The determinants of maternal perception of antenatal care services during the COVID-19 pandemic critical phase: A systematic review

PLoS ONE, Год журнала: 2024, Номер 19(2), С. e0297563 - e0297563

Опубликована: Фев. 23, 2024

Introduction The COVID-19 pandemic has exerted devastating effects on healthcare delivery systems, specifically those for pregnant women. aim of this review was to determine the maternal perception antenatal health care services during critical phase. Methods Scopus, Web Science, SAGE, and Ovid were systematically searched using keywords “maternal”, “COVID-19 pandemic”, “maternal service”, perception”. Articles eligible inclusion if they original articles, written in English, published between January 1, 2020, December 12, 2022. This performed based Preferred Reporting Items Systematic Reviews Meta-Analyses guidelines. Eligible articles assessed Mixed Appraisal Tool. Thematic analysis used data synthesis. Results Of 2683 identified, 13 fulfilled criteria included narrative Five themes emerged regarding determinants phase: lack psychosocial support, poor quality, opinion virtual consultation, structure adaptation failure meet women’s needs, satisfaction with services. Conclusion Maternal perception, should be focused continuation pandemic. It is identify ensure service equity “new normal” future.

Язык: Английский

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Impact of COVID-19 on antenatal care provision at public hospitals in the Sidama region, Ethiopia: A mixed methods study

PLoS ONE, Год журнала: 2024, Номер 19(4), С. e0301994 - e0301994

Опубликована: Апрель 18, 2024

Coronavirus disease 2019 (COVID-19) continues to pose a global public health threat. The pandemic overstretched already weak systems in low- and low-middle-income countries, including Ethiopia. There is paucity of studies on the impact COVID-19 antenatal care access, uptake, provision This study examines Sidama region,

Язык: Английский

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Depression, anxiety, and stress among HIV-positive pregnant women during the COVID-19 pandemic: a hospital-based cross-sectional study in India

BMC Pregnancy and Childbirth, Год журнала: 2025, Номер 25(1)

Опубликована: Фев. 11, 2025

The COVID-19 pandemic has caused an unparalleled increase in psychological distress among everyone and everywhere. Perinatal depression, anxiety, stress (DAS) are more prominent HIV-positive pregnant women associated with poor maternal neonatal outcomes. Therefore, this study aimed to assess the prevalence explore factors DAS India. A multicentric, cross-sectional, analytical was conducted all women, aged than 18 years, taking antiretroviral therapy, attending antenatal care visits at two hospitals that offering HIV services Anantapur District, Andhra Pradesh, Women who were unable communicate mentally ill, refused give consent excluded. for a period of eighteen months from April 2020 September 2021. validated interview-based data collection form used capture sociodemographic, obstetric profiles, clinical support-related stressors participants. DASS-21 scale Univariable multivariable Poisson regression analyses identify found be 50.3% (95% CI 23.6–76.4), 56.2% 28.3–80.3), 42.2% 18.5–69.9), respectively. multivariate analysis showed participants living rural area (adj. PR 1.43,1.08–1.91), primigravidae 1.37, 1.09–1.72), less number ANC 1.41, 1.12–1.76), identified during pregnancy 1.42, 1.13–1.77), non-disclosure status one's partner 1.43, 1.11–1.83), no support 1.84, 1.31–2.59), having negative sexual 1.35, 1.02–1.79) significantly depression. Factors such as lack 1.48, 1.09–1.99) known 1.24, 1.01–1.52) anxiety. Participants had 1.50, 1.12–2.02), 1.47, 1.08–2.02), 1.62, 1.23–2.15), 1.44, 1.02–2.02), partner's 1.85, 1.25–2.74) stress. concludes about one-third reported half feeling stressed depressed COVID-19. residence linked Whereas variables like visits, knowing pregnancy, status, support, depression anxiety symptoms very high positive not support. Demographic, clinical, determinants provide insights interventions reduce burden mental health problems women.

