Short-term effects of the COVID-19 state of emergency on contraceptive access and utilization in Mozambique
The COVID-19 pandemic has increasingly disrupted the global delivery of preventive health care services, as a large number of governments have issued state of emergency orders halting service delivery. However, there is limited evidence on the realized effects of the pandemic and associated emergenc...
| Autores principales: | , , , |
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| Formato: | Journal Article |
| Lenguaje: | Inglés |
| Publicado: |
Public Library of Science
2021
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| Materias: | |
| Acceso en línea: | https://hdl.handle.net/10568/142848 |
| _version_ | 1855533304204230656 |
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| author | Leight, Jessica Hensley, Catherine Chissano, Marcos Ali, Liza |
| author_browse | Ali, Liza Chissano, Marcos Hensley, Catherine Leight, Jessica |
| author_facet | Leight, Jessica Hensley, Catherine Chissano, Marcos Ali, Liza |
| author_sort | Leight, Jessica |
| collection | Repository of Agricultural Research Outputs (CGSpace) |
| description | The COVID-19 pandemic has increasingly disrupted the global delivery of preventive health care services, as a large number of governments have issued state of emergency orders halting service delivery. However, there is limited evidence on the realized effects of the pandemic and associated emergency orders on access to services in low-income country contexts to date. To address this gap, this paper analyzes administrative data on utilization of contraceptive health services by women referred via community health promoters in two large urban and peri-urban areas of Mozambique. We focus on the period immediately surrounding the national state of emergency declaration linked to the COVID-19 pandemic on March 31, 2020. Data reported for 109,129 women served by 132 unique promoters and 192 unique public health facilities is analyzed using logistic regression, interrupted time series analysis and hazard analysis. The results demonstrate that the imposition of the state of emergency is associated with a modest short-term drop in both service provision and utilization, followed by a relatively rapid rebound. We conclude that in this context, the accessibility of reproductive health services was not dramatically reduced during the first phase of the pandemic-related emergency. |
| format | Journal Article |
| id | CGSpace142848 |
| institution | CGIAR Consortium |
| language | Inglés |
| publishDate | 2021 |
| publishDateRange | 2021 |
| publishDateSort | 2021 |
| publisher | Public Library of Science |
| publisherStr | Public Library of Science |
| record_format | dspace |
| spelling | CGSpace1428482025-01-24T14:20:08Z Short-term effects of the COVID-19 state of emergency on contraceptive access and utilization in Mozambique Leight, Jessica Hensley, Catherine Chissano, Marcos Ali, Liza covid-19 contraceptives social policies family planning emergencies The COVID-19 pandemic has increasingly disrupted the global delivery of preventive health care services, as a large number of governments have issued state of emergency orders halting service delivery. However, there is limited evidence on the realized effects of the pandemic and associated emergency orders on access to services in low-income country contexts to date. To address this gap, this paper analyzes administrative data on utilization of contraceptive health services by women referred via community health promoters in two large urban and peri-urban areas of Mozambique. We focus on the period immediately surrounding the national state of emergency declaration linked to the COVID-19 pandemic on March 31, 2020. Data reported for 109,129 women served by 132 unique promoters and 192 unique public health facilities is analyzed using logistic regression, interrupted time series analysis and hazard analysis. The results demonstrate that the imposition of the state of emergency is associated with a modest short-term drop in both service provision and utilization, followed by a relatively rapid rebound. We conclude that in this context, the accessibility of reproductive health services was not dramatically reduced during the first phase of the pandemic-related emergency. 2021-03-01 2024-05-22T12:11:10Z 2024-05-22T12:11:10Z Journal Article https://hdl.handle.net/10568/142848 en Open Access Public Library of Science Leight, Jessica; Hensley, Catherine; Chissano, Marcos; and Ali, Liza. 2021. Short-term effects of the COVID-19 state of emergency on contraceptive access and utilization in Mozambique. PLoS ONE 16(3): e0249195. https://doi.org/10.1371/journal.pone.0249195 |
| spellingShingle | covid-19 contraceptives social policies family planning emergencies Leight, Jessica Hensley, Catherine Chissano, Marcos Ali, Liza Short-term effects of the COVID-19 state of emergency on contraceptive access and utilization in Mozambique |
| title | Short-term effects of the COVID-19 state of emergency on contraceptive access and utilization in Mozambique |
| title_full | Short-term effects of the COVID-19 state of emergency on contraceptive access and utilization in Mozambique |
| title_fullStr | Short-term effects of the COVID-19 state of emergency on contraceptive access and utilization in Mozambique |
| title_full_unstemmed | Short-term effects of the COVID-19 state of emergency on contraceptive access and utilization in Mozambique |
| title_short | Short-term effects of the COVID-19 state of emergency on contraceptive access and utilization in Mozambique |
| title_sort | short term effects of the covid 19 state of emergency on contraceptive access and utilization in mozambique |
| topic | covid-19 contraceptives social policies family planning emergencies |
| url | https://hdl.handle.net/10568/142848 |
| work_keys_str_mv | AT leightjessica shorttermeffectsofthecovid19stateofemergencyoncontraceptiveaccessandutilizationinmozambique AT hensleycatherine shorttermeffectsofthecovid19stateofemergencyoncontraceptiveaccessandutilizationinmozambique AT chissanomarcos shorttermeffectsofthecovid19stateofemergencyoncontraceptiveaccessandutilizationinmozambique AT aliliza shorttermeffectsofthecovid19stateofemergencyoncontraceptiveaccessandutilizationinmozambique |