The impact of the COVID-19 pandemic on the provision & utilisation of primary health care services in Goma, Democratic Republic of the Congo, Kambia district, Sierra Leone & Masaka district, Uganda.
Journal
PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081
Informations de publication
Date de publication:
2023
2023
Historique:
received:
03
08
2022
accepted:
12
05
2023
medline:
5
6
2023
pubmed:
2
6
2023
entrez:
2
6
2023
Statut:
epublish
Résumé
This study aimed to determine whether the COVID-19 pandemic had an impact on essential primary healthcare services at public primary healthcare facilities. The number of weekly consultations for antenatal care (ANC), outpatient (OPD), immunisations (EPI), family planning (FP) and HIV services, between January 2018 and December 2020, were collected from 25 facilities in Masaka district, Uganda, 21 in Goma, and 29 in Kambia district, Sierra Leone. Negative binomial regression models accounting for clustering and season were used to analyse changes in activity levels between 2018, 2019 and 2020. In Goma, we found no change in OPD, EPI or ANC consultations, FP was 17% lower in March-July 2020 compared to 2019, but this recovered by December 2020. New diagnoses of HIV were 34% lower throughout 2020 compared to 2019. In Sierra Leone, compared to the same periods in 2019, facilities had 18-29% fewer OPD consultations throughout 2020, and 27% fewer DTP3 doses in March-July 2020. There was no evidence of differences in other services. In Uganda there were 20-35% fewer under-5 OPD consultations, 21-66% fewer MCV1 doses, and 48-51% fewer new diagnoses of HIV throughout 2020, compared to 2019. There was no difference in the number of HPV doses delivered. The level of disruption varied across the different settings and qualitatively appeared to correlate with the strength of lockdown measures and reported attitudes towards the risk posed by COVID-19. Mitigation strategies such as health communications campaigns and outreach services may be important to limit the impact of lockdowns on primary healthcare services.
Identifiants
pubmed: 37267240
doi: 10.1371/journal.pone.0286295
pii: PONE-D-22-21755
pmc: PMC10237403
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e0286295Subventions
Organisme : Medical Research Council
ID : MC_UU_00027/5
Pays : United Kingdom
Organisme : Medical Research Council
ID : MC_UU_00033/1
Pays : United Kingdom
Organisme : Medical Research Council
ID : MR/K019708/1
Pays : United Kingdom
Organisme : Medical Research Council
ID : MR/V029363/1
Pays : United Kingdom
Informations de copyright
Copyright: © 2023 Kasonia et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
Références
J Biomed Inform. 2009 Apr;42(2):377-81
pubmed: 18929686
Nat Hum Behav. 2021 Apr;5(4):529-538
pubmed: 33686204
Euro Surveill. 2020 May;25(19):
pubmed: 32431288
Eur J Gen Pract. 2021 Dec;27(1):166-175
pubmed: 34282695
J Biomed Inform. 2019 Jul;95:103208
pubmed: 31078660
Public Health Action. 2021 Mar 21;11(1):12-21
pubmed: 33777716
BMC Pregnancy Childbirth. 2021 Oct 6;21(1):676
pubmed: 34615505
PLoS One. 2022 Jun 9;17(6):e0269655
pubmed: 35679304
Am J Trop Med Hyg. 2020 Sep;103(3):1191-1197
pubmed: 32705975