Язык: Английский

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Inequalities in the Utilization of Recommended Antenatal Care in india: Further Analyses of the Poor–non-Poor Divide

International Journal of Social Determinants of Health and Health Services, Год журнала: 2025, Номер unknown

Опубликована: Май 29, 2025

The present research tries to explore unequal access recommended antenatal care (RANC) among groups and subgroups, especially between poor non-poor mothers in India. This study used data from the National Family Health Survey 2019–2021. Early initiation for (ANC), husband's presence during ANC, pregnancy complications, exposure mass media, birth interval, wantedness were factors affecting utilization of RANC. Mothers who educated, belonged Other Backward Classes (OBC) General social group, Christian Sikh, resided urban areas, non-poor, located western southern regions had a significantly higher likelihood receiving lowest RANC levels found central region, regardless caste or place residence. Compared other regions, odds their category even larger than women categories various regions. decomposition analyses revealed that largest factor explaining gaps was followed by mothers’ education,

Язык: Английский

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Exploring Perceptions and Needs of Mobile Health Interventions for Nutrition, Anemia, and Preeclampsia among Pregnant Women in Underprivileged Indian Communities: A Cross-Sectional Survey

Nutrients, Год журнала: 2023, Номер 15(17), С. 3699 - 3699

Опубликована: Авг. 24, 2023

According to the National Family Health Survey of 2021, about 57% women aged 15-49 in India currently suffer from anemia, marking a significant increase 53% recorded 2016. Similarly, study conducted southern reported 32.60% prevalence preeclampsia. Several community-based initiatives have been launched address these public health challenges. However, interventions yet achieve desired results. Could challenges faced by traditional healthcare be overcome through technological leap? This assesses pregnant mothers' perceptions regarding mobile for managing anemia and Additionally, captures their awareness knowledge. We survey with 131 mothers three underserved villages Jharkhand, India. Statistical analysis was using SEMinR package R (Version 2023.06.0), utilizing non-parametric partial least squares-structural equation modeling. found that every household had at one smartphone, respondents being primary users. The main uses smartphones were calling, messaging, social media. A total 61% showed interest nutrition pregnancy app, while 23.66% uncertain. Regarding nutritional knowledge during pregnancy, 68.7% having some knowledge, but only 11.45% claimed comprehensive There considerable gap critical nutrients needed foods recommended healthy diet. Awareness pregnancy-related conditions such as preeclampsia low, most unsure conditions' causes, impacts, symptoms. serves step towards leveraging technology enhance outcomes low-resource settings. With accessibility devices an apparent willingness utilize mHealth apps, compounded pressing need improved maternal health, impetus action is indisputable. It incumbent upon us seize this opportunity, ensuring potential fully realized not squandered, thus circumventing risk burgeoning digital divide.

Язык: Английский

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‘We delivered at home out of fear’: Maternity Care in Rural Nigeria During the COVID-19 Pandemic

International Journal of Maternal and Child Health and AIDS, Год журнала: 2023, Номер 12, С. e632 - e632

Опубликована: Май 7, 2023

The COVID-19 pandemic response overwhelmed health systems, disrupting other services, including maternal services. disruptive effects on the utilization of services in low-resource settings, Nigeria have not been well documented. We assessed service utilization, predictors, and childbirth experiences amidst restrictions a rural community Kumbotso, Kano State, northern Nigeria.Using an explanatory mixed methods design, 389 mothers were surveyed January 2022 using validated interviewer-administered questionnaires, followed by in-depth interviews with sub-sample (n=20). Data analyzed logistic regression models framework approach.Less than one-half (n=165, 42.4%) women utilized during period compared nearly two-thirds (n=237, 65.8%) prior to (p<0.05). Non-utilization was mainly due fear contracting (n=122, 54.5%), clinic overcrowding (n=43, 19.2%), transportation challenges (n=34, 15.2%), harassment security personnel (n=24, 10.7%). associated participant's post-secondary education (aOR=2.06, 95% CI:1.14- 11.40) (p=0.02), employment type (civil service, aOR=4.60, CI: 1.17-19.74) (p<0.001), business aOR=1.94, CI:1.19- 4.12) (p=0.032) trading aOR=1.62, CI:1.19-2.94) (p=0.04)). Women higher household monthly income (≥ N30,000, equivalent 60 US Dollars) (aOR=1.53, CI:1.13-2.65) (p=0.037), who adhered preventive measures before more likely utilize those restrictions. In contrast, parity (≥5 births) less use lockdown (aOR=0.30, CI:0.10-0.86) (p=0.03). Utilization also partner type.The declined hindered COVID-19, transport challenges, personnel. Maternal characteristics, adherence measures, pre-COVID maternity influenced attendance. There is need build resilient systems contingent alternative delivery for future pandemics.

