Maternal and Child Health Services Utilization During COVID-19 in Eastern Ethiopia

IF 2.6 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

International Journal of Public Health Pub Date : 2024-05-22 DOI:10.3389/ijph.2024.1606626

Bereket Tefera Tilahun, Zerihun Tariku, Mesfin Kebede Alemu, Tafese Dejene, Legesse Abera Natae, Hussen Mohammed, Daniel Tadesse Assegid, Mickiale Hailu Tekle

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Abstract

Objectives: This study aimed to describe the impact of COVID-19 on maternal and child health service utilization in the Eastern part of Ethiopia.Methods: Comparative analysis was used to examine 2 years of maternal and child health service utilization. Data were extracted from client registers. A traditional Expert Modeler and one-way Analysis of Variance were used to compare service utilization before and during the COVID-19 pandemic.Results: A total of 34,576 client records were reviewed, of which 17,100 (49.5%) and 17,476 (50.5%) had visited the MCH service before and during the COVID-19 pandemic, respectively. The total client visit has shown a 2% percentage point increase. However, postnatal care and child immunization services showed a decrease. Moreover, there was a significant difference between service visits before and during COVID-19 (f = 4.6, p < 0.04).Conclusion: Mothers and children have missed or unattended facility appointments due to protective impositions or fear of getting infected with COVID-19, which might suggest a higher proportion of MCH issues were not addressed during the pandemic. The health system should therefore improve its resilience and strengthen its access at the lowest health care inlets.

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埃塞俄比亚东部地区在 COVID-19 期间利用妇幼保健服务的情况

目的：本研究旨在描述 COVID-19 对埃塞俄比亚东部地区妇幼保健服务利用率的影响：本研究旨在描述 COVID-19 对埃塞俄比亚东部地区妇幼保健服务利用率的影响：方法：采用比较分析法对两年来母婴保健服务的使用情况进行研究。数据提取自客户登记册。采用传统的专家建模器和单因子方差分析来比较 COVID-19 流行前和流行期间的服务利用情况：结果：共审查了 34,576 份客户记录，其中 17,100 人（49.5%）和 17,476 人（50.5%）分别在 COVID-19 大流行之前和期间使用过妇幼保健服务。客户总访问量增加了 2%。然而，产后护理和儿童免疫接种服务却有所减少。此外，COVID-19 流行前和流行期间的服务访问量存在显著差异（f = 4.6，p < 0.04）：结论：母亲和儿童因保护性强制措施或害怕感染 COVID-19 而错过或未到医疗机构就诊，这可能表明在大流行期间有较高比例的妇幼保健问题未得到解决。因此，医疗系统应提高其应变能力，并加强最低医疗入口的可及性。

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来源期刊

International Journal of Public Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

4.20

自引率

2.20%

发文量

269

审稿时长

12 months

期刊介绍： The International Journal of Public Health publishes scientific articles relevant to global public health, from different countries and cultures, and assembles them into issues that raise awareness and understanding of public health problems and solutions. The Journal welcomes submissions of original research, critical and relevant reviews, methodological papers and manuscripts that emphasize theoretical content. IJPH sometimes publishes commentaries and opinions. Special issues highlight key areas of current research. The Editorial Board''s mission is to provide a thoughtful forum for contemporary issues and challenges in global public health research and practice.