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Early Effect of the COVID-19 Pandemic on Maternal Health Services in a Country with Ebola Experience

Received: 29 November 2022     Accepted: 19 December 2022     Published: 29 December 2022
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Abstract

Introduction: In Guinea, little is known about the influence of the COVID-19 pandemic on maternal health indicators. Indeed, Guinea presents a particular context in that it experienced from 2014 to 2016 the Ebola epidemic that negatively affected its health system and bereaved its population. The objective of this study is to assess the effect of the COVID-19 pandemic on maternal and reproductive health services in the health district of Forécariah. Methods: This was an analytical cross-sectional study of routine data from 01 March to 30 April 2019 and 01 March to 30 April 2020, including women of childbearing age (15-49 years) residing in the Forécariah health district over the study period. Results: Overall coverage of ANC1 did not statistically change from pre-COVID-19 (58%) to COVID-19 (57%). A significant decrease was observed in ANC4+ coverage from 42% before COVID-19 to 29% during COVID-19. Overall pre-pandemic coverage of SP4+ (33%) was significantly higher than during the pandemic (27%; p-value <0.001). Pre-pandemic coverage in ITNs dropped statistically significantly from 34% before the pandemic to 28% during the first two months of the pandemic. Overall coverage of HIV counseling decreased significantly from 72% before the pandemic to 61% during the pandemic (p-value <0.001). General coverage of HIV testing dropped significantly from 43% before the pandemic to 8% during the pandemic (p-value <0.001). Coverage of health center-based deliveries during the pre-COVID-19 study period dropped significantly from 27% to 22% during COVID-19 (p-value <0.001). Conclusion: To ensure the resilience of maternal health services in the face of epidemics, this study recommends actions to strengthen the health system by improving community confidence in the health system, even during an epidemic crisis.

Published in World Journal of Public Health (Volume 7, Issue 4)
DOI 10.11648/j.wjph.20220704.19
Page(s) 189-195
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2022. Published by Science Publishing Group

Keywords

Maternal Health, COVID-19, Guinea

References
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Cite This Article
  • APA Style

    Niouma Nestor Leno, Mabinty Toure, Christine Timbo Songbono, Mathias Dore, Appolinaire Souwla Thea, et al. (2022). Early Effect of the COVID-19 Pandemic on Maternal Health Services in a Country with Ebola Experience. World Journal of Public Health, 7(4), 189-195. https://doi.org/10.11648/j.wjph.20220704.19

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    ACS Style

    Niouma Nestor Leno; Mabinty Toure; Christine Timbo Songbono; Mathias Dore; Appolinaire Souwla Thea, et al. Early Effect of the COVID-19 Pandemic on Maternal Health Services in a Country with Ebola Experience. World J. Public Health 2022, 7(4), 189-195. doi: 10.11648/j.wjph.20220704.19

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    AMA Style

    Niouma Nestor Leno, Mabinty Toure, Christine Timbo Songbono, Mathias Dore, Appolinaire Souwla Thea, et al. Early Effect of the COVID-19 Pandemic on Maternal Health Services in a Country with Ebola Experience. World J Public Health. 2022;7(4):189-195. doi: 10.11648/j.wjph.20220704.19

