Barriers and Facilitators in Access and Use of Maternal Health Services During Covid-19 Pandemic at a Tertiary Care Hospital; A Cross-Sectional Study

Author:

Kazmi Syeda Farheen Zehra,Mahmood Humaira,Habib Muhammad Farrukh,Khan Jawaria,Riaz Nimra,Raisani Sher Afgan,Kakakhel Syed Ihtisham

Abstract

Maternal health being a global health priority emphasizes strongly on reduced maternal mortality rate, in a country. The delivery of maternal and child healthcare services in weak and vulnerable health systems has been severely impacted by the change in emphasis to contain the COVID-19 epidemic. Objective: To explore, identify and determine the barriers and facilitators in access to maternal health services during COVID-19 pandemic. Methods: Cross sectional study was conducted on all married women of reproductive age group who delivered in the pandemic season and visiting vaccination center of local tertiary care hospital between March 2020 to June 2021. Females were selected through convenience sampling technique. Data was collected through questionnaires, entered and analyzed in SPSS version 26.0 Results: Major barriers to accessing maternal health services by patients were fear of contracting COVID-19 at health facilities, lack of funds to pay for services at health facilities, transportation difficulties. Facilitators determined in this study includes Covid-19 non-pharmacological measures instituted at the health facilities, community sensitization on healthcare access during the pandemic and adaptive strategies to reduce waiting time at health facilities. Conclusions: The COVID-19 pandemic had a detrimental effect on access to maternal health care, in part because of difficulties brought on by travel restrictions and the incapacity of the health systems to create an environment that would encourage continued use of maternal health services.  

Publisher

CrossLinks International Publishers

Subject

General Engineering

Reference20 articles.

1. World Health Organization. The network for improving quality of care for maternal, newborn and child health: evolution, implementation and progress: 2017-2020 report. Last cited 16th Nov 2023. Available at: https://apps.who.int/iris/bitstream/handle/10665/343370/9789240023741-eng.pdf.

2. Larkin P, Begley CM, Devane D. Women's experiences of labour and birth: an evolutionary concept analysis. Midwifery. 2009 Apr; 25(2): 49-59. doi: 10.1016/j.midw.2007.07.010.

3. World Health Organization. The WHO application of ICD-10 to deaths during pregnancy, childbirth and puerperium: ICD-MM. World Health Organization; 2012. Last cited 16th Nov 2023. Available at: https://apps.who.int/iris/bitstream/handle/10665/70929/9789241548458_eng.pdf.

4. Say L, Chou D, Gemmill A, Tunçalp Ö, Moller AB, Daniels J, et al., Global causes of maternal death: a WHO systematic analysis. The Lancet Global Health. 2014 Jun; 2(6): 323-33. doi: 10.1016/S2214-109X(14)70227-X.

5. Mohammed MM, El Gelany S, Eladwy AR, Ali EI, Gadelrab MT, Ibrahim EM, et al., A ten years analysis of maternal deaths in a tertiary hospital using the three delays model. BMC Pregnancy and Childbirth. 2020 Dec; 20: 1-8. doi: 10.1186/s12884-020-03262-7.

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