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Utilisation of services along the continuum of maternal healthcare during the COVID-19 pandemic in Lubumbashi, DRC: findings from a cross-sectional household survey of women
OBJECTIVES: The continuum of maternal care along antenatal (ANC), intrapartum and postnatal care (PNC) is fundamental for protecting women’s and newborns’ health. The COVID-19 pandemic interrupted the provision and use of these essential services globally. This study examines maternal healthcare uti...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10410797/ https://www.ncbi.nlm.nih.gov/pubmed/37369398 http://dx.doi.org/10.1136/bmjopen-2022-069409 |
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author | Galle, Anna Kavira, Gladys Semaan, Aline Malonga Kaj, Françoise Benova, Lenka Ntambue, Abel |
author_facet | Galle, Anna Kavira, Gladys Semaan, Aline Malonga Kaj, Françoise Benova, Lenka Ntambue, Abel |
author_sort | Galle, Anna |
collection | PubMed |
description | OBJECTIVES: The continuum of maternal care along antenatal (ANC), intrapartum and postnatal care (PNC) is fundamental for protecting women’s and newborns’ health. The COVID-19 pandemic interrupted the provision and use of these essential services globally. This study examines maternal healthcare utilisation along the continuum during the COVID-19 pandemic in the Democratic Republic of the Congo (DRC). DESIGN: This is a cross-sectional study using data collected on a survey of 599 households in Lubumbashi, DRC, using stratified random sampling. PARTICIPANTS: We included 604 women (15–49 years) who were pregnant between March 2020 and May 2021. OUTCOME MEASURES: A structured interview involved questions on sociodemographic characteristics, attitudes regarding COVID-19 and maternal service use and cost. Complete continuum of care was defined as receiving ANC 4+ consultations, skilled birth attendance and at least one PNC check for both mother and newborn. Data were analysed in SPSS using descriptive statistics and multivariable logistic regression. RESULTS: One-third (36%) of women who gave birth during the COVID-19 pandemic completed the continuum of maternal healthcare. Factors significantly associated with completing the continuum included higher education (aOR=2.6; p<0.001) and positive attitude towards the COVID-19 vaccination (aOR=1.9; p=0.04). Reasons for not seeking maternal care included lack of money and avoiding COVID-19 vaccination. CONCLUSION: During the COVID-19 pandemic, maternal healthcare seeking behaviours were shaped by vaccine hesitancy and care unaffordability in Lubumbashi. Addressing the high cost of maternal healthcare and vaccine hesitancy appear essential to improve access to maternal healthcare. |
format | Online Article Text |
id | pubmed-10410797 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-104107972023-08-10 Utilisation of services along the continuum of maternal healthcare during the COVID-19 pandemic in Lubumbashi, DRC: findings from a cross-sectional household survey of women Galle, Anna Kavira, Gladys Semaan, Aline Malonga Kaj, Françoise Benova, Lenka Ntambue, Abel BMJ Open Global Health OBJECTIVES: The continuum of maternal care along antenatal (ANC), intrapartum and postnatal care (PNC) is fundamental for protecting women’s and newborns’ health. The COVID-19 pandemic interrupted the provision and use of these essential services globally. This study examines maternal healthcare utilisation along the continuum during the COVID-19 pandemic in the Democratic Republic of the Congo (DRC). DESIGN: This is a cross-sectional study using data collected on a survey of 599 households in Lubumbashi, DRC, using stratified random sampling. PARTICIPANTS: We included 604 women (15–49 years) who were pregnant between March 2020 and May 2021. OUTCOME MEASURES: A structured interview involved questions on sociodemographic characteristics, attitudes regarding COVID-19 and maternal service use and cost. Complete continuum of care was defined as receiving ANC 4+ consultations, skilled birth attendance and at least one PNC check for both mother and newborn. Data were analysed in SPSS using descriptive statistics and multivariable logistic regression. RESULTS: One-third (36%) of women who gave birth during the COVID-19 pandemic completed the continuum of maternal healthcare. Factors significantly associated with completing the continuum included higher education (aOR=2.6; p<0.001) and positive attitude towards the COVID-19 vaccination (aOR=1.9; p=0.04). Reasons for not seeking maternal care included lack of money and avoiding COVID-19 vaccination. CONCLUSION: During the COVID-19 pandemic, maternal healthcare seeking behaviours were shaped by vaccine hesitancy and care unaffordability in Lubumbashi. Addressing the high cost of maternal healthcare and vaccine hesitancy appear essential to improve access to maternal healthcare. BMJ Publishing Group 2023-06-26 /pmc/articles/PMC10410797/ /pubmed/37369398 http://dx.doi.org/10.1136/bmjopen-2022-069409 Text en © Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) . |
spellingShingle | Global Health Galle, Anna Kavira, Gladys Semaan, Aline Malonga Kaj, Françoise Benova, Lenka Ntambue, Abel Utilisation of services along the continuum of maternal healthcare during the COVID-19 pandemic in Lubumbashi, DRC: findings from a cross-sectional household survey of women |
title | Utilisation of services along the continuum of maternal healthcare during the COVID-19 pandemic in Lubumbashi, DRC: findings from a cross-sectional household survey of women |
title_full | Utilisation of services along the continuum of maternal healthcare during the COVID-19 pandemic in Lubumbashi, DRC: findings from a cross-sectional household survey of women |
title_fullStr | Utilisation of services along the continuum of maternal healthcare during the COVID-19 pandemic in Lubumbashi, DRC: findings from a cross-sectional household survey of women |
title_full_unstemmed | Utilisation of services along the continuum of maternal healthcare during the COVID-19 pandemic in Lubumbashi, DRC: findings from a cross-sectional household survey of women |
title_short | Utilisation of services along the continuum of maternal healthcare during the COVID-19 pandemic in Lubumbashi, DRC: findings from a cross-sectional household survey of women |
title_sort | utilisation of services along the continuum of maternal healthcare during the covid-19 pandemic in lubumbashi, drc: findings from a cross-sectional household survey of women |
topic | Global Health |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10410797/ https://www.ncbi.nlm.nih.gov/pubmed/37369398 http://dx.doi.org/10.1136/bmjopen-2022-069409 |
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