Effects of COVID-19 on Maternal and Neonatal Outcomes and Access to Antenatal and Postnatal Care, Malawi

Details

• Alternative Title:
  Emerg Infect Dis
• Personal Author:
  Mndala, Leonard ; Chapuma, Chikondi ; Riches, Jennifer ; Gadama, Luis ; Kachale, Fannie ; Bilesi, Rosemary ; Mbewe, Malangizo ; Likaka, Andrew ; Kumwenda, Moses ; Makuluni, Regina ; Maseko, Bertha ; Ndamala, Chifundo ; Kuyere, Annie ; Munthali, Laura ; Phiri, Deborah ; Monk, Edward J.M. ; Henrion, Marc Y.R. ; Odland, Maria L. ; Lissauer, David
• Description:
  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.
• Subjects:
  Effects Of COVID-19 On Maternal And Neonatal Outcomes And Access To Antenatal And Postnatal Care, Malawi Research
• Keywords:
  Africa Coronavirus Coronavirus Disease COVID-19 Family Female Humans Infant, Newborn Interrupted Time Series Malawi Maternal Health Pandemics Postnatal Care Pregnancy Respiratory Infections SARS SARS-CoV-2 Severe Acute Respiratory Syndrome Coronavirus 2 Surveillance Viruses Zoonoses

  More +
• Source:
  Emerg Infect Dis. 2023; 29(10):1990-1998
• Pubmed ID:
  37640377
• Pubmed Central ID:
  PMC10521614
• Document Type:
  Journal Article
• Funding:
  WT_/Wellcome TrustUnited Kingdom/ ; 206545/Z/17/Z/WT_/Wellcome TrustUnited Kingdom/
• Volume:
  29
• Issue:
  10
• Collection(s):
  Emerging Infectious Diseases
• Main Document Checksum:
  urn:sha256:1dfc9b197e2cf2568195e2da5f03a8c109c1c35200c7053f60b492bfd92b362d
• Download URL:
  https://stacks.cdc.gov/view/cdc/134742/cdc_134742_DS1.pdf
• File Type:
  [PDF - 1.32 MB ]