Cargando…
Effects of COVID-19 on Maternal and Neonatal Outcomes and Access to Antenatal and Postnatal Care, Malawi
We used national facility-level data from all government hospitals in Malawi to examine the effects of the second and third COVID-19 waves on maternal and neonatal outcomes and access to care during September 6, 2020–October 31, 2021. The COVID-19 pandemic affected maternal and neonatal health not o...
Autores principales: | , , , , , , , , , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Centers for Disease Control and Prevention
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10521614/ https://www.ncbi.nlm.nih.gov/pubmed/37640377 http://dx.doi.org/10.3201/eid2910.230003 |
_version_ | 1785110168360452096 |
---|---|
author | Mndala, Leonard Chapuma, Chikondi Riches, Jennifer Gadama, Luis Kachale, Fannie Bilesi, Rosemary Mbewe, Malangizo Likaka, Andrew Kumwenda, Moses Makuluni, Regina Maseko, Bertha Ndamala, Chifundo Kuyere, Annie Munthali, Laura Phiri, Deborah Monk, Edward J.M. Henrion, Marc Y.R. Odland, Maria L. Lissauer, David |
author_facet | Mndala, Leonard Chapuma, Chikondi Riches, Jennifer Gadama, Luis Kachale, Fannie Bilesi, Rosemary Mbewe, Malangizo Likaka, Andrew Kumwenda, Moses Makuluni, Regina Maseko, Bertha Ndamala, Chifundo Kuyere, Annie Munthali, Laura Phiri, Deborah Monk, Edward J.M. Henrion, Marc Y.R. Odland, Maria L. Lissauer, David |
author_sort | Mndala, Leonard |
collection | PubMed |
description | We used national facility-level data from all government hospitals in Malawi to examine the effects of the second and third COVID-19 waves on maternal and neonatal outcomes and access to care during September 6, 2020–October 31, 2021. The COVID-19 pandemic affected maternal and neonatal health not only through direct infections but also through disruption of the health system, which could have wider indirect effects on critical maternal and neonatal outcomes. In an interrupted time series analysis, we noted a cumulative 15.4% relative increase (63 more deaths) in maternal deaths than anticipated across the 2 COVID-19 waves. We observed a 41% decrease in postnatal care visits at the onset of the second COVID-19 wave and 0.2% by the third wave, cumulative to 36,809 fewer visits than anticipated. Our findings demonstrate the need for strengthening health systems, particularly in resource-constrained settings, to prepare for future pandemic threats. |
format | Online Article Text |
id | pubmed-10521614 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Centers for Disease Control and Prevention |
record_format | MEDLINE/PubMed |
spelling | pubmed-105216142023-10-01 Effects of COVID-19 on Maternal and Neonatal Outcomes and Access to Antenatal and Postnatal Care, Malawi Mndala, Leonard Chapuma, Chikondi Riches, Jennifer Gadama, Luis Kachale, Fannie Bilesi, Rosemary Mbewe, Malangizo Likaka, Andrew Kumwenda, Moses Makuluni, Regina Maseko, Bertha Ndamala, Chifundo Kuyere, Annie Munthali, Laura Phiri, Deborah Monk, Edward J.M. Henrion, Marc Y.R. Odland, Maria L. Lissauer, David Emerg Infect Dis Research We used national facility-level data from all government hospitals in Malawi to examine the effects of the second and third COVID-19 waves on maternal and neonatal outcomes and access to care during September 6, 2020–October 31, 2021. The COVID-19 pandemic affected maternal and neonatal health not only through direct infections but also through disruption of the health system, which could have wider indirect effects on critical maternal and neonatal outcomes. In an interrupted time series analysis, we noted a cumulative 15.4% relative increase (63 more deaths) in maternal deaths than anticipated across the 2 COVID-19 waves. We observed a 41% decrease in postnatal care visits at the onset of the second COVID-19 wave and 0.2% by the third wave, cumulative to 36,809 fewer visits than anticipated. Our findings demonstrate the need for strengthening health systems, particularly in resource-constrained settings, to prepare for future pandemic threats. Centers for Disease Control and Prevention 2023-10 /pmc/articles/PMC10521614/ /pubmed/37640377 http://dx.doi.org/10.3201/eid2910.230003 Text en https://creativecommons.org/licenses/by/4.0/Emerging Infectious Diseases is a publication of the U.S. Government. This publication is in the public domain and is therefore without copyright. All text from this work may be reprinted freely. Use of these materials should be properly cited. |
