Impact of COVID-19 on the antenatal care services utilization in the region of Guelmim Oued Noun, Morocco
https://doi.org/10.4081/jphia.2023.2263
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Background. The COVID-19 pandemic has seriously impacted access to healthcare facilities across the world, but there is little evidence of how the pandemic influences the use of essential healthcare in the world.
Objective. This study aimed to evaluate the impact of the COVID-19 pandemic on antenatal indicators in the region of Guelmim Oued Noun, Morocco.
Methods. The aggregated data was delivered by regional health authorities covering the period from January 2017 to December 2020. The interrupted time series was mobilized to conduct statistical analysis.
Results. The descriptive results revealed a steady decline after the COVID-19 pandemic in antenatal indicators. The results of the regression model showed a negative impact of the pandemic on the antenatal recruitment rate (β2=-16.14; P<0.01), recruitment rate of women in antenatal visits during the 1st quarter of pregnancy (β2=- 2.09; P<0.01), antenatal visit completion rate (β2=-18.10; P>0.05), and average number of visits/pregnancies (β2=-15.65, P<0,05).
Conclusion. The effect of the COVID-19 pandemic on antenatal rates was significant for almost all the indicators studied. Future studies should focus on the impact of the pandemic on postnatal and immunization services on a national scale.
Huang C, Wang Y, Li X, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. The Lancet 2020;395(10223):497–506. DOI: https://doi.org/10.1016/S0140-6736(20)30183-5
OECD. THE COVID-19 CRISIS IN MOROCCO [Homepage on the Internet]. 2020 [cited 2022 Jul 2]; Available from: https://www.oecd.org/mena/competitiveness/The-Covid-19-Crisis-in-Morocco.pdf
Ayalew TW, Nigatu AM. Focused antenatal care utilization and associated factors in Debre Tabor Town, northwest Ethiopia, 2017. BMC Research Notes [homepage on the Internet] 2018;11(1):819. Available from: https://doi.org/10.1186/s13104-018-3928-y DOI: https://doi.org/10.1186/s13104-018-3928-y
Siegel RM, Mallow PJ. The Impact of COVID-19 on Vulnerable Populations and Implications for Children and Health Care Policy. Clin Pediatr (Phila) [homepage on the Internet] 2020;60(2):93–98. Available from: https://safeaccess.unboundmedicine.com/medline/citation/33243000/The_Impact_of_COVID_19_on_Vulnerable_Populations_and_Implications_for_Children_and_Health_Care_Policy_ DOI: https://doi.org/10.1177/0009922820973018
Ministry of Health care and social protection. Enquête Nationale sur la Population et la Santé Familiale (ENPSF). 2018;
Townsend R, Chmielewska B, Barratt I, et al. Global changes in maternity care provision during the COVID-19 pandemic: A systematic review and meta-analysis. eClinicalMedicine 2021;37:100947. DOI: https://doi.org/10.1016/j.eclinm.2021.100947
McGinn T, Austin J, Anfinson K, et al. Family planning in conflict: Results of cross-sectional baseline surveys in three African countries. Confl Health 2011;5:11. DOI: https://doi.org/10.1186/1752-1505-5-11
Patabendige M, Gamage MM, Jayawardane A. The Potential Impact of COVID-19 Pandemic on the Antenatal Care as Perceived by Non-COVID-19 Pregnant Women: Women’s Experience Research Brief. Journal of Patient Experience [homepage on the Internet] 2021;8:2374373521998820. Available from: https://doi.org/10.1177/2374373521998820 DOI: https://doi.org/10.1177/2374373521998820
Siedner MJ, Kraemer JD, Meyer MJ, et al. Access to primary healthcare during lockdown measures for COVID-19 in rural South Africa: an interrupted time series analysis. BMJ Open 2020;10(10):e043763. DOI: https://doi.org/10.1136/bmjopen-2020-043763
Moynihan R, Sanders S, Michaleff ZA, et al. Impact of COVID-19 pandemic on utilisation of healthcare services: a systematic review. BMJ Open 2021;11(3):e045343. DOI: https://doi.org/10.1136/bmjopen-2020-045343
