Early effects of COVID-19 on maternal and child health service disruption in Mozambique.
Early effects of COVID-19 on maternal and child health service disruption in Mozambique.
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DOI：
10.3389/fpubh.2023.1075691
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发表时间：
2023
影响因子：
5.2
通讯作者：
Sherr, Kenneth
中科院分区：
文献类型：
--
作者：
Augusto, Orvalho;Roberton, Timothy;Fernandes, Quinhas;Chicumbe, Sergio;Manhica, Ivan;Tembe, Stelio;Wagenaar, Bradley H. H.;Anselmi, Laura;Wakefield, Jon;Sherr, Kenneth
本文是“新冠肺炎和旷日持久冲突背景下的卫生系统恢复”研究课题的一部分。在世界卫生组织宣布新冠肺炎为大流行之后，截至2021年7月，全球已有超过1.84亿例病例和400多万人死亡。这些数字很可能被低估了，而且没有区分卫生保健服务中断造成的直接死亡和间接死亡。我们研究的目的是使用常规卫生信息系统数据评估2020年和2021年初新冠肺炎对莫桑比克地区一级妇幼保健服务提供的早期影响，并估计相关的过高孕产妇和儿童死亡人数。利用莫桑比克常规卫生信息系统(SISMA，Sistema de Informação em Saúde Para Monitor oria e Avaliação)的数据，我们进行了一项时间序列分析，以评估代表莫桑比克159个区妇幼保健服务连续提供情况的9项选定指标的变化。该数据集是作为2017年1月至2021年3月提供的服务的计数提取的。描述性统计用于地区比较，并产生特定地区的时间序列图。我们使用绝对差异或比率来比较观测数据和建模预测之间的差异，以此作为衡量服务提供损失程度的指标。死亡率估计是使用拯救生命工具(列表)进行的。我们评估的所有妇幼保健服务指标都显示服务提供中断(不到预期计数的10%)，计划生育和疟疾治疗的新使用者人数最多，其中Coartem(接受治疗的五岁以下儿童人数)中断最大。在2020年4月观察到所有指标的立即损失，但使用可泰得治疗疟疾的情况除外。据估计，2020年因失去医疗服务而超额死亡的人数为11,337名(12.8%)五岁以下儿童、5,705名新生儿(11.3%)和387名母亲(7.6%)。我们的研究结果支持了现有研究，这些研究表明新冠肺炎对撒哈拉以南非洲地区的妇幼保健服务利用产生了负面影响。这项研究提供了国家以下和细粒度的服务损失估计，这对卫生系统恢复规划是有用的。据我们所知，这是第一次在非洲葡语国家就新冠肺炎对妇幼保健服务利用的早期影响进行研究。
This article is part of the Research Topic ‘Health Systems Recovery in the Context of COVID-19 and Protracted Conflict' After the World Health Organization declared COVID-19 a pandemic, more than 184 million cases and 4 million deaths had been recorded worldwide by July 2021. These are likely to be underestimates and do not distinguish between direct and indirect deaths resulting from disruptions in health care services. The purpose of our research was to assess the early impact of COVID-19 in 2020 and early 2021 on maternal and child healthcare service delivery at the district level in Mozambique using routine health information system data, and estimate associated excess maternal and child deaths. Using data from Mozambique's routine health information system (SISMA, Sistema de Informação em Saúde para Monitoria e Avaliação), we conducted a time-series analysis to assess changes in nine selected indicators representing the continuum of maternal and child health care service provision in 159 districts in Mozambique. The dataset was extracted as counts of services provided from January 2017 to March 2021. Descriptive statistics were used for district comparisons, and district-specific time-series plots were produced. We used absolute differences or ratios for comparisons between observed data and modeled predictions as a measure of the magnitude of loss in service provision. Mortality estimates were performed using the Lives Saved Tool (LiST). All maternal and child health care service indicators that we assessed demonstrated service delivery disruptions (below 10% of the expected counts), with the number of new users of family planing and malaria treatment with Coartem (number of children under five treated) experiencing the largest disruptions. Immediate losses were observed in April 2020 for all indicators, with the exception of treatment of malaria with Coartem. The number of excess deaths estimated in 2020 due to loss of health service delivery were 11,337 (12.8%) children under five, 5,705 (11.3%) neonates, and 387 (7.6%) mothers. Findings from our study support existing research showing the negative impact of COVID-19 on maternal and child health services utilization in sub-Saharan Africa. This study offers subnational and granular estimates of service loss that can be useful for health system recovery planning. To our knowledge, it is the first study on the early impacts of COVID-19 on maternal and child health care service utilization conducted in an African Portuguese-speaking country.
