Evidence map›Paper›PMID 35867009›Full record

ArticleSexual and reproductive health matters2022

Understanding changes made to reproductive, maternal, newborn and child health services in Pakistan during the COVID-19 pandemic: a qualitative study.

Mahesh Paudel, Ayesha Leghari, Ahsan Maqbool Ahmad, Susannah Gibbs, Jennifer Wheeler, Shoshana Goldberg, Taylor Snyder, Manav Bhattarai

Abstract read
In one paragraph

Article in Sexual and reproductive health matters, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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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

8 authors.

Mahesh PaudelResearch Advisor (Asia), Population Services International, Kathmandu, Nepal. Correspondence: maheshpaudel@psi.org.ORCID 0000-0003-2459-1928
Ayesha LeghariCountry Director, Population Services International Pakistan, Karachi, Pakistan.
Ahsan Maqbool AhmadSenior Technical Advisor, Institute for Global Public Health, Pakistan - University of Manitoba, Canada and Health Planning Systems Strengthening and Information Analysis Unit (HPSIU), Ministry of National Health Services Regulations and Coordination, Islamabad, Pakistan.
Susannah GibbsTechnical Writer, Population Services International, Washington, DC, USA.
Jennifer WheelerHead, Strategic Research and Learning, Population Services International, Washington, DC, USA.
Shoshana GoldbergMaternal & Infant Health Consulting, Salt Lake City, Utah, USA.
Taylor SnyderMaternal & Infant Health Consulting, Salt Lake City, Utah, USA.
Manav BhattaraiHealth Specialist, The World Bank, Pakistan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

COVID-19 mitigation measures have disrupted the provision of essential health services. The goal of this study was to understand changes in reproductive, maternal, neonatal, and child health (RMNCH) services during the pandemic in Pakistan. We conducted a qualitative study in November and December 2020 consisting of telephone in-depth interviews with women, healthcare providers, and community stakeholders. Interviews were analysed using a thematic, iterative approach. All health facilities had changed their routine procedures, including adjustments in service delivery time and staff hours to reduce crowding, and maintain standard operating procedures (SOPs) such as social distancing. Women highlighted stockouts and lack of supplies as key barriers to care-seeking. Stockouts and crowding led to shifts in care-seeking away from public to private facilities. RMNCH service utilisation declined first due to restrictions during the lockdown, then due to fear of contracting COVID-19 at healthcare facilities. This study provides important insights into RMNCH services during the COVID-19 pandemic from care-seekers' and care-providers' perspectives. The findings of this study were used to develop interventions to address access to RMNCH care during the COVID-19 pandemic.

Indexed as

Child Health ServicesCOVID-19ChildCommunicable Disease ControlFemaleHealth Services AccessibilityHumansInfant, NewbornPakistanPandemicsCOVID-19health servicesmaternal and child healthPakistansexual and reproductive health

Identifiers

PMID35867009
PMCPMC9310789

What OpenQuestion holds

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LicenceCC BY-NC
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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.