Impact of COVID-19 on utilization of maternal and child health services in India: Health management information system data analysis
Background/Objectives: Studies globally have documented the impact of COVID 19 on maternal and newborn health services. This study assesses the impact of COVID-19 on essential maternal and child health (MCH) services in India based on the national Health Management Information System (HMIS). Methods...
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Format: | Article |
Language: | English |
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Elsevier
2023-05-01
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Series: | Clinical Epidemiology and Global Health |
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Online Access: | http://www.sciencedirect.com/science/article/pii/S2213398423000726 |
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author | Saurabh Sharma Lucky Singh Jeetendra Yadav Urvashi Gupta Khangembam Jitenkumar Singh Mendu Vishnu Vardhana Rao |
author_facet | Saurabh Sharma Lucky Singh Jeetendra Yadav Urvashi Gupta Khangembam Jitenkumar Singh Mendu Vishnu Vardhana Rao |
author_sort | Saurabh Sharma |
collection | DOAJ |
description | Background/Objectives: Studies globally have documented the impact of COVID 19 on maternal and newborn health services. This study assesses the impact of COVID-19 on essential maternal and child health (MCH) services in India based on the national Health Management Information System (HMIS). Methods: Present retrospective study used secondary data analysis upon the routinely collected data accessed from Health Management Information System. Microdata on maternal and newborn indicators was extracted for all states between April and June during 2019, 2020 and 2021. Relative change for each indicator were taken into consideration for the year 2020 and 2021; with respect to the outcomes in 2019. Results: Compared to 2019, antenatal care registrations saw a decline in all states for both periods in 2020 and 2021 except for Sikkim, Telangana, Maharashtra and Andhra Pradesh. Similarly, the relative changes in 2019 pertaining to the proportion of pregnant women provided with emergency obstetric care for pregnancy complications registered a decline in all states except for Himachal Pradesh, Telangana and Arunachal Pradesh. There was a decreasing trend noted in institutional deliveries in 2020 and 2021 among all major states. However, an increasing trend was seen in the number of immunization sessions held among all major states. Conclusion: The study demonstrates a disruption in service delivery during the lockdown period in the first wave and the peak of the second wave. Further qualitative studies need to be undertaken to generate evidence for maintaining continuum of care during a pandemic situation. |
first_indexed | 2024-03-13T04:55:32Z |
format | Article |
id | doaj.art-5985068be7bb49ccb87316589246803d |
institution | Directory Open Access Journal |
issn | 2213-3984 |
language | English |
last_indexed | 2024-03-13T04:55:32Z |
publishDate | 2023-05-01 |
publisher | Elsevier |
record_format | Article |
series | Clinical Epidemiology and Global Health |
spelling | doaj.art-5985068be7bb49ccb87316589246803d2023-06-18T05:01:42ZengElsevierClinical Epidemiology and Global Health2213-39842023-05-0121101285Impact of COVID-19 on utilization of maternal and child health services in India: Health management information system data analysisSaurabh Sharma0Lucky Singh1Jeetendra Yadav2Urvashi Gupta3Khangembam Jitenkumar Singh4Mendu Vishnu Vardhana Rao5ICMR-National Institute of Medical Statistics, Ansari Nagar, New Delhi, 110029, IndiaICMR-National Institute of Medical Statistics, Ansari Nagar, New Delhi, 110029, IndiaICMR-National Institute of Medical Statistics, Ansari Nagar, New Delhi, 110029, IndiaICMR-National Institute of Medical Statistics, Ansari Nagar, New Delhi, 110029, IndiaICMR-National Institute of Medical Statistics, Ansari Nagar, New Delhi, 110029, IndiaCorresponding author.; ICMR-National Institute of Medical Statistics, Ansari Nagar, New Delhi, 110029, IndiaBackground/Objectives: Studies globally have documented the impact of COVID 19 on maternal and newborn health services. This study assesses the impact of COVID-19 on essential maternal and child health (MCH) services in India based on the national Health Management Information System (HMIS). Methods: Present retrospective study used secondary data analysis upon the routinely collected data accessed from Health Management Information System. Microdata on maternal and newborn indicators was extracted for all states between April and June during 2019, 2020 and 2021. Relative change for each indicator were taken into consideration for the year 2020 and 2021; with respect to the outcomes in 2019. Results: Compared to 2019, antenatal care registrations saw a decline in all states for both periods in 2020 and 2021 except for Sikkim, Telangana, Maharashtra and Andhra Pradesh. Similarly, the relative changes in 2019 pertaining to the proportion of pregnant women provided with emergency obstetric care for pregnancy complications registered a decline in all states except for Himachal Pradesh, Telangana and Arunachal Pradesh. There was a decreasing trend noted in institutional deliveries in 2020 and 2021 among all major states. However, an increasing trend was seen in the number of immunization sessions held among all major states. Conclusion: The study demonstrates a disruption in service delivery during the lockdown period in the first wave and the peak of the second wave. Further qualitative studies need to be undertaken to generate evidence for maintaining continuum of care during a pandemic situation.http://www.sciencedirect.com/science/article/pii/S2213398423000726Coronavirus diseaseHealth management information systemIndiaMaternal and child health |
spellingShingle | Saurabh Sharma Lucky Singh Jeetendra Yadav Urvashi Gupta Khangembam Jitenkumar Singh Mendu Vishnu Vardhana Rao Impact of COVID-19 on utilization of maternal and child health services in India: Health management information system data analysis Clinical Epidemiology and Global Health Coronavirus disease Health management information system India Maternal and child health |
title | Impact of COVID-19 on utilization of maternal and child health services in India: Health management information system data analysis |
title_full | Impact of COVID-19 on utilization of maternal and child health services in India: Health management information system data analysis |
title_fullStr | Impact of COVID-19 on utilization of maternal and child health services in India: Health management information system data analysis |
title_full_unstemmed | Impact of COVID-19 on utilization of maternal and child health services in India: Health management information system data analysis |
title_short | Impact of COVID-19 on utilization of maternal and child health services in India: Health management information system data analysis |
title_sort | impact of covid 19 on utilization of maternal and child health services in india health management information system data analysis |
topic | Coronavirus disease Health management information system India Maternal and child health |
url | http://www.sciencedirect.com/science/article/pii/S2213398423000726 |
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