Evidence map›Paper›PMID 34980605›Full record

ArticleBMJ open2022

Impact of the COVID-19 pandemic on the utilisation of health services at public hospitals in Yemen: a retrospective comparative study.

Mikyias Kotiso, Naseeb Qirbi, Kahtan Al-Shabi, Elena Vuolo, Ali Al-Waleedi, Jeremias Naiene, Mikiko Senga, Mohammed Khalil, Huda Basaleem, Ahmed Alhidary

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
2.9field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 28 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Mikyias KotisoWHO, Sana'a, Yemen.
Naseeb QirbiWHO, Sana'a, Yemen.
Kahtan Al-ShabiWHE, WHO, Sana'a, Yemen.ORCID 0000-0001-5139-9857
Elena VuoloWHO, Sana'a, Yemen.
Ali Al-WaleediYemen Ministry of Public Health and Population, Aden, Yemen.
Jeremias NaieneWHO, Aden, Yemen.
Mikiko SengaWHO, Sana'a, Yemen.
Mohammed KhalilYemen Ministry of Public Health and Population, Sana'a, Yemen.
Huda BasaleemDepartment of Community Medicine, University of Aden Faculty of Medicine and Health Science, Aden, Yemen.
Ahmed AlhidaryWHO Yemen, Sana'a, Yemen alhidary73@yahoo.com.ORCID 0000-0001-9300-3259
Sana'a University · YEUniversity of Aden · YE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic has led to a global crisis, creating an unprecedented situation, which has taken the world by storm, overshadowing on all life' aspects and having a significant impact on the health systems of most countries. In this study, the delivery of health services is investigated both before and during the outbreak of the COVID-19 pandemic at public hospitals in Yemen to assess the impact of COVID-19 on the utilisation of health services.

methodData collected from 127 hospitals in Yemen were reviewed using the DHIS2 system. The data represented 3 months before the outbreak of COVID-19 between January and March 2020 and during the outbreak of COVID-19 outbreak between April and June 2020. The results were then compared with the same period in 2019. The utilisation pattern of healthcare services during the period of investigation was compiled and analysed by applying a generalised estimating equation (GEE) to examine the effects of the COVID-19 outbreak in Yemen. The data collected from the targeted hospitals included information related to consultations, surgeries, deliveries, C-sections and penta-3rd dose immunisation.

resultsThe trendline of health services used during the pandemic showed a gradual decline beginning from April 2020 for consultations, surgeries and penta-3rd dose utilisation. The GEE model revealed a significant effect (p<0.05) during the outbreak compared with preoutbreak in the consultation services (B=-1,343.9; 95% CI -1,767.2 to -920.6; χ

conclusionThe impact of COVID-19 on continuity of health services delivery in Yemen has been distinct and profound, where the study revealed that the number of the consultations, surgeries and number of vaccinated children have been declined during the COVID-19 pandemic, likely due to the partially lockdown measures taken and fear of being infected. However, the deliveries and C-section services remained nearly in the same level and did not affect by the COVID-19 pandemic.

Indexed as

COVID-19PandemicsChildCommunicable Disease ControlHealth ServicesHospitals, PublicHumansRetrospective StudiesSARS-CoV-2YemenCOVID-19infection controlinfectious diseasespublic health

Identifiers

PMID34980605
PMCPMC8724586
OpenAlexW4206115951

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.