Effect of the COVID-19 pandemic on women's, maternal and child health services in Tshwane District, South Africa

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dc.contributor.author Kruger, Annelet
dc.contributor.author Letebele-Hartell, Manei
dc.contributor.author Tshukudu, Mphailele
dc.contributor.author Moshime-Shabangu, Mpho
dc.contributor.author Manyane, Tabea
dc.contributor.author Van der Westhuizen, Maria
dc.contributor.author Mlangeni, Mary
dc.contributor.author Phoshoko, Setlola
dc.contributor.author Makau, Rebecca
dc.contributor.author Mfolo, Vivian
dc.contributor.author Masha, Maureen
dc.contributor.author Ramokolo, Vundli
dc.contributor.author Botha, Tanita
dc.contributor.author Feucht, Ute Dagmar
dc.date.accessioned 2023-10-06T07:50:55Z
dc.date.available 2023-10-06T07:50:55Z
dc.date.issued 2022-12
dc.description.abstract BACKGROUND : The COVID-19 pandemic severely impacted healthcare service delivery globally. The aim of this study was to assess effects of the COVID-19 pandemic on the uptake of routine healthcare services related to maternal, newborn, child, and women’s health (MNCWH) in Tshwane District, an urban locality in Gauteng Province, South Africa. METHODS : As part of the observational Tshwane Maternal-Child COVID-19 study, routine data sources, including the District Health Information System and other district-based datasets, were studied from April 2019 to March 2022, to describe the impact of the first four COVID-19 waves in Tshwane District. The year pre-pandemic was used as a baseline. Data included MNCWH data elements/indicators, child health data elements/indicators, and COVID-19 surveillance data. Data analysis included descriptive statistics, together with visual analysis of trends over time. Statistical investigation included testing of differences between data from the pre-pandemic year (as baseline) and data from the following two pandemic years (2020/2021 and 2021/2022), as per the National Department of Health’s financial years (from April to March of the following year). RESULTS : Multiple MNCWH health elements/indicators showed major decreases during the COVID-19 pandemic period, with preventive services rendered at primary healthcare and community level more severely affected than facility-based clinical services. The most significant decreases were recorded during the first pandemic year, most notably during the first strict lockdown period, with partial or complete recovery in the second pandemic year, while selected indicators saw large impacts during the actual COVID-19 waves. CONCLUSIONS : The COVID-19 pandemic severely impacted the ability of women and children to access healthcare services in this large urban district in South Africa. Health system strengthening measures and adequate planning for future emergency situations are crucial to mitigate the negative impact on maternal and child health, as South Africa strives to move towards reaching its Sustainable Development Goals. en_US
dc.description.department Family Medicine en_US
dc.description.department Paediatrics and Child Health en_US
dc.description.department Statistics en_US
dc.description.librarian hj2023 en_US
dc.description.uri http://www.journals.co.za/content/journal/healthr en_US
dc.identifier.citation Kruger, A., Letebele-Hartell, M., Tshukudu, M. et al. 2023, 'Effect of the COVID-19 pandemic on women's, maternal and child health services in Tshwane District, South Africa', South African Health Review, vol. 2022, no. 1, pp. 1-21, doi : 10.10520/ejc-healthr-v2022-n1-a8. en_US
dc.identifier.issn 1025-1715
dc.identifier.other 10.10520/ejc-healthr-v2022-n1-a8
dc.identifier.uri http://hdl.handle.net/2263/92727
dc.language.iso en en_US
dc.publisher Health Systems Trust en_US
dc.rights © 2022, Health Systems Trust (HST). This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License. en_US
dc.subject COVID-19 pandemic en_US
dc.subject Coronavirus disease 2019 (COVID-19) en_US
dc.subject Healthcare service en_US
dc.subject Maternal, newborn, child, and women’s health (MNCWH) en_US
dc.subject Gauteng Province, South Africa en_US
dc.subject Sustainable development goals (SDGs) en_US
dc.subject SDG-03: Good health and well-being en_US
dc.subject.other Health sciences articles SDG-03
dc.subject.other SDG-03: Good health and well-being
dc.title Effect of the COVID-19 pandemic on women's, maternal and child health services in Tshwane District, South Africa en_US
dc.type Article en_US


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