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影响因子：
2.8
作者：
das Neves Martins Pires PH;Macaringue C;Abdirazak A;Mucufo JR;Mupueleque MA;Zakus D;Siemens R;Belo CF
通讯作者：
Belo CF
影响因子：
8.1
作者：
Manhica, Ivan;Augusto, Orvalho;Sherr, Kenneth;Cowan, James;Cuco, Rosa Marlene;Agostinho, Saozinha;Macuacua, Bachir C.;Ramiro, Isaias;Carimo, Naziat;Matsinhe, Maria Benigna;Gloyd, Stephen;Chicumbe, Sergio;Machava, Raimundo;Tembe, Stelio;Fernandes, Quinhas
通讯作者：
Fernandes, Quinhas
影响因子：
8.1
作者：
Amouzou, Agbessi;Maiga, Abdoulaye;Faye, Cheikh Mbacke;Chakwera, Samuel;Melesse, Dessalegn Y.;Mutua, Martin Kavao;Thiam, Sokhna;Abdoulaye, Idrissa Boukary;Afagbedzi, Seth Kwaku;Iknane, Akory Ag;Ake-Tano, Odile Sassor;Akinyemi, Joshua O.;Alegana, Victor;Alhassan, Yakubu;Sam, Arinaitwe Emma;Atweam, Dominic Kwabena;Bajaria, Shraddha;Bawo, Luke;Berthe, Mamadou;Blanchard, Andrea Katryn;Bouhari, Hamissou Alaji;Boulhassane, Ousmane Maimouna Ali;Bulawayo, Maio;Chooye, Ovost;Coulibaly, Amed;Diabate, Mamatou;Diawara, Fatou;Esleman, Ousman;Gajaa, Mulugeta;Garba, Kamil Halimatou Amadou;Getachew, Theodros;Jacobs, Choolwe;Jacobs, George P.;James, Femi;Jegede, Ayodele S.;Joachim, Catherine;Kananura, Rornald Muhumuza;Karimi, Janette;Kiarie, Helen;Kpebo, Denise;Lankoande, Bruno;Lawanson, Akanni Olayinka;Mahamadou, Yahaha;Mahundi, Masoud;Manaye, Tewabe;Masanja, Honorati;Millogo, Modeste Roch;Mohamed, Abdoul Karim;Musukuma, Mwiche;Muthee, Rose;Nabie, Douba;Nyamhagata, Mukome;Ogwal, Jimmy;Orimadegun, Adebola;Ovuoraye, Ajiwohwodoma;Pongathie, Adama Sanogo;Sable, Stephane Parfait;Saydee, Geetor S.;Shabini, Josephine;Sikapande, Brivine Mukombwe;Simba, Daudi;Tadele, Ashenif;Tadlle, Tefera;Tarway-Twalla, Alfred K.;Tassembedo, Mahamadi;Tehoungue, Bentoe Zoogley;Terera, Ibrahim;Traore, Soumaila;Twalla, Musu P.;Waiswa, Peter;Wondirad, Naod;Boerma, Ties
通讯作者：
Boerma, Ties
影响因子：
3.2
作者：
Wagenaar, Bradley H.;Sherr, Kenneth;Wagenaar, Alexander C.
通讯作者：
Wagenaar, Alexander C.
影响因子：
34.3
作者：
Roberton, Timothy;Carter, Emily D.;Walker, Neff
通讯作者：
Walker, Neff