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  • @article{10.11648/j.wjph.20220704.19,
      author = {Niouma Nestor Leno and Mabinty Toure and Christine Timbo Songbono and Mathias Dore and Appolinaire Souwla Thea and Jean Baptiste Dey Loua and Lucie Haba and Bienvenu Salim Camara and Alexandre Delamou},
      title = {Early Effect of the COVID-19 Pandemic on Maternal Health Services in a Country with Ebola Experience},
      journal = {World Journal of Public Health},
      volume = {7},
      number = {4},
      pages = {189-195},
      doi = {10.11648/j.wjph.20220704.19},
      url = {https://doi.org/10.11648/j.wjph.20220704.19},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.wjph.20220704.19},
      abstract = {Introduction: In Guinea, little is known about the influence of the COVID-19 pandemic on maternal health indicators. Indeed, Guinea presents a particular context in that it experienced from 2014 to 2016 the Ebola epidemic that negatively affected its health system and bereaved its population. The objective of this study is to assess the effect of the COVID-19 pandemic on maternal and reproductive health services in the health district of Forécariah. Methods: This was an analytical cross-sectional study of routine data from 01 March to 30 April 2019 and 01 March to 30 April 2020, including women of childbearing age (15-49 years) residing in the Forécariah health district over the study period. Results: Overall coverage of ANC1 did not statistically change from pre-COVID-19 (58%) to COVID-19 (57%). A significant decrease was observed in ANC4+ coverage from 42% before COVID-19 to 29% during COVID-19. Overall pre-pandemic coverage of SP4+ (33%) was significantly higher than during the pandemic (27%; p-value Conclusion: To ensure the resilience of maternal health services in the face of epidemics, this study recommends actions to strengthen the health system by improving community confidence in the health system, even during an epidemic crisis.},
     year = {2022}
    }
    

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  • TY  - JOUR
    T1  - Early Effect of the COVID-19 Pandemic on Maternal Health Services in a Country with Ebola Experience
    AU  - Niouma Nestor Leno
    AU  - Mabinty Toure
    AU  - Christine Timbo Songbono
    AU  - Mathias Dore
    AU  - Appolinaire Souwla Thea
    AU  - Jean Baptiste Dey Loua
    AU  - Lucie Haba
    AU  - Bienvenu Salim Camara
    AU  - Alexandre Delamou
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    PY  - 2022
    N1  - https://doi.org/10.11648/j.wjph.20220704.19
    DO  - 10.11648/j.wjph.20220704.19
    T2  - World Journal of Public Health
    JF  - World Journal of Public Health
    JO  - World Journal of Public Health
    SP  - 189
    EP  - 195
    PB  - Science Publishing Group
    SN  - 2637-6059
    UR  - https://doi.org/10.11648/j.wjph.20220704.19
    AB  - Introduction: In Guinea, little is known about the influence of the COVID-19 pandemic on maternal health indicators. Indeed, Guinea presents a particular context in that it experienced from 2014 to 2016 the Ebola epidemic that negatively affected its health system and bereaved its population. The objective of this study is to assess the effect of the COVID-19 pandemic on maternal and reproductive health services in the health district of Forécariah. Methods: This was an analytical cross-sectional study of routine data from 01 March to 30 April 2019 and 01 March to 30 April 2020, including women of childbearing age (15-49 years) residing in the Forécariah health district over the study period. Results: Overall coverage of ANC1 did not statistically change from pre-COVID-19 (58%) to COVID-19 (57%). A significant decrease was observed in ANC4+ coverage from 42% before COVID-19 to 29% during COVID-19. Overall pre-pandemic coverage of SP4+ (33%) was significantly higher than during the pandemic (27%; p-value Conclusion: To ensure the resilience of maternal health services in the face of epidemics, this study recommends actions to strengthen the health system by improving community confidence in the health system, even during an epidemic crisis.
    VL  - 7
    IS  - 4
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Author Information
  • Department of Public Health, Faculty of Health Sciences and Techniques, Gamal Abdel Nasser University of Conakry, Conakry, Guinea

  • National Center for Training and Research in Rural Health of Maferinyah, Forecariah, Guinea

  • National Center for Training and Research in Rural Health of Maferinyah, Forecariah, Guinea

  • National Center for Training and Research in Rural Health of Maferinyah, Forecariah, Guinea

  • National Center for Training and Research in Rural Health of Maferinyah, Forecariah, Guinea

  • National Center for Training and Research in Rural Health of Maferinyah, Forecariah, Guinea

  • Department of Public Health, Faculty of Health Sciences and Techniques, Gamal Abdel Nasser University of Conakry, Conakry, Guinea

  • Department of Public Health, Faculty of Health Sciences and Techniques, Gamal Abdel Nasser University of Conakry, Conakry, Guinea

  • Department of Public Health, Faculty of Health Sciences and Techniques, Gamal Abdel Nasser University of Conakry, Conakry, Guinea

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