Health Service Utilization 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
Kwa ufupi
Introduction: 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.
Methods: 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.
Results: 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.
Conclusion: 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.
URI
10.1136/bmjgh-2021-008069https://pubmed.ncbi.nlm.nih.gov/35501068/
https://www.researchgate.net/publication/360329148_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
http://knowhub.aphrc.org/handle/123456789/1269
Collections
- 2022 [4]
Related items
Showing items related by title, author, creator and subject.
-
Evaluation Report - the Liberia Reproductive, Maternal, Newborn, Child, and Adolescent Health (RMNCAH) Investment Case (IC) 2016-2020
(Global Financing Facility, 2023)This Investment Case is an integral part of Liberia's policies and plans to achieve the SDGs related to RMNCAH by 2030. It further outlines Liberia's efforts under the UN Every Woman, Every Child initiative to end maternal ... -
RMNCAH Data Analysis Workshop for Sub-Saharan Africa - Senegal
(Countdown to 2030, 2022)This report describes the data, methods and results of these analyzes and offers some recommendations for improving the measurement and monitoring of RMNCAH indicators in Senegal. It focuses on national administrative ... -
National and Subnational Coverage and Other Service Statistics for Reproductive, Maternal, Newborn and Child Health From Survey and Health Facility Data From Burkina Faso
(Countdown to 2030, 2022)This report describes the data, methods and results of an analysis of data from health facilities for a number of selected reproductive health indicators, maternal, neonatal and child, supported by analyzes of survey data ...