Язык: Английский

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It Cost Us All of Our Savings to Deliver Our Baby: A Qualitative Study to Explore Barriers and Facilitators of Maternal and Child Health Service Access and Utilization in a Remote Rural Region in India During the COVID-19 Pandemic

Cureus, Год журнала: 2023, Номер unknown

Опубликована: Фев. 19, 2023

During the coronavirus disease 2019 (COVID-19) pandemic, rural and geographically isolated regions in lower-middle-income countries (LMICs) encountered major deficits maternal child health (MCH) care that were accentuated by pre-existing weak public infrastructure diversion of existing resources for pandemic management purposes. This explorative qualitative study was conducted to assess barriers, challenges, facilitators access utilization essential MCH services among pregnant women during COVID-19 a remote area India, having nearly 70% population.The using an ethnographic approach. Three villages selected purposively from Purba Medinipur district Eastern state West Bengal, local river. Information on challenges collected in-depth interviews (IDI) with universal sample 25 mothers who underwent pregnancy after March 2020 focus group discussions (FGD) their husbands mothers-in-laws. Thematic analysis used analyze data.The median (IQR) age delivered 23 (18, 28) years ranging 18 28 (N=25). All married, housewives, literate, Hindu religion, while accompanying husband cohort, majority (56 %) had completed high school. Half (52%) primigravida at least one living (60 %). successful birth outcome only current evidence mild depression. Low recognized as individual-level, interpersonal-level, community-level barriers. Diversion routine staff related occasionally compelled children seek unlicensed healthcare providers remained accessible even periods stringent lockdown. Furthermore, irregular functioning primary system translated into missed home visits disruption nutritional assistance services. A dual burden economic loss reported most households livelihood wages additional expenditure incurred underdoing deliveries private facilities, thereby potentially translating catastrophic out-of-pocket costs. The designation separate government facility delivery due unavailability hospital did not mitigate circumstances its lack villagers difficult trust unfamiliar environment. popular conditional cash transfer scheme promoting safe motherhood also possibly compromised pandemic.Accessibility severely affected especially lockdown areas India. Future preparedness must have enhanced policy administrative preventing significant maintaining improved accessibility alternative monitoring regular frontline workers, rendering effective distribution benefits social protection schemes, promotion respectful maternity care.

Язык: Английский

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Continuum of care pathway for maternal healthcare in India: analysis of trends, dropouts, and determinants from 2015 to 2021

Research Square (Research Square), Год журнала: 2024, Номер unknown

Опубликована: Фев. 22, 2024

Abstract This study examined the trends of maternal continuum care (CoC) across antenatal (ANC), intranatal and postnatal (PNC) using NFHS-4 to NFHS-5 data analysed associated factors in its utilisation employing Anderson’s health services model Indian context. A total 190,898 176,877 women aged 15–49 years who had a live birth 5 preceding surveys [NFHS-4 NFHS-5] were included respectively. Binary logistic regression identified need, pre-disposing enabling CoC pathways. The overall progress completion was 11.3 points from (38.7%) (50.0%). largest dropout observed ANC followed by PNC. Odds completing higher among 25–34 (AOR:1.18; 95% CI: 1.09–1.27), with education (AOR:1.74; 1.58–1.92), urban (AOR:1.09; CI:1.01–1.19), richer household (AOR: 1.42; 1.29–1.56), southern region 2.13; 1.89–2.40), exposed mass media (AOR:1.51; 1.39–1.65), covered insurance 1.24; 1.15–1.35). Policy addressing barriers inhibiting especially PNC stages are important. Context specific multisectoral approaches involving family, community, system may be warranted low-performing states.

Язык: Английский

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Achieving Equitable Primary Care for Rural Women and Children: Antenatal Care and Routine Immunization at the Community-Level in Uttar Pradesh, India

Опубликована: Янв. 1, 2024

Язык: Английский

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Impact of COVID-19 on Maternal Health Service Uptake and Perinatal Outcomes in Sub-Saharan Africa: A Systematic Review

International Journal of Environmental Research and Public Health, Год журнала: 2024, Номер 21(9), С. 1188 - 1188

Опубликована: Сен. 6, 2024

Coronavirus 2019 (COVID-19) is a major global public health threat that has impeded infrastructures in low- and middle-income countries. This systematic review examines the impact of COVID-19 on maternal service uptake perinatal outcomes Sub-Saharan Africa. We searched four databases August 2020 updated search 22 December 2023: PubMed/MEDLINE, CINAHL, Maternity Infant Care, EMBASE. Data extraction was performed using standardised Joana Briggs Institute data format for eligibility articles, any discrepancies were solved through discussion consensus. includes 36 studies met inclusion criteria. Antenatal care attendance institutional childbirth significantly decreased during pandemic, home births increased. Fear contracting virus, lack transport, shortage logistic supplies, personal protective equipment, lockdown policies, economic food security, stigmatisation sick persons, long waiting times hospital, system weakness barriers to accessing maternity care. The findings this showed significant decrease antenatal birth pandemic. Based our findings, we recommend stakeholders ensure availability essential medical supplies hospital.

Язык: Английский

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