Evidence map›Paper›PMID 35425937›Full record

ArticleFrontiers in global women's health2022

Estimating the Impact of COVID-19 Pandemic Related Lockdown on Utilization of Maternal and Perinatal Health Services in an Urban Neighborhood in Delhi, India.

Bireshwar Sinha, Nonita Dudeja, Sarmila Mazumder, Tivendra Kumar, Priyanka Adhikary, Nivedita Roy, Temsunaro Rongsen Chandola, Rajesh Mehta, Neena Raina, Nita Bhandari

Open access · goldAbstract read
In one paragraph

Article in Frontiers in global women's health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 3 pooled it
9.1field-weighted citation impact, top 2% 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

16 citing papers in PubMed, 3 syntheses or guidelines pooled it, 25 citations in OpenAlex.

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  15. International journal of MCH and AIDS · 2023
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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.

Bireshwar SinhaCentre for Health Research and Development, Society for Applied Studies, New Delhi, India.
Nonita DudejaCentre for Health Research and Development, Society for Applied Studies, New Delhi, India.
Sarmila MazumderCentre for Health Research and Development, Society for Applied Studies, New Delhi, India.
Tivendra KumarCentre for Health Research and Development, Society for Applied Studies, New Delhi, India.
Priyanka AdhikaryCentre for Health Research and Development, Society for Applied Studies, New Delhi, India.
Nivedita RoyCentre for Health Research and Development, Society for Applied Studies, New Delhi, India.
Temsunaro Rongsen ChandolaCentre for Health Research and Development, Society for Applied Studies, New Delhi, India.
Rajesh MehtaRegional Office for South-East Asia, World Health Organization, New Delhi, India.
Neena RainaRegional Office for South-East Asia, World Health Organization, New Delhi, India.
Nita BhandariKnowledge Integration and Translational Platform at Centre for Health Research and Development, Society for Applied Studies, New Delhi, India.
Society for Applied Studies · INWorld Health Organization Regional Office for South-East Asia · IN

Funding

World Health Organization 001
6 · The paper itself

Abstract

Objective: To estimate utilization of maternal, perinatal healthcare services after the lockdown was implemented in response to the COVID-19 pandemic compared to the period before. Methods: This study conducted in Dakshinpuri, an urban neighborhood in Delhi, reports data over a 13-month period which includes the period "before lockdown" i.e., October 1, 2019 to March 21, 2020 and "after lockdown" i.e., March 22 to November 5, 2020. The period "after lockdown" included the lockdown phase (March 22 to May 31, 2020) and unlock phase (June 1 to November 5, 2020). Mothers delivered during this period in the study area were interviewed using semi-structured questionnaires. In-depth interviews (IDIs) were conducted in a subsample to understand the experiences, challenges, and factors for underutilization of healthcare services. Findings: The survey covered a total population of 21,025 in 4,762 households; 199 eligible mothers (mean age 27.4 years) were interviewed. In women who delivered after lockdown against before lockdown, adjusted odds of having >2 antenatal care visits in the third trimester was 80% lower (aOR 0.2, 95% CI 0.1-0.5); proportion of institutional deliveries was lower (93 vs. 97%); exclusive breastfeeding during first 6 months of birth (64.5 vs. 75.7%) and health worker home visitation within 6 weeks of birth (median, 1 vs. 3 visits) were substantially lower. Fear of contracting COVID-19, poor quality of services, lack of transportation and financial constraints were key issues faced by mothers in accessing health care. More than three-fourth (81%) of the mothers reported feeling down, depressed or hopeless after lockdown. The major factors for stress during lockdown was financial reasons (70%), followed by health-related concerns. Conclusion: COVID-19 pandemic-related lockdown substantially affected maternal and perinatal healthcare utilization and service delivery.

Indexed as

antenatal—postnatalCOVID-19maternal health care utilizationperinatal careprimary care (MeSH)

Identifiers

PMID35425937
PMCPMC9002136
OpenAlexW4220947058

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.