Evidence map›Paper›PMID 35317534›Full record

ArticlePublic health action2022

The impact of the COVID-19 pandemic on health service use in sub-Saharan Africa.

G Quaglio, F Cavallin, J B Nsubuga, P Lochoro, D Maziku, A Tsegaye, G Azzimonti, A M Kamunga, F Manenti, G Putoto

Abstract read
In one paragraph

Article in Public health action, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

18 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  16. COVID-19 impacts on healthcare access in sub-Saharan Africa: an overview.The journal of venomous animals and toxins including tropical diseases · 2023
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  17. International journal of MCH and AIDS · 2023
    Article
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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.

G QuaglioEuropean Parliamentary Research Services, European Parliament, Brussels, Belgium.
F CavallinIndependent Statistician, Solagna, Italy.
J B NsubugaSt. Kizito Hospital, Matany, Uganda.
P LochoroDoctors with Africa Cuamm, Aber Hospital, Jaber, Uganda.
D MazikuTosamaganga Hospital, Iringa, United Republic of Tanzania.
A TsegayeDoctors with Africa Cuamm, Addis Ababa, Ethiopia.
G AzzimontiSongambele Hospital, Simiyu, Tanzania.
A M KamungaDoctors with Africa Cuamm, Pujehun Hospital, Sierra Leone.
F ManentiDoctors with Africa Cuamm, Padua, Italy.
G PutotoDoctors with Africa Cuamm, Padua, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

settingSix hospitals in four sub-Saharan African countries.

objectiveTo examine the indirect effects of COVID-19 on health service utilisation and to explore the risk of bias in studies on prediction models.

designMonthly data were analysed using interrupted time-series modelling. We used linear mixed-effect models for the analysis of antenatal care visits, institutional deliveries, vaccinations, outpatient visits and hospital admissions, and generalised linear mixed-effect models for hospital mortality.

resultsDuring 2018-2020, the six hospitals recorded a total of 57,075 antenatal care visits, 38,706 institutional deliveries, 312,961 vaccinations, 605,925 out-patient visits and 143,915 hospital admissions. The COVID-19 period was associated with decreases in vacci-nations (- 575 vaccinations,

conclusionsThe pandemic resulted in a reduction in health service utilisation. The decreases were less than anticipated from modelling studies.

Indexed as

healthcare utilisationhealth policyimpact

Identifiers

PMID35317534
PMCPMC8908870

What OpenQuestion holds

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Registered trials

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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.