Hategeka C, Carter SE, Chenge FM, et al. Impact of the COVID-19 pandemic and response on the utilisation of health services in public facilities during the first wave in Kinshasa, the Democratic Republic of the Congo. BMJ Global Health 2021;6(7):e005955. DOI: https://doi.org/10.1136/bmjgh-2021-005955
Chandir S, Siddiqi DA, Mehmood M, et al. Impact of COVID-19 pandemic response on uptake of routine immunizations in Sindh, Pakistan: An analysis of provincial electronic immunization registry data. Vaccine 2020;38(45):7146–7155. DOI: https://doi.org/10.1016/j.vaccine.2020.08.019
Health Ministry. Plan santé 2025. Rabat: 2019;
Ministry of Health and Social Protection. fiche sur l’offre de soins de santé existant [Homepage on the Internet]. 20121 [cited 2021 Dec 24];Available from: http://cartesanitaire.sante.gov.ma/ftnrd?p_idniveau=4&p_idreg=10
R Core Team. R: A Language and Environment for Statistical Computing. 2021;
Mowatt G, Grimshaw JM, Davis DA, Mazmanian PE. Getting evidence into practice: the work of the Cochrane Effective Practice and Organization of care Group (EPOC). J Contin Educ Health Prof [homepage on the Internet] 2001 [cited 2021 Dec 27];21(1):55–60. Available from: https://pubmed.ncbi.nlm.nih.gov/11291587/ DOI: https://doi.org/10.1002/chp.1340210109
Wagner AK, Soumerai SB, Zhang F, Ross-Degnan D. Segmented regression analysis of interrupted time series studies in medication use research. Journal of Clinical Pharmacy and Therapeutics [homepage on the Internet] 2002;27(4):299–309. Available from: https://doi.org/10.1046/j.1365-2710.2002.00430.x DOI: https://doi.org/10.1046/j.1365-2710.2002.00430.x
Grolemund G, Wickham H. Dates and Times Made Easy with lubridate. Journal of Statistical Software [homepage on the Internet] 2011;40(3):1–25. Available from: https://www.jstatsoft.org/index.php/jss/article/view/v040i03 DOI: https://doi.org/10.18637/jss.v040.i03
Li M, Yin H, Jin Z, et al. Impact of Wuhan lockdown on the indications of cesarean delivery and newborn weights during the epidemic period of COVID-19. PLOS ONE 2020;15:e0237420.
Li M, Yin H, Jin Z, et al. Impact of Wuhan lockdown on the indications of cesarean delivery and newborn weights during the epidemic period of COVID-19. PLOS ONE 2020;15(8):e0237420. DOI: https://doi.org/10.1371/journal.pone.0237420
Elston JWT, Moosa AJ, Moses F, et al. Impact of the Ebola outbreak on health systems and population health in Sierra Leone. Journal of Public Health [homepage on the Internet] 2016;38(4):673–678. Available from: https://doi.org/10.1093/pubmed/fdv158
Elston JWT, Moosa AJ, Moses F, et al. Impact of the Ebola outbreak on health systems and population health in Sierra Leone. Journal of Public Health 2015;fdv158. DOI: https://doi.org/10.1093/pubmed/fdv158
Lee H, Park JH. Changes in health care utilization during the MERS epidemic. International Journal of Infectious Diseases 2018;73:187. DOI: https://doi.org/10.1016/j.ijid.2018.04.3838
Barriers to Accessing Medical Care in Sub-Saharan Africa in Early Stages of COVID-19 Pandemic [Homepage on the Internet]. [cited 2022 Apr 28];Available from: https://openknowledge.worldbank.org/handle/10986/35333
Swindle R, Newhouse D. Barriers to Accessing Medical Care in Sub-Saharan Africa in Early Stages of COVID-19 Pandemic. 2021 [cited 2021 Dec 24];Available from: https://openknowledge.worldbank.org/handle/10986/35333
Ministry of Health and social protection. Guide pratique destiné à l’usage des professionnels de la santé [Homepage on the Internet]. 2020 [cited 2022 Apr 25]; Available from: https://www.sante.gov.ma/Publications/Guides-Manuels/Documents/2020/PLAN%20GUIDE%20COVID-19%20GROSSESSE.pdf
United Nations. The Sustainable Development Golas Report [Homepage on the Internet]. 2020 [cited 2022 Jul 22];Available from: https://unstats.un.org/sdgs/report/2020/
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