Indirect effects of COVID-19 on maternal and child health in South Africa.
Indirect effects of COVID-19 on maternal and child health in South Africa.
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DOI：
10.1080/16549716.2022.2153442
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发表时间：
2023-12-31
影响因子：
2.6
通讯作者：
Hofman, Karen
中科院分区：
文献类型：
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作者：
Thsehla, Evelyn;Balusik, Adam;Boachie, Micheal Kofi;Tombe-Mdewa, Winfrida;Kabudula, Chodziwadziwa;Du Toit, Jacques;Kahn, Kathleen;Gomez-Olive, Francesc Xavier;Tollman, Stephen;Goldstein, Susan;Hofman, Karen
孕产妇和儿童健康状况不佳的未完成负担导致南非的疾病负担增加了四倍，COVID-19大流行的直接和间接影响尚未得到充分记录。调查COVID-19对不同地理区域和相对财富五分位数的孕产妇和儿童健康的间接影响。我们估计了2020年4月至2021年6月COVID-19对母婴健康的影响。我们通过计算设施、相对财富指数（RWI）五分位数、地理区域和省份的平均变化来估计这一点。为了解释潜在的季节性或线性趋势的混淆，我们随后拟合了一个分段固定效应面板模型。共有4956个公共部门设施被纳入分析。2020年4月至9月，麻疹全程免疫和首剂次接种分别下降6.99%和2.44%。在随后的几个月里，麻疹第一剂增加了4.88%，而完全免疫仍然是阴性的（-0.65%），特别是在较贫困的五分之一人群中。在设施一级，肺炎、腹泻和严重急性营养不良的发病率和死亡率的平均变化为负数。首次产前检查、15 - 19岁分娩、剖腹产分娩和孕产妇死亡率的变化是积极的，但不显著。 COVID-19扰乱了儿童健康服务的使用。虽然儿童保健服务在大流行开始时减少，随后几个月有所增加，但不同五分位数和地理区域的恢复情况并不一致。这项研究强调了大流行的不成比例的影响，以及有针对性的干预措施，以提高卫生服务的利用率的必要性。
The unfinished burden of poor maternal and child health contributes to the quadruple burden of disease in South Africa with the direct and indirect effects of the COVID-19 pandemic yet to be fully documented. To investigate the indirect effects of COVID-19 on maternal and child health in different geographical regions and relative wealth quintiles. We estimated the effects of COVID-19 on maternal and child health from April 2020 to June 2021. We estimated this by calculating mean changes across facilities, relative wealth index (RWI) quintiles, geographical areas and provinces. To account for confounding by underlying seasonal or linear trends, we subsequently fitted a segmented fixed effect panel model. A total of 4956 public sector facilities were included in the analysis. Between April and September 2020, full immunisation and first dose of measles declined by 6.99% and 2.44%, respectively. In the follow-up months, measles first dose increased by 4.88% while full immunisation remained negative (−0.65%) especially in poorer quintiles. At facility level, the mean change in incidence and mortality due to pneumonia, diarrhoea and severe acute malnutrition was negative. Change in first antenatal visits, delivery by 15–19-year olds, delivery by C-section and maternal mortality was positive but not significant. COVID-19 disrupted utilisation of child health services. While reduction in child health services at the start of the pandemic was followed by an increase in subsequent months, the recovery was not uniform across different quintiles and geographical areas. This study highlights the disproportionate impact of the pandemic and the need for targeted interventions to improve utilisation of health services.
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影响因子：
5.2
作者：
Moreno-Montoya, Jose;Marcela Ballesteros, Silvia;De la Hoz-Valle, Jose A.
通讯作者：
De la Hoz-Valle, Jose A.
在危机时期：移民，生活安排和南非的共同行动。
影响因子：
2.9
作者：
Posel, Dorrit;Casale, Daniela
通讯作者：
Casale, Daniela
在武汉（Covid-19）大流行后的第一个流感季节，儿童流感的发生率降低。
影响因子：
6.7
作者：
Yu X;Xu C;Huang W;Xu X;Xie W;Long X
通讯作者：
Long X
影响因子：
3.8
作者：
Smolić Š;Čipin I;Međimurec P
通讯作者：
Međimurec P
DOI：
10.7196/samj.2022.v112i1.16259
发表时间：
2022-01-01
期刊：
SAMJ: South African Medical Journal
影响因子：
--
作者：
Dorrington, R E;Laubscher, R;Bradshaw, D
通讯作者：
Bradshaw, D