Impact of COVID-19 Lockdown Measures on Mother and Child Health – The case of Ghana

Author:

Koka Eric1,Asante-Poku Adwoa2,Adjei Daniel3,Sebbie Diana3,Siam Ishaque2,Asare Prince2,Yeboah-Manu Dorothy2,Gadzekpo Audrey3,McCoy David4,Narh Emmanuel5

Affiliation:

1. University of Cape Coast

2. Noguchi Memorial Institute for Medical Research, University of Ghana

3. University of Ghana

4. The United Nations University

5. KU Leuven

Abstract

Abstract Background The lockdown measures in response to the coronavirus disease (COVID-19) have led to a wide range of unintended consequences for women and children. Until the outbreak of COVID-19, attention was on reducing maternal and infant mortality due to pregnancy and delivery complications. The aim of this study was to interrogate the impact of lockdown measures on women and children in two contrasting districts in Ghana – Krobo Odumase and Ayawaso West Wuogon. Methods This study adopted the mixed-method approach using both qualitative and quantitative data. The qualitative study relied on two data collection methods to explore the impacts of COVID-19 control measures on women and children in Ghana. These were: Focus Group Discussions (FGDs; n=12) and Key Informant Interviews (KIIs; n = 18).The study complemented the qualitative data with survey data - household surveys (n = 78) and policy data gathered from government websites consisting of government responses to COVID-19. Results Engagements with participants in the study revealed that the lockdown measures implemented in Ghana had consequences on child and maternal health, and the health care system as a whole. Our study revealed, for example, that there was a decrease in antenatal and postnatal attendance in hospitals. Childhood vaccinations also came to a halt. Obesity and malnutrition were found to be common among children depending on the location of our study participants (urban and rural areas respectively). Our study also revealed that TB, Malaria and HIV treatment seeking reduced due to the fear of going to health facilities since those ailments manifest similar symptoms as COVID 19. Conclusion Government responded to COVID-19 using different strategies however the policy response resulted in both intended and unintended consequences especially for women and children in Ghana. It is recommended that national policy directions should ensure the continuous provision of child and maternal healthcare services which are essential health services during lockdowns.

Publisher

Research Square Platform LLC

Reference19 articles.

1. 1. L. Alkema et al., “Global, regional, and national levels and trends in maternal mortality between 1990 and 2015, with scenario-based projections to 2030: a systematic analysis by the UN Maternal Mortality Estimation Inter-Agency Group,” The lancet, vol. 387, no. 10017, pp. 462–474, 2016.

2. 2. L. Liu et al., “Global, regional, and national causes of under-5 mortality in 2000–15: an updated systematic analysis with implications for the Sustainable Development Goals,” The Lancet, vol. 388, no. 10063, pp. 3027–3035, 2016, doi: 10.1016/S0140-6736(16)31593-8.

3. 3. WHO, “Maternal mortality,” Sep. 19, 2019. https://www.who.int/news-room/fact-sheets/detail/maternal-mortality (accessed Jan. 30, 2022).

4. 4. E. T. Sarpong and G. Obeng, “COVID-19—The Ghana case,” African Portal. https://www.africaportal.org/publications/covid‐19‐ghana‐case, 2020.

5. 5. Worldometer, “Ghana COVID - Coronavirus Statistics,” Feb. 21, 2022. https://www.worldometers.info/coronavirus/country/ghana/ (accessed Feb. 21, 2022).

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