Mndala, Leonard 
ORCID: 0000-0003-0488-6972, Chapuma, Chikondi, Riches, Jennifer, Gadama, Luis, Kachale, Fannie, Bilesi, Rosemary, Mbewe, Malangizo, Likaka, Andrew, Kumwenda, Moses, Makuluni, Regina et al (show 9 more authors)
(2023)
Effects of COVID-19 on Maternal and Neonatal Outcomes and Access to Antenatal and Postnatal Care, Malawi.
Emerging Infectious Diseases, 29 (10).
pp. 1990-1998.
Abstract
We used national facility-level data from all government hospitals in Malawi to examine the effects of the second and third COVID-19 waves on maternal and neonatal outcomes and access to care during September 6, 2020-October 31, 2021. The COVID-19 pandemic affected maternal and neonatal health not only through direct infections but also through disruption of the health system, which could have wider indirect effects on critical maternal and neonatal outcomes. In an interrupted time series analysis, we noted a cumulative 15.4% relative increase (63 more deaths) in maternal deaths than anticipated across the 2 COVID-19 waves. We observed a 41% decrease in postnatal care visits at the onset of the second COVID-19 wave and 0.2% by the third wave, cumulative to 36,809 fewer visits than anticipated. Our findings demonstrate the need for strengthening health systems, particularly in resource-constrained settings, to prepare for future pandemic threats.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | Humans, Postnatal Care, Family, Pregnancy, Infant, Newborn, Malawi, Female, Pandemics, COVID-19 |
| Divisions: | Faculty of Health and Life Sciences |
| Depositing User: | Symplectic Admin |
| Date Deposited: | 05 Sep 2023 10:13 |
| Last Modified: | 05 Oct 2023 06:51 |
| DOI: | 10.3201/eid2910.230003 |
| Open Access URL: | https://doi.org/10.3201/eid2910.230003 |
| Related URLs: | |
| URI: | https://livrepository.liverpool.ac.uk/id/eprint/3172535 |
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