spellingShingle | Research Mndala, Leonard Chapuma, Chikondi Riches, Jennifer Gadama, Luis Kachale, Fannie Bilesi, Rosemary Mbewe, Malangizo Likaka, Andrew Kumwenda, Moses Makuluni, Regina Maseko, Bertha Ndamala, Chifundo Kuyere, Annie Munthali, Laura Phiri, Deborah Monk, Edward J.M. Henrion, Marc Y.R. Odland, Maria L. Lissauer, David Effects of COVID-19 on Maternal and Neonatal Outcomes and Access to Antenatal and Postnatal Care, Malawi |
title | Effects of COVID-19 on Maternal and Neonatal Outcomes and Access to Antenatal and Postnatal Care, Malawi |
title_full | Effects of COVID-19 on Maternal and Neonatal Outcomes and Access to Antenatal and Postnatal Care, Malawi |
title_fullStr | Effects of COVID-19 on Maternal and Neonatal Outcomes and Access to Antenatal and Postnatal Care, Malawi |
title_full_unstemmed | Effects of COVID-19 on Maternal and Neonatal Outcomes and Access to Antenatal and Postnatal Care, Malawi |
title_short | Effects of COVID-19 on Maternal and Neonatal Outcomes and Access to Antenatal and Postnatal Care, Malawi |
title_sort | effects of covid-19 on maternal and neonatal outcomes and access to antenatal and postnatal care, malawi |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10521614/ https://www.ncbi.nlm.nih.gov/pubmed/37640377 http://dx.doi.org/10.3201/eid2910.230003 |
work_keys_str_mv | AT mndalaleonard effectsofcovid19onmaternalandneonataloutcomesandaccesstoantenatalandpostnatalcaremalawi AT chapumachikondi effectsofcovid19onmaternalandneonataloutcomesandaccesstoantenatalandpostnatalcaremalawi AT richesjennifer effectsofcovid19onmaternalandneonataloutcomesandaccesstoantenatalandpostnatalcaremalawi AT gadamaluis effectsofcovid19onmaternalandneonataloutcomesandaccesstoantenatalandpostnatalcaremalawi AT kachalefannie effectsofcovid19onmaternalandneonataloutcomesandaccesstoantenatalandpostnatalcaremalawi AT bilesirosemary effectsofcovid19onmaternalandneonataloutcomesandaccesstoantenatalandpostnatalcaremalawi AT mbewemalangizo effectsofcovid19onmaternalandneonataloutcomesandaccesstoantenatalandpostnatalcaremalawi AT likakaandrew effectsofcovid19onmaternalandneonataloutcomesandaccesstoantenatalandpostnatalcaremalawi AT kumwendamoses effectsofcovid19onmaternalandneonataloutcomesandaccesstoantenatalandpostnatalcaremalawi AT makuluniregina effectsofcovid19onmaternalandneonataloutcomesandaccesstoantenatalandpostnatalcaremalawi AT masekobertha effectsofcovid19onmaternalandneonataloutcomesandaccesstoantenatalandpostnatalcaremalawi AT ndamalachifundo effectsofcovid19onmaternalandneonataloutcomesandaccesstoantenatalandpostnatalcaremalawi AT kuyereannie effectsofcovid19onmaternalandneonataloutcomesandaccesstoantenatalandpostnatalcaremalawi AT munthalilaura effectsofcovid19onmaternalandneonataloutcomesandaccesstoantenatalandpostnatalcaremalawi AT phirideborah effectsofcovid19onmaternalandneonataloutcomesandaccesstoantenatalandpostnatalcaremalawi AT monkedwardjm effectsofcovid19onmaternalandneonataloutcomesandaccesstoantenatalandpostnatalcaremalawi AT henrionmarcyr effectsofcovid19onmaternalandneonataloutcomesandaccesstoantenatalandpostnatalcaremalawi AT odlandmarial effectsofcovid19onmaternalandneonataloutcomesandaccesstoantenatalandpostnatalcaremalawi AT lissauerdavid effectsofcovid19onmaternalandneonataloutcomesandaccesstoantenatalandpostnatalcaremalawi |