ArticleGlobal health, science and practice2022
Maternal and Child Health Care Service Disruptions and Recovery in Mozambique After Cyclone Idai: An Uncontrolled Interrupted Time Series Analysis.
Article in Global health, science and practice, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.
- Extreme weather effects on health services and communities in low and lower-middle income countries: a thematic systematic review.Transactions of the Royal Society of Tropical Medicine and Hygiene · 2026Pooled it
- Impact of extreme precipitation events on facility-based births in 21 sub-Saharan African countries.Nature communications · 2026Article
- Extreme weather events and malaria prevention in pregnancy: a mediation analysis of antenatal care and sulfadoxine-pyrimethamine use in two malaria-endemic counties of Kenya.Malaria journal · 2026Article
- Quality Assessment Indicators for Well-Child Care in Primary Health Care: A Scoping Review of Global Trends, Standardization, and Dimensions of Care.Children (Basel, Switzerland) · 2026Review
- Effects of hydro-meteorological and geological disasters on vaccine-preventable disease outbreaks and routine immunisation amongst children: A scoping review.PLOS global public health · 2026Article
- Climate Change and Reproductive Health.Endocrine reviews · 2025Review
- Cyclone exposure and mortality risk of children under 5 years old: An observational study in 34 low- and middle-income countries.PLoS medicine · 2025Observational
- Bridging the Gap Between Climate and Health Systems: The Value of Resilience in Facing Extreme Weather Events.International journal of environmental research and public health · 2025Article
- The impact of tropical cyclone exposure on infant mortality in low- and middle-income countries.Science advances · 2025Article
- Effect of climate change on the health and nutritional status of children and their families in Africa: Scoping review.PLOS global public health · 2025Article
- Climate Change and Human Health in Africa in Relation to Opportunities to Strengthen Mitigating Potential and Adaptive Capacity: Strategies to Inform an African "Brains Trust".Annals of global health · 2024Review
- Learning Health Systems to Bridge the Evidence-Policy-Practice Gap in Primary Health Care: Lessons From the African Health Initiative.Global health, science and practice · 2022Article
- Drawing the Linkage Between Women's Reproductive Health, Climate Change, Natural Disaster, and Climate-driven Migration: Focusing on Low- and Middle-income Countries - A Systematic Overview.Indian journal of community medicine : official publication of Indian Association of Preventive & Social MedicineReview
Corrections and comments
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Authors and funding
21 authors at 5 institutions in 3 countries.
Funding
Abstract
introductionClimate change-related extreme weather events have increased in frequency and intensity, threatening people's health, particularly in places with weak health systems. In March 2019, Cyclone Idai devastated Mozambique's central region, causing infrastructure destruction, population displacement, and death. We assessed the impact of Idai on maternal and child health services and recovery in the Sofala and Manica provinces.
methodsUsing monthly district-level routine data from November 2016 to March 2020, we performed an uncontrolled interrupted time series analysis to assess changes in 10 maternal and child health indicators in all 25 districts before and after Idai. We applied a Bayesian hierarchical negative binomial model with district-level random intercepts and slopes to estimate Idai-related service disruptions and recovery.
resultsOf the 4.44 million people in Sofala and Manica, 1.83 (41.2%) million were affected. Buzi, Nhamatanda, and Dondo (all in Sofala province) had the highest proportion of people affected. After Idai, all 10 indicators showed an abrupt substantial decrease. First antenatal care visits per 100,000 women of reproductive age decreased by 23% (95% confidence interval [CI]=0.62, 0.96) in March and 11% (95% CI=0.75, 1.07) in April. BCG vaccinations per 1,000 children under age 5 years declined by 21% (95% CI=0.69, 0.90) and measles vaccinations decreased by 25% (95% CI=0.64, 0.87) in March and remained similar in April. Within 3 months post-cyclone, almost all districts recovered to pre-Idai levels, including Buzi, which showed a 22% and 13% relative increase in the number of first antenatal care visits and BCG, respectively.
conclusionWe found substantial health service disruptions immediately after Idai, with greater impact in the most affected districts. The findings suggest impressive recovery post-Idai, emphasizing the need to build resilient health systems to ensure quality health care during and after natural disasters.
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