ArticlePloS one2021
Challenges in access and satisfaction with reproductive, maternal, newborn and child health services in Nigeria during the COVID-19 pandemic: A cross-sectional survey.
Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers.
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Who cites it
45 citing papers in PubMed, 73 citations in OpenAlex.
- Sociodemographic Determinants of Health Facility Delivery Among Women in Nigeria: A Cross-Sectional Study Using 2018 NDHS Data.Health science reports · 2026Article
- Does population density impact maternal and child health? Mediating effects of the Universal Health Coverage Service Coverage Index.BMC public health · 2025Article
- Sociodemographic determinants and regional disparities of first-trimester antenatal care initiation among Nigerian women: a multilevel analysis of 2018 NDHS data.Frontiers in global women's health · 2025Article
- Facilitating and limiting factors of cultural norms influencing use of maternal health services in primary health care facilities in Kogi State, Nigeria; a focused ethnographic research on Igala women.BMC pregnancy and childbirth · 2024Article
- When one door closes: a qualitative exploration of women's experiences of access to sexual and reproductive health services during the COVID-19 lockdown in Nigeria.BMC public health · 2024Article
- Associations between Difficulty in Accessing Maternal and Child Health Services and Stress Responses among Mothers Raising Young Children during the COVID-19 Pandemic in Japan.Nursing reports (Pavia, Italy) · 2024Article
- "We Live Our Life Normal": A Qualitative Analysis of Nigerian Women's Health-Seeking Behavior during the COVID-19 Pandemic.International journal of environmental research and public health · 2024Article
- The COVID-19 Pandemic's Impact on Health Service Utilization Among Pregnant Women in Three Nigerian States: A Mixed Methods Study.Maternal and child health journal · 2024Article
- Changes in reproductive, maternal, and child health in Haiti during the pre- and peri-COVID-19 pandemic.Revista panamericana de salud publica = Pan American journal of public health · 2024Article
- Challenges faced by community health volunteers in offering sexual and reproductive health care services to young women during the COVID-19 pandemic in Khwisero and Nairobi in Kenya.Frontiers in reproductive health · 2024Article
- Access to and Utilization of Maternal and Child Healthcare Services During COVID-19 Pandemic in Rural Bangladesh.International journal of MCH and AIDS · 2024Article
- Family planning service disruptions in the first two years of the COVID-19 pandemic: Evidence from health facilities in seven low- and middle-income countries.PLOS global public health · 2024Article
- The impact of COVID-19 mitigation measures on sexual and reproductive health in low- and middle-income countries: a rapid review.Sexual and reproductive health matters · 2023Review
- Assessing the impact of COVID-19 pandemic on maternal healthcare usage: evidence from routine health data in Kenya and Ethiopia.BMJ public health · 2023Article
- Availability of Maternal, Newborn care and Child Health Services at Primary Health Care Unit during COVID-19 Outbreak in Ethiopia.Ethiopian journal of health sciences · 2023Article
- Impact of COVID-19 pandemic on mother and child health in Sub-Saharan Africa - a review.Pediatric research · 2023Review
- Interventions to enhance healthcare utilisation among pregnant women to reduce maternal mortality in low- and middle-income countries: a review of systematic reviews.BMC public health · 2023Review
- Postnatal care services availability and utilization during the COVID-19 era in sub-Saharan Africa: A rapid review.Women and birth : journal of the Australian College of Midwives · 2023Review
- Evaluating COVID-19-Related Disruptions to Effective Malaria Case Management in 2020-2021 and Its Potential Effects on Malaria Burden in Sub-Saharan Africa.Tropical medicine and infectious disease · 2023Article
- Challenges in Accessing and Delivering Maternal and Child Health Services during the COVID-19 Pandemic: A Cross-Sectional Rapid Survey from Six States of India.International journal of environmental research and public health · 2023Article
Corrections and comments
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Authors and funding
10 authors at 5 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe presence of COVID-19 has led to the disruption of health systems globally, including essential reproductive, maternal, newborn and child health (RMNCH) services. This study aimed to assess the challenges faced by women who used RMNCH services in Nigeria's epicentre, their satisfaction with care received during the COVID-19 pandemic and the factors associated with their satisfaction.
methodsThis cross-sectional survey was conducted in Lagos, southwest Nigeria among 1,241 women of reproductive age who had just received RMNCH services at one of twenty-two health facilities across the primary, secondary and tertiary tiers of health care. The respondents were selected via multi-stage sampling and face to face exit interviews were conducted by trained interviewers. Client satisfaction was assessed across four sub-scales: health care delivery, health facility, interpersonal aspects of care and access to services. Bivariate and multivariate analyses were used to assess the relationship between personal characteristics and client satisfaction.
resultsAbout 43.51% of respondents had at least one challenge in accessing RMNCH services since the COVID-19 outbreak. Close to a third (31.91%) could not access service because they could not leave their houses during the lockdown and 18.13% could not access service because there was no transportation. The mean clients' satisfaction score among the respondents was 43.25 (SD: 6.28) out of a possible score of 57. Satisfaction scores for the interpersonal aspects of care were statistically significantly lower in the PHCs and general hospitals compared to teaching hospitals. Being over 30 years of age was significantly associated with an increased clients' satisfaction score (ß = 1.80, 95%CI: 1.10-2.50).
conclusionThe COVID-19 lockdown posed challenges to accessing RMNCH services for a significant proportion of women surveyed. Although overall satisfaction with care was fairly high, there is a need to provide tailored COVID-19 sensitive inter-personal care to clients at all levels of care.
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