PDF(Pubmed)
Abstract：
Objectives: This study aimed to describe the impact of COVID-19 on maternal and child health service utilization in the Eastern part of Ethiopia. Methods: Comparative analysis was used to examine 2 years of maternal and child health service utilization. Data were extracted from client registers. A traditional Expert Modeler and one-way Analysis of Variance were used to compare service utilization before and during the COVID-19 pandemic. Results: A total of 34,576 client records were reviewed, of which 17,100 (49.5%) and 17,476 (50.5%) had visited the MCH service before and during the COVID-19 pandemic, respectively. The total client visit has shown a 2% percentage point increase. However, postnatal care and child immunization services showed a decrease. Moreover, there was a significant difference between service visits before and during COVID-19 (f = 4.6, p < 0.04). Conclusion: Mothers and children have missed or unattended facility appointments due to protective impositions or fear of getting infected with COVID-19, which might suggest a higher proportion of MCH issues were not addressed during the pandemic. The health system should therefore improve its resilience and strengthen its access at the lowest health care inlets.
摘要：
目的：本研究旨在描述COVID-19对埃塞俄比亚东部地区妇幼保健服务利用的影响。方法：采用比较分析法对2年妇幼保健服务利用情况进行调查。数据是从客户端寄存器中提取的。使用传统的专家建模器和单向方差分析来比较COVID-19大流行之前和期间的服务利用率。结果：共审查了34,576份客户记录，其中17,100人(49.5%)和17,476人(50.5%)在COVID-19大流行之前和期间曾去过妇幼保健服务，分别。客户访问总数增加了2%。然而,产后护理和儿童免疫服务显示下降。此外，在COVID-19之前和期间的服务访问之间存在显着差异（f=4.6，p<0.04）。结论：由于保护性强制或担心感染COVID-19，母亲和儿童错过了或无人看管的设施预约，这可能表明在大流行期间没有解决更高比例的MCH问题。因此，卫生系统应提高其复原力，并加强其在最低保健入口的获取。
