Impact of Coronavirus Diseases-2019 (COVID-19) on Utilization and Outcome of Reproductive, Maternal, and Newborn Health Services at Governmental Health Facilities in South West Ethiopia, 2020: Comparative Cross-Sectional Study

Figures & data

Table 1 Change in Utilization of Reproductive, Maternal and Newborn Health Services During COVID-19 at Governmental Health Facilities of Bench Sheko, Sheka, Keffa and West Omo Zone, Southern Ethiopia, 2020

Services	March–June 2019	March–June 2020	Change	p-value
	Utilization(Mean ±SD)	Utilization(Mean ±SD)
Antenatal care visits	943.25±22.79 visits	694.75 ±52.24 visits	−258.5	0.000
Health facility birth	808.75±23.11 births	619 ±58.12 births	−189.75	0.001
Postnatal care visits	435.5 ±20.69 visits	308.75 ±25.76 visits	−126.75	0.001
Family planning visits	4744.5 ±189.01 visits	3991.25 ±442.82 visits	−753.25	0.020
Abortion care visits	204 ±20.92 visits	221.25±17.55 visits	17.25	0.253
Newborn immunization	739.5±10.66 given	528.5±38.78 given	−211	0.000

Abbreviation: SD, standard deviation.

Figure 1 Trends in family planning utilization in equivalent four month periods before and during COVID-19 pandemic at governmental health facilities in South West Ethiopia, 2020.

Figure 2 Trends in utilization of antenatal care and health facility birth services in equivalent four month periods before and during COVID-19 pandemic at governmental health facilities in South West Ethiopia, 2020.

Figure 3 Trends in utilization of newborn immunization, postnatal care and abortion care services in equivalent four month periods before and during COVID-19 pandemic at governmental health facilities in South West Ethiopia, 2020.

Table 2 Two Sample Test of Proportion for Reproductive, Maternal, and Newborn Health Service Utilization and Outcomes at Governmental Health Facilities in South West Ethiopia, 2020

Variables	March to June 2019		March to June 2020		Change	P-value
	Total	Proportion	Total	Proportion
Antenatal care related indicators (n=total clients)	n=3773		n=2739
New visit client	1139	0.302	761	0.278	−0.024	0.005
Revisiting clients	2634	0.698	1978	0.722	0.024	0.728
Fourth visit clients	716	0.189	523	0.191	0.002	0.699
Teenage client	285	0.075	359	0.131	0.056	0.000
Family planning visit (n= total family planning clients)	n=18,978		n=15,965
New clients	8615	0.453	7037	0.441	−0.012	0.014
Revisiting clients	10,363	0.546	8928	0.559	−0.013	0.014
Contraceptives (n=total users)	n=18,522		n=12,337
Emergency pills	543	0.029	826	0.066	0.037	0.000
Combined oral contraceptives	2472	0.133	2208	0.178	0.045	0.000
Injectable	11,835	0.638	7588	0.615	−0.023	0.000
Implant	3006	0.162	1253	0.101	−0.061	0.000
Intrauterine contraceptive device	666	0.035	262	0.021	−0.014	0.000
Abortion care (n=total user)	n=816		n=885
Teenage abortion	174	0.213	253	0.286	0.073	0.001
Maternal & perinatal outcomes (n=total birth)	n=3235		n=2476
Cesarean section	303	0.094	340	0.137	0.043	0.000
Still birth	453	0.140	541	0.218	0.078	0.000
Neonatal intensive care admition	1563	0.483	1383	0.558	0.075	0.000
Neonatal death*	1040	0.374	1079	0.557	0.183	0.000
Maternal complications requiring ICU admission	801	0.247	726	0.293	0.046	0.001
Newborn Immunization (n=total newborn vaccinated)	n=2958		n=2114
Pentavalent 1	915	0.309	584	0.276	0.033	0.011
Mease l	658	0.222	405	0.191	0.031	0.008

Note: *Denominator was total number of live births.

Abbreviation: ICU, intensive care unit.