemic, 30 (69.8%) of woreda health offices, 52 (56.5%) of health centers (HCs), 7 (44.4%) of hospitals, and 165 (48%) of health posts (HPs) had a defined list of EHS. In comparison with other EHS, family planning is the least available service in all regions. At HPs level care for sick children and antenatal care (ANC) were available at 59.1 and 58.82% respectively. Except immunization services at SNNP, all other maternal, newborn, and child health EHS were not available to all HPs at full scale.

CONCLUSION

Immunization services were most available, while ANC and care for sick children were least available during COVID-19 at the HPs level. There was regional variation in MNCH EHS service availability at all levels.

摘要

背景

COVID-19 大流行给全球卫生系统带来压力。基本卫生服务（EHS）的中断对发展中国家的母婴和儿童健康产生影响。因此，本研究的主要目的是评估 COVID-19 大流行期间初级卫生保健单位母婴保健、新生儿护理和儿童健康（MNCHS）服务的可及性。

方法

2021 年在埃塞俄比亚的五个地区进行了横断面调查。使用 STATA 16 软件进行描述性分析，结果以表格和不同的图表呈现。采用世界卫生组织（WHO）采用的 EHS 连续性评估工具进行数据收集。

结果

在 COVID-19 大流行期间，30 个（69.8%）的区卫生办公室、52 个（56.5%）的卫生中心（HCs）、7 个（44.4%）的医院和 165 个（48%）的卫生所（HP）有明确的 EHS 清单。与其他 EHS 相比，计划生育是所有地区最缺乏的服务。在 HP 层面，所有地区的儿童疾病护理和产前护理（ANC）的可及性分别为 59.1%和 58.82%。除了在 SNNP 的免疫服务外，所有其他母婴、新生儿和儿童健康 EHS 都无法在所有 HP 层面全面提供。