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Effects of the COVID-19 pandemic on antenatal care utilisation in Kenya: a cross-sectional study.
Landrian, Amanda; Mboya, John; Golub, Ginger; Moucheraud, Corrina; Kepha, Stella; Sudhinaraset, May.
Afiliación
  • Landrian A; Jonathan and Karin Fielding School of Public Health, University of California, Los Angeles, Los Angeles, California, USA alandrian2@gmail.com.
  • Mboya J; Innovations for Poverty Action, Nairobi, Kenya.
  • Golub G; Innovations for Poverty Action, Nairobi, Kenya.
  • Moucheraud C; Jonathan and Karin Fielding School of Public Health, University of California, Los Angeles, Los Angeles, California, USA.
  • Kepha S; Kenya Medical Research Institute, Nairobi, Kenya.
  • Sudhinaraset M; Jonathan and Karin Fielding School of Public Health, University of California, Los Angeles, Los Angeles, California, USA.
BMJ Open ; 12(4): e060185, 2022 04 13.
Article en En | MEDLINE | ID: mdl-35418443
OBJECTIVE: The aim of this study was to assess the effects of COVID-19 on antenatal care (ANC) utilisation in Kenya, including women's reports of COVID-related barriers to ANC and correlates at the individual and household levels. DESIGN: Cross-sectional study. SETTING: Six public and private health facilities and associated catchment areas in Nairobi and Kiambu Counties in Kenya. PARTICIPANTS: Data were collected from 1729 women, including 1189 women who delivered in healthcare facilities before the COVID-19 pandemic (from September 2019-January 2020) and 540 women who delivered during the pandemic (from July through November 2020). Women who delivered during COVID-19 were sampled from the same catchment areas as the original sample of women who delivered before to compare ANC utilisation. PRIMARY AND SECONDARY OUTCOME MEASURES: Timing of ANC initiation, number of ANC visits and adequate ANC utilisation were primary outcome measures. Among only women who delivered during COVID-19 only, we explored women's reports of the pandemic having affected their ability to access or attend ANC as a secondary outcome of interest. RESULTS: Women who delivered during COVID-19 had significantly higher odds of delayed ANC initiation (ie, beginning ANC during the second vs first trimester) than women who delivered before (aOR 1.72, 95% CI 1.24 to 2.37), although no significant differences were detected in the odds of attending 4-7 or ≥8 ANC visits versus <4 ANC visits, respectively (aOR 1.12, 95% CI 0.86 to 1.44 and aOR 1.46, 95% CI 0.74 to 2.86). Nearly half (n=255/540; 47%) of women who delivered during COVID-19 reported that the pandemic affected their ability to access ANC. CONCLUSIONS: Strategies are needed to mitigate disruptions to ANC among pregnant women during pandemics and other public health, environmental, or political emergencies.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Atención Prenatal / COVID-19 Tipo de estudio: Observational_studies / Prevalence_studies / Risk_factors_studies Límite: Female / Humans / Male / Pregnancy País/Región como asunto: Africa Idioma: En Revista: BMJ Open Año: 2022 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Atención Prenatal / COVID-19 Tipo de estudio: Observational_studies / Prevalence_studies / Risk_factors_studies Límite: Female / Humans / Male / Pregnancy País/Región como asunto: Africa Idioma: En Revista: BMJ Open Año: 2022 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido