COVID-19 对撒哈拉以南非洲孕产妇保健服务使用率和围产期结果的影响:系统回顾

3区 综合性期刊 Q1 Medicine
Zemenu Yohannes Kassa, Vanessa Scarf, Sabera Turkmani, Deborah Fox
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引用次数: 0

摘要

冠状病毒 2019(COVID-19)是全球主要的公共卫生威胁,阻碍了中低收入国家的卫生基础设施建设。本系统性综述探讨了 COVID-19 对撒哈拉以南非洲地区孕产妇保健服务接受率和围产期结果的影响。我们于 2020 年 8 月检索了四个数据库,并于 2023 年 12 月 22 日更新了检索结果:PubMed/MEDLINE、CINAHL、Maternity and Infant Care 和 EMBASE。数据提取采用琼娜-布里格斯研究所(Joana Briggs Institute)的标准数据提取格式,以确定文章的资格,任何差异均通过讨论和共识解决。本系统综述包括符合纳入标准的 36 项研究。在 COVID-19 大流行期间,产前护理就诊率和住院分娩率显著下降,而在家分娩率上升。对感染病毒的恐惧、交通不便、后勤供应短缺、缺乏个人防护设备、封锁政策、经济和食品安全、对病人的污名化、在医院等待时间过长以及卫生系统薄弱等因素阻碍了产妇获得产科护理。本次研究结果表明,在 COVID-19 大流行期间,产前护理就诊率和住院分娩率显著下降。根据我们的研究结果,我们建议利益相关方确保医院提供基本医疗用品。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Impact of COVID-19 on Maternal Health Service Uptake and Perinatal Outcomes in Sub-Saharan Africa: A Systematic Review
Coronavirus 2019 (COVID-19) is a major global public health threat that has impeded health infrastructures in low- and middle-income countries. This systematic review examines the impact of COVID-19 on maternal health service uptake and perinatal outcomes in Sub-Saharan Africa. We searched four databases in August 2020 and updated the search on 22 December 2023: PubMed/MEDLINE, CINAHL, Maternity and Infant Care, and EMBASE. Data extraction was performed using a standardised Joana Briggs Institute data extraction format for the eligibility of articles, and any discrepancies were solved through discussion and consensus. This systematic review includes 36 studies that met the inclusion criteria. Antenatal care attendance and institutional childbirth significantly decreased during the COVID-19 pandemic, and home births increased. Fear of contracting the virus, a lack of transport, a shortage of logistic supplies, a lack of personal protective equipment, lockdown policies, economic and food security, stigmatisation of sick persons, long waiting times in the hospital, and health system weakness were barriers to accessing maternity care. The findings of this review showed a significant decrease in antenatal care attendance and institutional birth during the COVID-19 pandemic. Based on our findings, we recommend that stakeholders ensure the availability of essential medical supplies in the hospital.
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来源期刊
International Journal of Environmental Research and Public Health
International Journal of Environmental Research and Public Health Medicine-Public Health, Environmental and Occupational Health
CiteScore
7.30
自引率
0.00%
发文量
14422
审稿时长
1 months
期刊介绍: International Journal of Environmental Research and Public Health (IJERPH) (ISSN 1660-4601) is a peer-reviewed scientific journal that publishes original articles, critical reviews, research notes, and short communications in the interdisciplinary area of environmental health sciences and public health. It links several scientific disciplines including biology, biochemistry, biotechnology, cellular and molecular biology, chemistry, computer science, ecology, engineering, epidemiology, genetics, immunology, microbiology, oncology, pathology, pharmacology, and toxicology, in an integrated fashion, to address critical issues related to environmental quality and public health. Therefore, IJERPH focuses on the publication of scientific and technical information on the impacts of natural phenomena and anthropogenic factors on the quality of our environment, the interrelationships between environmental health and the quality of life, as well as the socio-cultural, political, economic, and legal considerations related to environmental stewardship and public health. The 2018 IJERPH Outstanding Reviewer Award has been launched! This award acknowledge those who have generously dedicated their time to review manuscripts submitted to IJERPH. See full details at http://www.mdpi.com/journal/ijerph/awards.
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