“Impact on Family Planning Services in Primary Healthcare Facilities in Rural Sindh – Secondary Data Analysis of Pre- and on-going COVID-19 Crisis Period”

Nelofer Baig, Altaf H Nizamani
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Abstract

The current COVID-19 pandemic has devastated the improvements in family planning services during the past years. This study assessed the impact of the global pandemic that compromised the provision of family planning services in primary healthcare facilities in Sindh – Pakistan. A retrospective data from District Health Information System (DHIS) before Covid-19 (January – February 2020) and during Covid-19 (March – June 2020) was extracted on the provision of family planning services in primary healthcare facilities in Sindh. The study was conducted to understand the impact of service provision through time-series trend analysis by comparing two health facilities i.e., BHUs and BHU plus facilities on monthly average visits (Jan-Feb average) and differences in percentage change over time on the uptake of short and long-acting family planning methods. The findings suggested that due to lockdown and restrictive mobility, the family planning services have fallen drastically in terms of clients visit the health facility from the onset of the COVID-19 outbreak in the month of March 2020 and remain stagnant till June 2020 as compare to before COVID-19 period. The overall analysis revealed the largest decay in the uptake of family planning methods specifically, pills with 31% and 26% during April 2020 in BHU and BHU plus facilities. On the contrary, uptake of Implants showed 25% and 23% decline in the month of June and May in BHU and BHU plus facilities respectively, compared to the average percentage of the pre-COVID Period. The COVID-19 pandemic has adversely affected the provision of family planning services and steeply decreased the uptake of Pills and Implants in primary healthcare facilities in Sindh. On the contrary, the disruption and decrease in services have provided an opportunity to undertake further research exploration to develop future strategies and policies to combat health challenging situations in such pandemics.
“对信德省农村初级医疗机构计划生育服务的影响——新冠肺炎危机前和持续期间的二次数据分析”
当前的新冠肺炎疫情摧毁了过去几年计划生育服务的改善。这项研究评估了全球疫情对巴基斯坦信德省初级医疗机构计划生育服务提供的影响。从新冠肺炎之前(2020年1月至2月)和新冠肺炎期间(2020年3月至6月)的地区卫生信息系统(DHIS)中提取了信德省初级医疗机构计划生育服务提供的回顾性数据。这项研究是为了通过时间序列趋势分析来了解服务提供的影响,通过比较两个卫生设施,即BHU和BHU+设施对月平均就诊次数(1月至2月平均值)的影响,以及随时间变化的百分比对短期和长期计划生育方法使用的差异。调查结果表明,由于封锁和流动性限制,自2020年3月新冠肺炎疫情爆发以来,计划生育服务的客户访问医疗机构的人数大幅下降,与新冠肺炎之前相比,计划生育一直停滞到2020年6月。总体分析显示,计划生育方法的使用量下降幅度最大,特别是2020年4月,在BHU和BHU+设施中,药丸的使用率分别为31%和26%。相反,与新冠疫情前的平均百分比相比,6月和5月,BHU和BHU+设施的植入物使用量分别下降了25%和23%。新冠肺炎大流行对计划生育服务的提供产生了不利影响,并急剧减少了信德省初级医疗机构对药丸和植入物的使用。相反,服务的中断和减少提供了一个机会,可以进行进一步的研究探索,以制定未来的战略和政策,应对此类流行病中具有挑战性的健康状况。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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