PDF(Pubmed)
Abstract：
UNASSIGNED: The COVID-19 pandemic profoundly affected the provision of and demand for routine health services in the world. The objective of this scoping review was to synthesize the influence of the COVID-19 pandemic on primary maternal and child health (MCH) services in sub-Saharan Africa.
UNASSIGNED: The studies searched original studies reporting on the influence of the COVID-19 pandemic on primary MCH services. Four scientific databases (Pubmed, AJOL, CAIRN, CINAHL) and one gray literature database (Google Scholar) were used for this search. We also searched through the snowball citation approach and study reference lists.
UNASSIGNED: The influence of the COVID-19 pandemic on primary MCH services has been mixed in sub-Saharan Africa. Attendance at some health centers declined for antenatal care, deliveries, immunization, and pneumonia cases. Other health centers did not experience a significant influence of the pandemic on some of these services. In fact, antenatal care increased in a number of health centers. MCH service indicators which declined during COVID-19 were linked on the demand side to regulatory measures against COVID-19, the perceived unavailability of resources for routine services, the perceived negative attitude of staff in these facilities, the perceived transmission risk in primary health care facilities and the perceived anticipated stigma. On the supply side, factors included the lack of equipment in primary facilities, the lack of guidelines for providing care in the pandemic context, the regulatory measures against COVID-19 taken in these facilities, and the lack of motivation of providers working in these facilities.
UNASSIGNED: This study recommends prioritizing the improvement of infection prevention measures in primary health care facilities for resilience of MCH indicators to epidemic crises. Improvement efforts should be tailored to the disparities in preventive measures between health centers. The identification of best practices from more resilient health centers could better guide these efforts.
UNASSIGNED: The studies searched original studies reporting on the influence of the COVID-19 pandemic on primary MCH services. Four scientific databases (Pubmed, AJOL, CAIRN, CINAHL) and one gray literature database (Google Scholar) were used for this search. We also searched through the snowball citation approach and study reference lists.
UNASSIGNED: The influence of the COVID-19 pandemic on primary MCH services has been mixed in sub-Saharan Africa. Attendance at some health centers declined for antenatal care, deliveries, immunization, and pneumonia cases. Other health centers did not experience a significant influence of the pandemic on some of these services. In fact, antenatal care increased in a number of health centers. MCH service indicators which declined during COVID-19 were linked on the demand side to regulatory measures against COVID-19, the perceived unavailability of resources for routine services, the perceived negative attitude of staff in these facilities, the perceived transmission risk in primary health care facilities and the perceived anticipated stigma. On the supply side, factors included the lack of equipment in primary facilities, the lack of guidelines for providing care in the pandemic context, the regulatory measures against COVID-19 taken in these facilities, and the lack of motivation of providers working in these facilities.
UNASSIGNED: This study recommends prioritizing the improvement of infection prevention measures in primary health care facilities for resilience of MCH indicators to epidemic crises. Improvement efforts should be tailored to the disparities in preventive measures between health centers. The identification of best practices from more resilient health centers could better guide these efforts.
摘要：
■COVID-19大流行深刻影响了世界上常规卫生服务的提供和需求。这项范围审查的目的是综合COVID-19大流行对撒哈拉以南非洲初级妇幼保健(MCH)服务的影响。
■这些研究搜索了报告COVID-19大流行对主要MCH服务影响的原始研究。四个科学数据库(Pubmed，AJOL,CAIRN,CINAHL）和一个灰色文献数据库（GoogleScholar）用于此搜索。我们还搜索了滚雪球引文方法和研究参考列表。
在撒哈拉以南非洲，COVID-19大流行对主要妇幼保健服务的影响参差不齐。一些保健中心的产前护理出勤率下降，交货,免疫接种,和肺炎病例。其他卫生中心没有经历大流行对其中一些服务的重大影响。事实上,一些保健中心的产前护理有所增加。在COVID-19期间下降的MCH服务指标在需求方面与针对COVID-19的监管措施有关，即人们认为常规服务资源不可用，这些设施中工作人员的消极态度，初级卫生保健设施中感知到的传播风险和感知到的预期污名。在供应方面,因素包括主要设施缺乏设备，缺乏在大流行背景下提供护理的指导方针，在这些设施中针对COVID-19采取的监管措施，以及在这些设施中工作的提供者缺乏动力。
■本研究建议优先改善初级卫生保健机构的感染预防措施，以提高MCH指标对流行病危机的抵御能力。应根据卫生中心之间预防措施的差异进行改进。从更具弹性的卫生中心确定最佳做法可以更好地指导这些努力。
■这些研究搜索了报告COVID-19大流行对主要MCH服务影响的原始研究。四个科学数据库(Pubmed，AJOL,CAIRN,CINAHL）和一个灰色文献数据库（GoogleScholar）用于此搜索。我们还搜索了滚雪球引文方法和研究参考列表。
在撒哈拉以南非洲，COVID-19大流行对主要妇幼保健服务的影响参差不齐。一些保健中心的产前护理出勤率下降，交货,免疫接种,和肺炎病例。其他卫生中心没有经历大流行对其中一些服务的重大影响。事实上,一些保健中心的产前护理有所增加。在COVID-19期间下降的MCH服务指标在需求方面与针对COVID-19的监管措施有关，即人们认为常规服务资源不可用，这些设施中工作人员的消极态度，初级卫生保健设施中感知到的传播风险和感知到的预期污名。在供应方面,因素包括主要设施缺乏设备，缺乏在大流行背景下提供护理的指导方针，在这些设施中针对COVID-19采取的监管措施，以及在这些设施中工作的提供者缺乏动力。
■本研究建议优先改善初级卫生保健机构的感染预防措施，以提高MCH指标对流行病危机的抵御能力。应根据卫生中心之间预防措施的差异进行改进。从更具弹性的卫生中心确定最佳做法可以更好地指导这些努力。
