Impact of COVID-19 on access to and delivery of sexual and reproductive healthcare services in countries with universal healthcare systems: A systematic review

PLoS ONE, Journal Year: 2024, Volume and Issue: 19(2), P. e0294744 - e0294744

Published: Feb. 23, 2024

Objectives The COVID-19 pandemic has caused unforeseen impacts on sexual and reproductive healthcare (SRH) services worldwide, the nature prevalence of these changes have not been extensively synthesized. We sought to synthesise reported outcomes impact SRH access delivery in comparable countries with universal systems. Methods Following PRISMA guidelines, we searched MEDLINE, Embase, PsycInfo, CINAHL from January 1st, 2020 June 6th, 2023. Original research was eligible for inclusion if study and/or delivery. Twenty-eight OECD economies systems were included. extracted characteristics, participant design, outcome variables. methodological quality each article assessed using Quality Assessment Diverse Studies (QuADS) tool. Preferred Reporting Items Systematic Reviews Meta-analyses (PRISMA) guidelines followed reporting results. This registered PROSPERO (#CRD42021245596). Synthesis Eighty-two studies met criteria. Findings qualitatively synthesised into domains of: antepartum care, intrapartum postpartum assisted technologies, abortion access, gynaecological health services, HIV care. Research concentrated relatively few countries. Access negatively impacted by a variety factors, including service disruptions, unclear communication regarding policy decisions, decreased timeliness fear exposure. Across outpatient providers favoured models care that avoided in-person appointments. Hospitals prioritized reduced time number people hospital aerosol-generating environments. Conclusions Overall, demonstrated across most during COVID-19. Variations restrictions accommodations heterogeneous within between institutions. Future work should examine long-term COVID-19, underserved populations, underrepresented

Language: Английский

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A Retrospective Observational Study on Post-Pandemic Effects of Endogenous and Exogenous Factors on Prematurity in Pregnant Women Under 18 Years of Age

Healthcare, Journal Year: 2025, Volume and Issue: 13(2), P. 197 - 197

Published: Jan. 19, 2025

Background/Objectives: This research investigates the impact of exogenous and endogenous factors on fetal health in pregnant women under age 18, with a special focus influence educational level, adherence to vices (smoking alcohol), comorbidities (diabetes hypertension), poor sanitary conditions. Methods: The study uses retrospective data collected from medical institution Southeast region Romania, including sample 3639 births during post-pandemic period (2022–2023). was considered be reference for because, as result measures combat spread COVID-19 disease pandemic, there an increase birth rate among patients 18 years age. APGAR clinical score evaluated at 5, 10, 20 min after measured inverted scale reflect increased risk health. Results: results indicate that lack education is significant factor associated preterm lower score. Additionally, more pronounced low levels smoking alcohol consumption negatively Regarding comorbidities, diabetes did not significantly affect short-term score, while hypertension had complex effect, though interventions mitigated risks. Conclusions: conclusions emphasize need appropriate reduce risks newborn adolescent pregnancies, especially disadvantaged environments. suggests future directions expand analysis other geographical regions long-term monitoring

Language: Английский

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“This Should Be the Answer!”: The Evolution of Relational Dynamic Capabilities in the Co-Production of Maternity Care Services to Vulnerable Women

Qualitative Health Research, Journal Year: 2025, Volume and Issue: unknown

Published: April 12, 2025

Established models of maternity care delivery in high-income countries have increasingly proved inadequate to address the highly idiosyncratic and heterogenous needs vulnerable pregnant women, such as ethnic minorities, migrants, asylum seekers, who still disproportionately suffer from high maternal morbidity mortality. Intersectionality theory has been salient represent women's lived, subjective experience inequity healthcare access; however, it less effective informing organizational systemic change able redress intersectional disadvantage affecting populations. To these theoretical empirical gaps, this article develops an in-depth single case study around HAAMLA team, a specialized community midwifery group active at Leeds Teaching Hospital NHS Trust England (UK), which specifically evolved over time cater women. We conducted semi-structured interviews with midwives team leadership triangulated our data archival material participant feedback. Building abductively on novel intersectional, socio-ecological framework, findings highlight how developed radically different model that conceptualizes vulnerability socially constructed category co-produces holistic, bespoke services together women external network partner agencies. In doing so, leveraged two key relational dynamic capabilities: adaptive activation trust-based relationship building. The discusses contributions theory, policy, practice, while providing fresh insight into strongly innovative potentially replicable groups.

Language: Английский

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“Getting pregnant during COVID-19 was a big risk because getting help from the clinic was not easy”: COVID-19 experiences of women and healthcare providers in Harare, Zimbabwe

PLOS Global Public Health, Journal Year: 2024, Volume and Issue: 4(1), P. e0002317 - e0002317

Published: Jan. 8, 2024

The COVID-19 pandemic and associated measures may have disrupted delivery of maternal neonatal health services reversed the progress made towards dual elimination mother-to-child transmission HIV syphilis in Zimbabwe. This qualitative study explores impact on provision uptake prevention (PMTCT) from perspectives women healthcare providers. Longitudinal in-depth interviews were conducted with 20 pregnant breastfeeding aged 20–39 years living workers two maternity polyclinics low-income suburbs Harare, Semi-structured held after second third waves March November 2021, respectively. Data analysed using a modified grounded theory approach. While eight antenatal care contacts are recommended by Zimbabwe’s Ministry Health Child Care, reported only being able to access contacts. Although testing, antiretroviral therapy (ART) refills screening accessible at first contact, other such as HIV-viral load monitoring enhanced adherence counselling not available for those ART. Closure clinics shortened operating hours during wave resulted more bookings occurring later pregnancy home deliveries. Six (33%) interviewed giving birth home, assisted untrained traditional midwives closed. Babies delivered missed ART prophylaxis testing despite HIV-exposed. faced multiple challenges, they continued attempt delivery. These findings underline importance investing robust systems that can respond emergency situations ensure continuity essential prevention, treatment, services.

