Short-term effects of the COVID-19 state of emergency on contraceptive access and utilization in Mozambique.
Short-term effects of the COVID-19 state of emergency on contraceptive access and utilization in Mozambique.
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DOI：
10.1371/journal.pone.0249195
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发表时间：
2021
期刊：
影响因子：
3.7
通讯作者：
Ali L
中科院分区：
文献类型：
--
作者：
Leight J;Hensly C;Chissano M;Ali L
COVID-19大流行日益扰乱全球预防性医疗保健服务的提供，因为许多政府已发布紧急状态令，停止提供服务。然而，迄今为止，关于这一流行病和相关紧急命令对低收入国家获得服务的实际影响的证据有限。为了解决这一差距，本文分析了行政数据的避孕保健服务的妇女通过社区健康促进员在两个大的城市和城市周边地区的莫桑比克。我们专注于2020年3月31日与COVID-19疫情相关的国家紧急状态宣布前后的时期。使用逻辑回归、中断时间序列分析和风险分析对109 129名妇女报告的数据进行了分析，这些妇女由132名独特的促进者和192个独特的公共卫生设施提供服务。结果表明，实施紧急状态与服务提供和利用率的短期小幅下降有关，随后出现相对迅速的反弹。我们的结论是，在这方面，在与流行病有关的紧急情况的第一阶段，获得生殖健康服务的机会没有大幅度减少。
The COVID-19 pandemic has increasingly disrupted the global delivery of preventive health care services, as a large number of governments have issued state of emergency orders halting service delivery. However, there is limited evidence on the realized effects of the pandemic and associated emergency orders on access to services in low-income country contexts to date. To address this gap, this paper analyzes administrative data on utilization of contraceptive health services by women referred via community health promoters in two large urban and peri-urban areas of Mozambique. We focus on the period immediately surrounding the national state of emergency declaration linked to the COVID-19 pandemic on March 31, 2020. Data reported for 109,129 women served by 132 unique promoters and 192 unique public health facilities is analyzed using logistic regression, interrupted time series analysis and hazard analysis. The results demonstrate that the imposition of the state of emergency is associated with a modest short-term drop in both service provision and utilization, followed by a relatively rapid rebound. We conclude that in this context, the accessibility of reproductive health services was not dramatically reduced during the first phase of the pandemic-related emergency.
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影响因子：
6
作者：
Thorne JG;Buitendyk M;Wawuda R;Lewis B;Bernard C;Spitzer RF
通讯作者：
Spitzer RF
DOI：
10.1093/humrep/dew310
发表时间：
2017-01
期刊：
Human reproduction (Oxford, England)
影响因子：
--
作者：
Bahamondes L;Ali M;Monteiro I;Fernandes A
通讯作者：
Fernandes A
影响因子：
8.1
作者：
Ballard, Madeleine;Bancroft, Emily;Palazuelos, Daniel
通讯作者：
Palazuelos, Daniel
影响因子：
3.2
作者：
Sochas, Laura;Channon, Andrew Amos;Nam, Sara
通讯作者：
Nam, Sara
影响因子：
2.9
作者：
Greenleaf, Abigail R.;Ahmed, Saifuddin;Choi, Yoonjoung
通讯作者：
Choi, Yoonjoung