Early indirect impact of COVID-19 pandemic on utilisation and outcomes of reproductive, maternal, newborn, child and adolescent health services in Kenya: A cross-sectional study

The paper determined the initial impact of COVID-19 pandemic on reproductive, maternal, newborn, child and adolescent health (RMNCAH) services in Kenya. Hospital data for the first four months (March-June 2020) of the pandemic and the equivalent period in 2019 were compared using two-sample test of...

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Bibliographic Details
Published in:African journal of reproductive health 2021-12, Vol.25 (6), p.76-87
Main Authors: Shikuku, Duncan N, Nyaoke, Irene K, Nyaga, Lucy N, Ameh, Charles A
Format: Article
Language:English
Subjects:
Abortion
Adolescent pregnancy
Adolescents
Birth control
Children
Childrens health
Coronaviruses
COVID-19
Cross-sectional studies
Curfews
Disease transmission
Ebola virus
Epidemics
Family planning
Fatalities
Health aspects
Health care industry
Health services
Immunization
Infants
Infants (Newborn)
Information systems
Kenya
Local government
Maternal & child health
maternal and newborn health
maternal and perinatal mortality
Maternal mortality
Medical supplies
Mental health
Mothers
Newborn babies
Pandemics
Patient outcomes
Pregnancy
Prenatal care
Quarantine
Severe acute respiratory syndrome coronavirus 2
Stillbirth
Teenage pregnancy
Teenagers
Vaccination
Vaccines
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Summary:The paper determined the initial impact of COVID-19 pandemic on reproductive, maternal, newborn, child and adolescent health (RMNCAH) services in Kenya. Hospital data for the first four months (March-June 2020) of the pandemic and the equivalent period in 2019 were compared using two-sample test of proportions. Despite the global projections for worse indicators, there were no differences in monthly mean (±SD) attendance between March-June 2019 vs 2020 for antenatal care (400,191.2±12,700.0 vs 384,697.3±20,838.6), hospital births (98,713.0±4,117.0 vs 99,634.5±3,215.5), family planning attendance (431,930.5±19,059.9 vs 448,168.3±31,559.8), post-abortion care (3,206.5±111.7 vs 448,168.3±31,559.8) and pentavalent 1 immunisation (114,701.0±3,701.1 vs 110,915.8±7,209.4), p>0.05. However, there were significant increases in FP utilisation among young people (25.7% to 27.0%), injectable (short-term) FP method uptake (58.2% to 62.3%), caesarean section rate (14.6% to 15.8%), adolescent maternal deaths (6.2% to 10.9%) and fresh stillbirths (0.9% to 1.0%) with a reduction in implants (long-term) uptake (16.5% to 13.0%) (p
ISSN:1118-4841
1118-4841
2141-3606
DOI:10.29063/ajrh2021/v25i6.9