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| Fältnamn | Indikatorer | Metadata |
|---|---|---|
| 000 | 05366naa a2201105 4500 | |
| 001 | oai:prod.swepub.kib.ki.se:149453914 | |
| 003 | SwePub | |
| 008 | 240701s2022 | |||||||||||000 ||eng| | |
| 024 | 7 | a http://kipublications.ki.se/Default.aspx?queryparsed=id:1494539142 URI |
| 024 | 7 | a https://doi.org/10.1136/bmjgh-2021-0080692 DOI |
| 040 | a (SwePub)ki | |
| 041 | a engb eng | |
| 042 | 9 SwePub | |
| 072 | 7 | a ref2 swepub-contenttype |
| 072 | 7 | a art2 swepub-publicationtype |
| 100 | 1 | a Amouzou, A4 aut |
| 245 | 1 0 | a Health service utilisation during the COVID-19 pandemic in sub-Saharan Africa in 2020: a multicountry empirical assessment with a focus on maternal, newborn and child health services |
| 264 | c 2022-05-02 | |
| 264 | 1 | b BMJ,c 2022 |
| 520 | a There are concerns about the impact of the COVID-19 pandemic on the continuation of essential health services in sub-Saharan Africa. Through the Countdown to 2030 for Women’s, Children’s and Adolescents’ Health country collaborations, analysts from country and global public health institutions and ministries of health assessed the trends in selected services for maternal, newborn and child health, general service utilisation.MethodsMonthly routine health facility data by district for the period 2017–2020 were compiled by 12 country teams and adjusted after extensive quality assessments. Mixed effects linear regressions were used to estimate the size of any change in service utilisation for each month from March to December 2020 and for the whole COVID-19 period in 2020.ResultsThe completeness of reporting of health facilities was high in 2020 (median of 12 countries, 96% national and 91% of districts ≥90%), higher than in the preceding years and extreme outliers were few. The country median reduction in utilisation of nine health services for the whole period March–December 2020 was 3.9% (range: −8.2 to 2.4). The greatest reductions were observed for inpatient admissions (median=−17.0%) and outpatient admissions (median=−7.1%), while antenatal, delivery care and immunisation services generally had smaller reductions (median from −2% to −6%). Eastern African countries had greater reductions than those in West Africa, and rural districts were slightly more affected than urban districts. The greatest drop in services was observed for March–June 2020 for general services, when the response was strongest as measured by a stringency index.ConclusionThe district health facility reports provide a solid basis for trend assessment after extensive data quality assessment and adjustment. Even the modest negative impact on service utilisation observed in most countries will require major efforts, supported by the international partners, to maintain progress towards the SDG health targets by 2030. | |
| 700 | 1 | a Maiga, A4 aut |
| 700 | 1 | a Faye, CM4 aut |
| 700 | 1 | a Chakwera, S4 aut |
| 700 | 1 | a Melesse, DY4 aut |
| 700 | 1 | a Mutua, MK4 aut |
| 700 | 1 | a Thiam, S4 aut |
| 700 | 1 | a Abdoulaye, IB4 aut |
| 700 | 1 | a Afagbedzi, SK4 aut |
| 700 | 1 | a Iknane, AA4 aut |
