Health service utilisation during the COVID-19 pandemic in sub-Saharan Africa in 2020: a multicountry empirical assessment with a focus on maternal, newborn and child health services.
Health service utilisation during the COVID-19 pandemic in sub-Saharan Africa in 2020: a multicountry empirical assessment with a focus on maternal, newborn and child health services.
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DOI：
10.1136/bmjgh-2021-008069
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发表时间：
2022-05
影响因子：
8.1
通讯作者：
Boerma, Ties
中科院分区：
文献类型：
--
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
人们对COVID-19大流行对撒哈拉以南非洲继续提供基本卫生服务的影响表示关切。通过“2030年妇女、儿童和青少年健康国家合作倒计时”，来自国家和全球公共卫生机构以及卫生部的分析人员评估了孕产妇、新生儿和儿童健康选定服务、一般服务利用情况的趋势。2017-2020年期间按地区分列的每月常规卫生设施数据由12个国家工作队汇编，并经过广泛的质量评估进行了调整。使用混合效应线性回归来估计2020年3月至12月每个月以及2020年整个COVID-19期间服务利用率的变化幅度。2020年卫生设施报告的完整性很高（12个国家的中位数，96%的国家和91%的地区≥90%），高于前几年，极端异常值很少。在2020年3月至12月的整个期间，全国九项保健服务的使用率中位数下降3.9%（范围：- 8.2至2.4）。降幅最大的是住院（中位数= - 17.0%）和门诊（中位数= - 7.1%），而产前、分娩护理和免疫服务的降幅一般较小（中位数从- 2%至- 6%）。东非国家比西非国家减少得更多，农村地区比城市地区受到的影响略大。2020年3月至6月，一般服务业下降幅度最大，根据紧缩指数衡量，这一时期的反应最为强烈。经过广泛的数据质量评估和调整，地区卫生设施报告为趋势评估提供了坚实的基础。即使在大多数国家观察到对服务利用的轻微负面影响，也需要在国际伙伴的支持下作出重大努力，以保持到2030年实现可持续发展目标卫生具体目标的进展。
There are concerns about the impact of the COVID-19 pandemic on the continuation of essential health services in sub-Saharan Africa. Through the Countdown to 2030 for Women’s, Children’s and Adolescents’ Health country collaborations, analysts from country and global public health institutions and ministries of health assessed the trends in selected services for maternal, newborn and child health, general service utilisation. Monthly routine health facility data by district for the period 2017–2020 were compiled by 12 country teams and adjusted after extensive quality assessments. Mixed effects linear regressions were used to estimate the size of any change in service utilisation for each month from March to December 2020 and for the whole COVID-19 period in 2020. The completeness of reporting of health facilities was high in 2020 (median of 12 countries, 96% national and 91% of districts ≥90%), higher than in the preceding years and extreme outliers were few. The country median reduction in utilisation of nine health services for the whole period March–December 2020 was 3.9% (range: −8.2 to 2.4). The greatest reductions were observed for inpatient admissions (median=−17.0%) and outpatient admissions (median=−7.1%), while antenatal, delivery care and immunisation services generally had smaller reductions (median from −2% to −6%). Eastern African countries had greater reductions than those in West Africa, and rural districts were slightly more affected than urban districts. The greatest drop in services was observed for March–June 2020 for general services, when the response was strongest as measured by a stringency index. The district health facility reports provide a solid basis for trend assessment after extensive data quality assessment and adjustment. Even the modest negative impact on service utilisation observed in most countries will require major efforts, supported by the international partners, to maintain progress towards the SDG health targets by 2030.
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影响因子：
15.1
作者：
Townsend R;Chmielewska B;Barratt I;Kalafat E;van der Meulen J;Gurol-Urganci I;O'Brien P;Morris E;Draycott T;Thangaratinam S;Doare KL;Ladhani S;Dadelszen PV;Magee LA;Khalil A
通讯作者：
Khalil A
影响因子：
3.2
作者：
Shapira, Gil;Ahmed, Tashrik;Friedman, Jed
通讯作者：
Friedman, Jed
影响因子：
3.7
作者：
Leight J;Hensly C;Chissano M;Ali L
通讯作者：
Ali L
使用医疗机构数据来评估武装冲突对孕产妇和儿童健康的影响：Kivu的经验，刚果博士。
影响因子：
2.8
作者：
Malembaka EB;Altare C;Bigirinama RN;Bisimwa G;Banywesize R;Tabbal N;Boerma T
通讯作者：
Boerma T
常规的医疗机构数据可用于监测乌干达的孕产妇，新生儿和儿童健康服务的次国覆盖范围吗？
影响因子：
2.8
作者：
Agiraembabazi G;Ogwal J;Tashobya C;Kananura RM;Boerma T;Waiswa P
通讯作者：
Waiswa P