Language: Английский

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“We Live Our Life Normal”: A Qualitative Analysis of Nigerian Women’s Health-Seeking Behavior during the COVID-19 Pandemic

International Journal of Environmental Research and Public Health, Journal Year: 2024, Volume and Issue: 21(3), P. 265 - 265

Published: Feb. 24, 2024

Background: This study examined where women sought healthcare during the COVID-19 pandemic and their reasons for doing so. We aim to understand further how accessed care inform future preparedness response efforts. knowledge gained from this can strategies address existing gaps in access ensure that women’s health needs are adequately considered emergencies. Methods: used an interpretive phenomenological-analysis approach analyze data on experiences with Nigeria as progressed. Semi-structured interviews were conducted 24 aged 15 49 between August November 2022 supplemented three focus-group discussions. Results: Following our analysis, superordinate themes emerged: (i) barriers seeking timely appropriate care, (ii) influence of diverse practices beliefs health-seeking behavior, (iii) gendered notions responsibility coping financial challenges. Conclusions: paper decision seek or not type they received, went care. Women felt affected

Language: Английский

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Comprehensive Reflections on FTAS Implementation in the Dutch National Screening Program

American Journal of Obstetrics and Gynecology, Journal Year: 2024, Volume and Issue: unknown

Published: Aug. 1, 2024

Language: Английский

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Voices From the Community: Maternal Healthcare Experiences During the COVID-19 Pandemic

Cureus, Journal Year: 2023, Volume and Issue: unknown

Published: April 30, 2023

Introduction The coronavirus disease 2019 (COVID-19) pandemic had a significant impact on health services around the world. Many hospitals and clinics were overwhelmed by influx of patients, leading to delays disruptions in care. fear contracting virus also led decrease number people seeking medical care, even for urgent or life-threatening conditions. Various studies have reported overall utilization maternal services. However, it remains vital find reasons reduced along with experiences women as well healthcare workers during pandemic. Objective objective this study was identify facilitators barriers COVID-19 Methods It qualitative conducted rural area Haryana, India. Twelve in-depth interviews (IDIs) four focused group discussions (FGDs) pregnant women. Textual analysis done both IDIs FGDs. Qualitative manually. Results identified themes complete cessation services, no outpatient department (OPD) many months, antenatal care (ANC) two disruption supply medicines, unavailability drugs, getting infection, mandatory negative report admission hospital, increased referral from government facilities lockdown. Conclusion Maternal suffered various including closure facilities, limited stocks, among This evidence can be used prepare manage future.

Language: Английский

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Assessing the Quality of Antenatal Care in King Abdulaziz University Hospital: A Retrospective Study

Cureus, Journal Year: 2023, Volume and Issue: unknown

Published: April 5, 2023

Antenatal care is vital for pregnant women and fetuses. However, the coronavirus disease 2019 (COVID-19) pandemic has hindered access to worldwide, resulting in missed appointments. Therefore, assessing quality of antenatal during crucial. This study evaluated provided at King Abdulaziz University Hospital Saudi Arabia suggested areas improvement.This retrospective medical records review involved 400 patients who received past two years. A checklist was used collect patient data, including demographics, visits, ultrasounds, gestational age first visit ultrasound, prior cesarean section preterm delivery, virtual clinic attendance COVID-19 pandemic. Statistical analyses were performed using SPSS version 25 (Armonk, NY: IBM Corp.).The sample had a mean 30±6 years, most participants (87.8%) women. Over half did not attend any follow-up majority only one ultrasound. Only small proportion mothers attended clinics Having parity 1-3 positively associated with ultrasound attendance, while delivery visits attendance.This highlighted importance improving Hospital, especially COVID-19. To achieve this, strategies such as increasing should be considered. By implementing these recommendations, hospital can enhance promote maternal fetal health.

Language: Английский

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The impact of COVID-19 disease on maternal and neonatal outcomes among birthing women in Jordan

Journal of Neonatal Nursing, Journal Year: 2024, Volume and Issue: 30(6), P. 668 - 672

Published: April 13, 2024

Language: Английский

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Impact of COVID-19 on essential healthcare services at the primary healthcare level in Armenia: a qualitative study

BMC Primary Care, Journal Year: 2024, Volume and Issue: 25(1)

Published: April 24, 2024

Abstract Background The COVID-19 pandemic has presented significant global healthcare challenges, particularly impacting the continuity of essential health services in low- and middle-income countries. This study investigates impact on utilization provision Armenia. Methods We employed a conventional qualitative design, conducting semi-structured in-depth interviews ( n = 17) within public private primary (PHC) facilities Armenia 2021. Our participants encompassed physicians providing specialty PHC (e.g. endocrinologists, gynecologists/obstetricians, pediatricians), regular visitors to adults with chronic diseases, parents children), policymakers. Thematic analysis was conducted, yielding five emergent categories: mobilization organization during COVID-19; visits worsening conditions due decline visits; problems routine childhood vaccinations; patient-provider communication challenges. Results number in-person declined adaptations service delivery, imposed lockdown measures, public’s fear visiting facilities. Maternal child continued no major disruptions. providers deliberately limited maternal antenatal care, newborn screenings, immunizations. Still, children experienced some delays vaccination administration. resulted notable reduction follow-up monitoring patients conditions, thereby exacerbating their conditions. Phone calls were method pandemic. Conclusions had profound delivery at facilities, especially for those who needed continuous care. Unified national-level guidance technical capacity are direct level, promote effective communication, implement digital platforms uninterrupted care emergencies.

Language: Английский

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