Maternal health care services utilization amidst Covid-19 lockdown: retrospective study

Abstract

Objective: The objective was to find the changes in maternal health care utilization.

Design: Retrospective design was adopted.

Setting: Study was conducted in Damak, Nepal.

Methods: Data from four hospitals was retrieved for fiscal year 2076/77 (July 14,2019 – June 14 2020). Trend analysis was done.

Results : Study showed a decline in utilization of overall maternal health care during the months of Lockdown The utilization of antenatal care services has declined in the beginning of Lockdown but shows an increasing trend in the month of May-June. The number of Normal deliveries has declining trend since the beginning of Lockdown. The number of Caeserean Section declined during (March 14-April 12) and slightly increased in Bhaishak (April 13-May 13), but reduced again in the month of Jestha (may13-June14). The number of permanent family planning service use reduced in Chaitra (March 14-April 12), increased very slightly in Bhaishak(April 13-May 13), and declined again in the month of Jestha(may13-June14). The utilization of temporary family planning method and immunization has increased in the later month of Lockdown.

Conclusion: This decline in utilization may increase the maternal morbidity and mortality rates.

Keywords: Maternal health services, COVID-19 lockdown, Nepal.

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