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Access to Maternal and Child Health Services during the COVID-19 Pandemic: An Explorative Qualitative Study in Odisha, India

BACKGROUND: Maternal and child health (MCH) care is one of the essential routine healthcare services, which got affected during the coronavirus disease 2019 (COVID-19) pandemic. Modeled projections had anticipated an 8.3%–38.6% rise in maternal mortality from different countries globally. In view of...

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Autores principales: Mishra, Bijaya K., Kanungo, Srikanta, Panda, Subhashree, Patel, Kripalini, Swain, Swagatika, Dwivedy, Subhralaxmi, Karna, Sonam, Bhuyan, Dinesh, Som, Meena, Marta, Brajesh, Bhattacharya, Debdutta, Kshatri, Jaya S., Pati, Sanghamitra, Palo, Subrata K.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10353676/
https://www.ncbi.nlm.nih.gov/pubmed/37469922
http://dx.doi.org/10.4103/ijcm.ijcm_285_22
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author Mishra, Bijaya K.
Kanungo, Srikanta
Panda, Subhashree
Patel, Kripalini
Swain, Swagatika
Dwivedy, Subhralaxmi
Karna, Sonam
Bhuyan, Dinesh
Som, Meena
Marta, Brajesh
Bhattacharya, Debdutta
Kshatri, Jaya S.
Pati, Sanghamitra
Palo, Subrata K.
author_facet Mishra, Bijaya K.
Kanungo, Srikanta
Panda, Subhashree
Patel, Kripalini
Swain, Swagatika
Dwivedy, Subhralaxmi
Karna, Sonam
Bhuyan, Dinesh
Som, Meena
Marta, Brajesh
Bhattacharya, Debdutta
Kshatri, Jaya S.
Pati, Sanghamitra
Palo, Subrata K.
author_sort Mishra, Bijaya K.
collection PubMed
description BACKGROUND: Maternal and child health (MCH) care is one of the essential routine healthcare services, which got affected during the coronavirus disease 2019 (COVID-19) pandemic. Modeled projections had anticipated an 8.3%–38.6% rise in maternal mortality from different countries globally. In view of limited studies pertaining to issues related to accessing MCH services in the event of a pandemic, this study was carried out on pregnant and postnatal mothers in Odisha, India. METHODS: An explorative qualitative study through 36 in-depth interviews (IDIs) was conducted among 16 (44.4%) antenatal and 20 (55.5%) postnatal mothers in six of thirty districts of Odisha, India, from February to April 2021. The districts and blocks were randomly selected for better representativeness. The IDIs were conducted using a predesigned and pretested guide among mothers who had undergone delivery or availed of antenatal, postnatal, or child health services from October 2020 to April 2021. The IDIs were conducted till data saturation. The data were analyzed using MAXQDA software. RESULTS: The average age of mothers was 27.6 (+/- 2.2) years. Among the participants, 16 (44.4%) were antenatal and 20 (55.6%) were postnatal mothers; 19 (52.8%) were primipara and 17 (47.2%) were multipara. The majority explained that they received enormous support including door-to-door services from the community health workers (CHWs) even during the difficult times of the pandemic. Reduced transportation facility and fear of contracting the infection were reasons behind the unwillingness to visit health facilities and preference for home delivery. Furthermore, the pandemic had physical, mental, social, and financial impacts among pregnant and postnatal women. CONCLUSION: The unprecedented COVID-19 pandemic has affected access to MCH services by antenatal and postnatal mothers. Health system preparedness and appropriate strategies including better community engagement and participation could avert such challenges in the future.
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spelling pubmed-103536762023-07-19 Access to Maternal and Child Health Services during the COVID-19 Pandemic: An Explorative Qualitative Study in Odisha, India Mishra, Bijaya K. Kanungo, Srikanta Panda, Subhashree Patel, Kripalini Swain, Swagatika Dwivedy, Subhralaxmi Karna, Sonam Bhuyan, Dinesh Som, Meena Marta, Brajesh Bhattacharya, Debdutta Kshatri, Jaya S. Pati, Sanghamitra Palo, Subrata K. Indian J Community Med Original Article BACKGROUND: Maternal and child health (MCH) care is one of the essential routine healthcare services, which got affected during the coronavirus disease 2019 (COVID-19) pandemic. Modeled projections had anticipated an 8.3%–38.6% rise in maternal mortality from different countries globally. In view of limited studies pertaining to issues related to accessing MCH services in the event of a pandemic, this study was carried out on pregnant and postnatal mothers in Odisha, India. METHODS: An explorative qualitative study through 36 in-depth interviews (IDIs) was conducted among 16 (44.4%) antenatal and 20 (55.5%) postnatal mothers in six of thirty districts of Odisha, India, from February to April 2021. The districts and blocks were randomly selected for better representativeness. The IDIs were conducted using a predesigned and pretested guide among mothers who had undergone delivery or availed of antenatal, postnatal, or child health services from October 2020 to April 2021. The IDIs were conducted till data saturation. The data were analyzed using MAXQDA software. RESULTS: The average age of mothers was 27.6 (+/- 2.2) years. Among the participants, 16 (44.4%) were antenatal and 20 (55.6%) were postnatal mothers; 19 (52.8%) were primipara and 17 (47.2%) were multipara. The majority explained that they received enormous support including door-to-door services from the community health workers (CHWs) even during the difficult times of the pandemic. Reduced transportation facility and fear of contracting the infection were reasons behind the unwillingness to visit health facilities and preference for home delivery. Furthermore, the pandemic had physical, mental, social, and financial impacts among pregnant and postnatal women. CONCLUSION: The unprecedented COVID-19 pandemic has affected access to MCH services by antenatal and postnatal mothers. Health system preparedness and appropriate strategies including better community engagement and participation could avert such challenges in the future. Wolters Kluwer - Medknow 2023 2023-05-30 /pmc/articles/PMC10353676/ /pubmed/37469922 http://dx.doi.org/10.4103/ijcm.ijcm_285_22 Text en Copyright: © 2023 Indian Journal of Community Medicine https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Mishra, Bijaya K.
Kanungo, Srikanta
Panda, Subhashree
Patel, Kripalini
Swain, Swagatika
Dwivedy, Subhralaxmi
Karna, Sonam
Bhuyan, Dinesh
Som, Meena
Marta, Brajesh
Bhattacharya, Debdutta
Kshatri, Jaya S.
Pati, Sanghamitra
Palo, Subrata K.
Access to Maternal and Child Health Services during the COVID-19 Pandemic: An Explorative Qualitative Study in Odisha, India
title Access to Maternal and Child Health Services during the COVID-19 Pandemic: An Explorative Qualitative Study in Odisha, India
title_full Access to Maternal and Child Health Services during the COVID-19 Pandemic: An Explorative Qualitative Study in Odisha, India
title_fullStr Access to Maternal and Child Health Services during the COVID-19 Pandemic: An Explorative Qualitative Study in Odisha, India
title_full_unstemmed Access to Maternal and Child Health Services during the COVID-19 Pandemic: An Explorative Qualitative Study in Odisha, India
title_short Access to Maternal and Child Health Services during the COVID-19 Pandemic: An Explorative Qualitative Study in Odisha, India
title_sort access to maternal and child health services during the covid-19 pandemic: an explorative qualitative study in odisha, india
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10353676/
https://www.ncbi.nlm.nih.gov/pubmed/37469922
http://dx.doi.org/10.4103/ijcm.ijcm_285_22
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