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

Niouma Nestor Leno; Mabinty Toure; Christine Timbo Songbono; Mathias Dore; Appolinaire Souwla Thea; Jean Baptiste Dey Loua; Lucie Haba; Bienvenu Salim Camara; Alexandre Delamou

doi:doi:10.11648/j.wjph.20220704.19

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

Niouma Nestor Leno, Mabinty Toure, Christine Timbo Songbono, Mathias Dore, Appolinaire Souwla Thea, Jean Baptiste Dey Loua, Lucie Haba, Bienvenu Salim Camara, Alexandre Delamou

Published in World Journal of Public Health (Volume 7, Issue 4)

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

Views: Downloads:

Download PDF

Share This Article

Twitter
Linked In
Facebook

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

[1]	United Nations. Sustainable Development Goals [Internet]. 2015 [cited 2016 Oct 14]. Available from: https://sustainabledevelopment.un.org/sdg3
[2]	WHO. Maternal mortality. Key facts [Internet]. WHO. 2019 [cited 2018 May 11]. Available from: http://www.who.int/en/news-room/fact-sheets/detail/maternal-mortality
[3]	World Health Organization. Coronavirus disease (COVID-19) Weekly Epidemiological Updates and Monthly Operational Updates [Internet]. WHO. 2022 [cited 2022 Nov 26]. Available from: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/situation-reports
[4]	Rahman MA, Halder HR, Shariful Islam SM. Effects of COVID-19 on maternal institutional delivery: Fear of a rise in maternal mortality. J Glob Health. 2021; 11: 1–3.
[5]	Ombere SO. Access to Maternal Health Services During the COVID-19 Pandemic: Experiences of Indigent Mothers and Health Care Providers in Kilifi County, Kenya. Front Sociol. 2021; 6 (April): 1–8.
[6]	Camara BS, Delamou A, Diro E, Béavogui AH, El Ayadi AM, Sidibé S, et al. Effect of the 2014/2015 Ebola outbreak on reproductive health services in a rural district of Guinea: An ecological study. Trans R Soc Trop Med Hyg. 2017; 111 (1): 22–9.
[7]	Ministère de la Santé et Organisation Mondiale de la Santé. Rapport de la situation epidémiologique maladie à virus Ebola en Guinée. Rapport du 01 Janvier 2016. [Epidemiological situation report of Ebola virus disease in Guinea. 01 January 2016 Report]. 2016.
[8]	Institut National des Statistiques. Enquête Démographique et de Santé 2018-Guinée. 2019.
[9]	Présidence de la Republique. Troisième recensement général de la population et de l’habitat (RGPH), 2014, République de Guinée. [Third General Census of Population and Housing (RGPH), 2014, Republic of Guinea]. 2015.
[10]	Delamou A, Delvaux T, El Ayadi AM, Beavogui AH, Okumura J, Van Damme W, et al. Public health impact of the 2014-2015 Ebola outbreak in West Africa: Seizing opportunities for the future. BMJ Glob Heal. 2017; 2 (2): e000202.
[11]	Leno NN, Delamou A, Koita Y, Diallo TS, Kaba A, Delvaux T, Van Damme W, Laga M. Ebola virus disease outbreak in Guinea: what effects on prevention of mother-to-child transmission of HIV services? Reprod Health. 2018 Apr 10; 15 (1): 60. doi: 10.1186/s12978-018-0502-y. PMID: 29631599; PMCID: PMC5891943.
[12]	Kassa ZY, Scarf V, Fox D. The effect of Ebola virus disease on maternal health service utilisation and perinatal outcomes in West Africa: a systematic review. Reprod Health. 2022 Feb 4; 19 (1): 35. doi: 10.1186/s12978-022-01343-8. PMID: 35120540; PMCID: PMC8815720.
[13]	Camara BS, Okumura J, Delamou A. Do memories of the Ebola virus disease outbreak influence post-Ebola health seeking behaviour in Guéckédou district (epicentre) in Guinea? A cross-sectional study of children with febrile illness. 2020; 1–12.
[14]	Liang, L., Ren, H., Cao, R. et al. The Effect of COVID-19 on Youth Mental Health. Psychiatr Q 91, 841–852 (2020). https://doi.org/10.1007/s11126-020-09744-3.
[15]	Brooks SK, Webster RK, Smith LE, Woodland L, Wessely S, Greenberg N, et al. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet [Internet]. 2020; 395 (10227): 912–20. Available from: http://dx.doi.org/10.1016/S0140-6736(20)30460-8
[16]	Brown E, Gray R, Lo Monaco S, O’Donoghue B, Nelson B, Thompson A, et al. The potential impact of COVID-19 on psychosis: A rapid review of contemporary epidemic and pandemic research. Schizophrenia Research journal. Elsevier BV [Internet]. 2020; SCHRES-088 (xxxx): No of Pages 9. Available from: https://doi.org/10.1016/j.schres.2020.05.005.
[17]	Adugna A, Azanaw J, Melaku MS. The Effect of COVID-19 on Routine HIV Care Services from Health Facilities in Northwest Ethiopia. HIV/AIDS - Res Palliat Care. 2021; 13: 1159–68.

Cite This Article

Plain Text BibTeX RIS

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

Copy | Download

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

Copy | Download

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

Copy | Download

@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}
}

Copy | Download

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
Y1  - 2022/12/29
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
ER  -

Copy | Download

Author Information

Niouma Nestor Leno

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

National Center for Training and Research in Rural Health of Maferinyah, Forecariah, Guinea
Christine Timbo Songbono

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

National Center for Training and Research in Rural Health of Maferinyah, Forecariah, Guinea
Appolinaire Souwla Thea

National Center for Training and Research in Rural Health of Maferinyah, Forecariah, Guinea
Jean Baptiste Dey Loua

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

Department of Public Health, Faculty of Health Sciences and Techniques, Gamal Abdel Nasser University of Conakry, Conakry, Guinea
Bienvenu Salim Camara

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

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

Download PDF

Sections

Plain Text BibTeX RIS

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

Copy | Download

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

Copy | Download

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

Copy | Download

@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}
}

Copy | Download

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
Y1  - 2022/12/29
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
ER  -

Copy | Download