Impact of Covid-19 on the utilisation of maternal and child health services in Peru at national and subnational levels
An interrupted time series analysis
Bibliographic Data
| ID | 19551670 |
|---|---|
| Authors | Luis Huicho (0000-0002-5272-5885, Universidad Peruana Cayetano Heredia), Carlos A Huayanay-Espinoza (0000-0002-8462-3218, Universidad Peruana Cayetano Heredia), Rodrigo Valladares, Alvaro G Oviedo-Rios (Universidad Peruana Cayetano Heredia), Soleda S Ruiz-Lopez (Universidad Peruana Cayetano Heredia), Nadia Akseer (0000-0002-1229-2640, Johns Hopkins University), Abdoulaye Maiga (0000-0002-0475-1106, Johns Hopkins University), Alícia Matijasevich (0000-0003-0060-1589, Universidade de São Paulo), Agbessi Amouzou (0000-0002-6262-3866, Johns Hopkins University) |
| Year | 2024 |
| Volume | 14 |
| Pages | 05039-05039 |
| Publication date | 2024-12-20 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Journal of Global Health (JOURNAL) |
| Journal identifiers | ISSN: 2047-2978 • E-ISSN: 2047-2986 |
| Publisher | International Society of Global Health (PUBLISHER • GB) |
| DOI | 10.7189/jogh.14.05039 |
| PMID | 39703982 |
| OpenAlex | W4405649596 |
| Language | EN |
| Citations received | 2 |
| References cited | 21 |
Background: The resilience of Peru ́s health system was weakened by a political crisis that started in 2016 and was further challenged by the coronavirus 2019 (COVID-19) pandemic. We assessed the indirect impact of the pandemic on the utilisation of essential maternal and child health (MCH) services in Peru at national and subnational levels. Methods: We assessed the trends in MCH services utilisation and the percentage change from 2018 to 2021, using routine health facility data. We used an interrupted time series analysis to quantify the impact of COVID-19 on the utilisation of health services. Results: The utilisation of most maternal and child health services dropped dramatically in 2020 after the outbreak. However, we observed a quick recovery in 2021, with service utilisation fairly similar or higher to the pre-pandemic period (2018-2019). The decrease was higher in the utilisation of antenatal care visit one or more (incidence rate ratio (IRR) = 0.79; 95% CI = 0.74-0.83) and antenatal care visits four or more (IRR= 0.76; 95% = 0.74-0.79) in 2020. The IRR showed a drop of 5, 6, 9, and 13% in the utilisation of skilled birth attendances, institutional deliveries, caesarean sections and postnatal care visits within two days of childbirth, respectively in 2020 in comparison to pre-pandemic service utilisation. In 2020 the utilisation decreased in all three natural regions, with the Rainforest being the most affected. In 2021 there was a recovery in all natural regions. Conclusions: The pandemic decreased the utilisation of essential maternal and child health services in Peru. This highlights the need to preserve the resilience of a health system both at central and local levels, to face more successfully future pandemics
2019-20 coronavirus outbreak · Coronavirus Infections · Environmental health · Interrupted Time Series Analysis · MEDLINE · Outbreak · Pandemic · Political science · Statistics · COVID-19 Impact on Reproduction · Global Maternal and Child Health · Healthcare Systems and Reforms · Medicine · Internal Medicine · Virology
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A Tale of Two Crashes
| Unique citing works | 2 |
|---|---|
| Citations per year | 2 |
| Citation span | 2025 - 2026 (2) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 2 |