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. 2022 May 10;17(5):e0268106.
doi: 10.1371/journal.pone.0268106. eCollection 2022.

Effective interventions to ensure MCH (Maternal and Child Health) services during pandemic related health emergencies (Zika, Ebola, and COVID-19): A systematic review

Subrata Kumar Palo  1 , Shubhankar Dubey  1 , Sapna Negi  1 , Mili Roopchand Sahay  1 , Kripalini Patel  1 , Swagatika Swain  1 , Bijaya Kumar Mishra  1 , Dinesh Bhuyan  1 , Srikanta Kanungo  1 , Meena Som  2 , Brajesh Raj Merta  2 , Debdutta Bhattacharya  1 , Jaya Singh Kshatri  1 , Sanghamitra Pati  1
Affiliations

Effective interventions to ensure MCH (Maternal and Child Health) services during pandemic related health emergencies (Zika, Ebola, and COVID-19): A systematic review

Subrata Kumar Palo et al. PLoS One. .

Abstract

Introduction: Ensuring accessible and quality health care for women and children is an existing challenge, which is further exacerbated during pandemics. There is a knowledge gap about the effect of pandemics on maternal, newborn, and child well-being. This systematic review was conducted to study maternal and child health (MCH) services utilization during pandemics (Zika, Ebola, and COVID-19) and the effectiveness of various interventions undertaken for ensuring utilization of MCH services.

Methodology: A systematic and comprehensive search was conducted in MEDLINE/PubMed, Cochrane CENTRAL, Embase, Epistemonikos, ScienceDirect, and Google Scholar. Of 5643 citations, 60 potential studies were finally included for analysis. The included studies were appraised using JBI Critical appraisal tools. Study selection and data extraction were done independently and in duplicate. Findings are presented narratively based on the RMNCHA framework by World Health Organization (WHO).

Results: Maternal and child health services such as antenatal care (ANC) visits, institutional deliveries, immunization uptake, were greatly affected during a pandemic situation. Innovative approaches in form of health care services through virtual consultation, patient triaging, developing dedicated COVID maternity centers and maternity schools were implemented in different places for ensuring continuity of MCH care during pandemics. None of the studies reported the effectiveness of these interventions during pandemic-related health emergencies.

Conclusion: The findings suggest that during pandemics, MCH care utilization often gets affected. Many innovative interventions were adopted to ensure MCH services. However, they lack evidence about their effectiveness. It is critically important to implement evidence-based appropriate interventions for better MCH care utilization.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Fig 1
Fig 1. PRISMA flow diagram for the study selection.
Fig 2
Fig 2. Distribution of included studies across HICs and LMICs.
Fig 3
Fig 3. Distribution of included studies across WHO regions.
Fig 4
Fig 4. Geographical distribution of included studies.
Fig 5
Fig 5. Framework for ensuring quality MCH care services during pandemic related health emergencies (Zika, Ebola and COVID-19).
See this image and copyright information in PMC

References

    1. Kingsley JP, Vijay PK, Kumaresan J, Sathiakumar N. The Changing Aspects of Motherhood in Face of the COVID-19 Pandemic in Low- and Middle-Income Countries. Matern Child Health J. 2021;25: 15–21. doi: 10.1007/s10995-020-03044-9 - DOI - PMC - PubMed
    1. Shannon FQ, Horace-Kwemi E, Najjemba R, Owiti P, Edwards J, Shringarpure K, et al.. Effects of the 2014 Ebola outbreak on antenatal care and delivery outcomes in Liberia: a nationwide analysis. Public Heal Action. 2017;7: S88–S93. doi: 10.5588/pha.16.0099 - DOI - PMC - PubMed
    1. Bannon B. Lessons for USAID on the effects of the zika outbreak on mch services: learning from the past to prepare for the future case studies in five latin american and caribbean countries cross-cutting report for dissemination march 2020.
    1. Tsawe M, Moto A, Netshivhera T, Ralesego L, Nyathi C, Susuman AS. Factors influencing the use of maternal healthcare services and childhood immunization in Swaziland. Int J Equity Health. 2015;14. doi: 10.1186/s12939-015-0146-2 - DOI - PMC - PubMed
    1. Sahoo KC, Negi S, Patel K, Mishra BK, Palo SK, Pati S. Challenges in Maternal and Child Health Services Delivery and Access during Pandemics or Public Health Disasters in Low-and Middle-Income Countries: A Systematic Review. Healthc (Basel, Switzerland). 2021;9. doi: 10.3390/healthcare9070828 - DOI - PMC - PubMed

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