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Perceived Impact of COVID-19 and Strategies for effective Implementation of Maternal and Child Health Care Services in Ethiopia: A Qualitative Study

Author

Listed:
  • Adane Nigusie
  • Berhanu Fikadie
  • Zeleke Abebaw
  • Binyam Tilahun

Abstract

The COVID-19 pandemic has caused an abrupt reduction in the use of in-person health care. Children and women of reproductive age groups might be disproportionately affected by the disruption of routine health services, particularly in low and middle-income countries (LMICs). The aim of this study was to see the potential effects of the COVID-19 pandemic on maternal and child health (MCH) care service utilization and strategies for effective service implementation. A phenomenological qualitative inquiry was used. For the collection of the data, an in-depth interview was employed among women and informants from all levels of the health system including the health development army in July and September 2020. The data were analyzed thematically using framework analysis. The study identified a range of COVID-19 impacts on maternal and child health service utilization in Ethiopia. Namely, reduction in accessibility and quality of routine health services, low maternal and child health service utilization, challenges in the commitment of health workers, shortage in the supply of routine resources for maternal and child health services; and enduring strategies designed for effective maternal and child health service implementation. The impact of the COVID-19 pandemic on maternal and child health service utilization was identified in a clear thematic area. The findings of this study provide evidence on bases at the local level; will help the policymakers and local administrators to develop strategies for early preparedness in the context of pandemics.

Suggested Citation

  • Adane Nigusie & Berhanu Fikadie & Zeleke Abebaw & Binyam Tilahun, 2024. "Perceived Impact of COVID-19 and Strategies for effective Implementation of Maternal and Child Health Care Services in Ethiopia: A Qualitative Study," SAGE Open, , vol. 14(2), pages 21582440241, May.
    • Handle: RePEc:sae:sagope:v:14:y:2024:i:2:p:21582440241253318
    DOI: 10.1177/21582440241253318
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    References listed on IDEAS

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    1. Rust, G. & Melbourne, M. & Truman, B.I. & Daniels, E. & Fry-Johnson, Y. & Curtin, T., 2009. "Role of the primary care safety net in pandemic influenza," American Journal of Public Health, American Public Health Association, vol. 99(S2), pages 316-323.
    2. Chang, H.-J. & Huang, N. & Lee, C.-H. & Hsu, Y.-J. & Hsieh, C.-J. & Chou, Y.-J., 2004. "The Impact of the SARS Epidemic on the Utilization of Medical Services: SARS and the Fear of SARS," American Journal of Public Health, American Public Health Association, vol. 94(4), pages 562-564.
    3. Art Sloan & Brian Bowe, 2014. "Phenomenology and hermeneutic phenomenology: the philosophy, the methodologies, and using hermeneutic phenomenology to investigate lecturers’ experiences of curriculum design," Quality & Quantity: International Journal of Methodology, Springer, vol. 48(3), pages 1291-1303, May.
    4. Greg Guest & Emily Namey & Mario Chen, 2020. "A simple method to assess and report thematic saturation in qualitative research," PLOS ONE, Public Library of Science, vol. 15(5), pages 1-17, May.
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