ArticleJournal of global health2021
The perfect storm: Disruptions to institutional delivery care arising from the COVID-19 pandemic in Nepal.
Article in Journal of global health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 3 of them syntheses that pooled it.
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Who cites it
23 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Impact of COVID-19 on Maternal Health Service Uptake and Perinatal Outcomes in Sub-Saharan Africa: A Systematic Review.International journal of environmental research and public health · 2024Pooled it
- Pooled it
- Maternal mortality in the covid-19 pandemic: findings from a rapid systematic review.Global health action · 2021Pooled it
- Effect of Remote Essential Newborn Care Training Paired With In-Person Quality Improvement on Optimizing Immediate and Resuscitative Care Practices.Acta paediatrica (Oslo, Norway : 1992) · 2026Article
- COVID-19 Disruption and Maternal and Child Health Services: Evidence from India.Maternal and child health journal · 2025Article
- Does mistreatment during institutional childbirth increase the likelihood of experiencing postpartum depressive symptoms? A prospective cohort study in Nepal.Global health action · 2024Article
- Impact of COVID-19 on essential service provision for reproductive, maternal, neonatal, and child health in the Southeast Asia region: a systematic review.The Lancet regional health. Southeast Asia · 2024Article
- The contribution of community health systems to resilience: Case study of the response to the 2015 earthquake in Nepal.Journal of global health · 2023Article
- Association of disrespectful care after childbirth and COVID-19 exposure with postpartum depression symptoms- a longitudinal cohort study in Nepal.BMC pregnancy and childbirth · 2023Article
- Assessing the hidden burden and costs of COVID-19 pandemic in South Asia: Implications for health and well-being of women, children and adolescents.PLOS global public health · 2023Article
- Article
- High coverage but low quality of maternal and newborn health services in the coverage cascade: who is benefitted and left behind in accessing better quality health services in Nepal?Reproductive health · 2022Article
- Association between early initiation of breastfeeding and reduced risk of respiratory infection: Implications for nonseparation of infant and mother in the COVID-19 context.Maternal & child nutrition · 2022Article
- Knowledge, attitude and practices of pregnant women related to COVID-19 infection: A cross-sectional survey in seven countries from the Global Network for Women's and Children's Health.BJOG : an international journal of obstetrics and gynaecology · 2022Article
- Mistreatment during childbirth and postnatal period reported by women in Nepal -a multicentric prevalence study.BMC pregnancy and childbirth · 2022Article
- Article
- A mixed-methods study of maternal health care utilisation in six referral hospitals in four sub-Saharan African countries before and during the COVID-19 pandemic.BMJ global health · 2022Article
- Health-Related Challenges and Coping Strategies Among Women During Pandemics: A Systematic Review of Qualitative Studies.Frontiers in health services · 2022Review
- Observational
- Assessment of health system readiness for routine maternal and newborn health services in Nepal: Analysis of a nationally representative health facility survey, 2015.PLOS global public health · 2022Article
Corrections and comments
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Authors and funding
18 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe COVID-19 pandemic has led to system-wide disruption of health services globally. We assessed the effect of the pandemic on the disruption of institutional delivery care in Nepal.
methodsWe conducted a prospective cohort study among 52 356 women in nine hospitals to assess the disruption of institutional delivery care during the pandemic (comparing March to August in 2019 with the same months in 2020). We also conducted a nested follow up cohort study with 2022 women during the pandemic to assess their provision and experience of respectful care. We used linear regression models to assess the association between provision and experience of care with volume of hospital births and women's residence in a COVID-19 hotspot area.
resultsThe mean institutional births during the pandemic across the nine hospitals was 24 563, an average decrease of 11.6% (
conclusionsThe COVID-19 pandemic has had differential effects on maternity services with changes varying by the volume of births per hospital with smaller volume facilities doing better. More research is needed to investigate the effects of the pandemic on where women give birth and their provision and experience of respectful maternity care to inform a "building-back-better" approach in post-pandemic period.
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