| 700 | 1 | a Ake-Tano, OS4 aut |
| 700 | 1 | a Akinyemi, JO4 aut |
| 700 | 1 | a Alegana, V4 aut |
| 700 | 1 | a Alhassan, Y4 aut |
| 700 | 1 | a Sam, AE4 aut |
| 700 | 1 | a Atweam, DK4 aut |
| 700 | 1 | a Bajaria, S4 aut |
| 700 | 1 | a Bawo, L4 aut |
| 700 | 1 | a Berthe, M4 aut |
| 700 | 1 | a Blanchard, AK4 aut |
| 700 | 1 | a Bouhari, HA4 aut |
| 700 | 1 | a Boulhassane, OMA4 aut |
| 700 | 1 | a Bulawayo, M4 aut |
| 700 | 1 | a Chooye, O4 aut |
| 700 | 1 | a Coulibaly, A4 aut |
| 700 | 1 | a Diabate, M4 aut |
| 700 | 1 | a Diawara, F4 aut |
| 700 | 1 | a Esleman, O4 aut |
| 700 | 1 | a Gajaa, M4 aut |
| 700 | 1 | a Garba, KHA4 aut |
| 700 | 1 | a Getachew, T4 aut |
| 700 | 1 | a Jacobs, C4 aut |
| 700 | 1 | a Jacobs, GP4 aut |
| 700 | 1 | a James, F4 aut |
| 700 | 1 | a Jegede, AS4 aut |
| 700 | 1 | a Joachim, C4 aut |
| 700 | 1 | a Kananura, RM4 aut |
| 700 | 1 | a Karimi, J4 aut |
| 700 | 1 | a Kiarie, H4 aut |
| 700 | 1 | a Kpebo, D4 aut |
| 700 | 1 | a Lankoande, B4 aut |
| 700 | 1 | a Lawanson, AO4 aut |
| 700 | 1 | a Mahamadou, Y4 aut |
| 700 | 1 | a Mahundi, M4 aut |
| 700 | 1 | a Manaye, T4 aut |
| 700 | 1 | a Masanja, H4 aut |
| 700 | 1 | a Millogo, MR4 aut |
| 700 | 1 | a Mohamed, AK4 aut |
| 700 | 1 | a Musukuma, M4 aut |
| 700 | 1 | a Muthee, R4 aut |
| 700 | 1 | a Nabie, D4 aut |
| 700 | 1 | a Nyamhagata, M4 aut |
| 700 | 1 | a Ogwal, J4 aut |
| 700 | 1 | a Orimadegun, A4 aut |
| 700 | 1 | a Ovuoraye, A4 aut |
| 700 | 1 | a Pongathie, AS4 aut |
| 700 | 1 | a Sable, SP4 aut |
| 700 | 1 | a Saydee, GS4 aut |
| 700 | 1 | a Shabini, J4 aut |
| 700 | 1 | a Sikapande, BM4 aut |
| 700 | 1 | a Simba, D4 aut |
| 700 | 1 | a Tadele, A4 aut |
| 700 | 1 | a Tadlle, T4 aut |
| 700 | 1 | a Tarway-Twalla, AK4 aut |
| 700 | 1 | a Tassembedo, M4 aut |
| 700 | 1 | a Tehoungue, BZ4 aut |
| 700 | 1 | a Terera, I4 aut |
| 700 | 1 | a Traore, S4 aut |
| 700 | 1 | a Twalla, MP4 aut |
| 700 | 1 | a Waiswa, Pu Karolinska Institutet4 aut |
| 700 | 1 | a Wondirad, N4 aut |
| 700 | 1 | a Boerma, T4 aut |
| 710 | 2 | a Karolinska Institutet4 org |
| 773 | 0 | t BMJ global healthd : BMJg 7:5q 7:5x 2059-7908 |
| 856 | 4 8 | u http://kipublications.ki.se/Default.aspx?queryparsed=id:149453914 |
| 856 | 4 8 | u https://doi.org/10.1136/bmjgh-2021-008069 |
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- Amouzou, A
- Maiga, A
- Faye, CM
- Chakwera, S
- Melesse, DY
- Mutua, MK
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- Thiam, S
- Abdoulaye, IB
- Afagbedzi, SK
- Iknane, AA
- Ake-Tano, OS
- Akinyemi, JO
- Alegana, V
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- Sam, AE
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- Bajaria, S
- Bawo, L
- Berthe, M
- Blanchard, AK
- Bouhari, HA
- Boulhassane, OMA
- Bulawayo, M
- Chooye, O
- Coulibaly, A
- Diabate, M
- Diawara, F
- Esleman, O
- Gajaa, M
- Garba, KHA
- Getachew, T
- Jacobs, C
- Jacobs, GP
- James, F
- Jegede, AS
- Joachim, C
- Kananura, RM
- Karimi, J
- Kiarie, H
- Kpebo, D
- Lankoande, B
- Lawanson, AO
- Mahamadou, Y
- Mahundi, M
- Manaye, T
- Masanja, H
- Millogo, MR
- Mohamed, AK
- Musukuma, M
- Muthee, R
- Nabie, D
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