Evidence map›Paper›PMID 37640377›Full record

ArticleEmerging infectious diseases2023

Effects of COVID-19 on Maternal and Neonatal Outcomes and Access to Antenatal and Postnatal Care, Malawi.

Leonard Mndala, Chikondi Chapuma, Jennifer Riches, Luis Gadama, Fannie Kachale, Rosemary Bilesi, Malangizo Mbewe, Andrew Likaka, Moses Kumwenda, Regina Makuluni and 9 more

Abstract read
In one paragraph

Article in Emerging infectious diseases, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Observational
  2. Article
  3. Article
  4. Article
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

19 authors.

Leonard Mndala
Chikondi Chapuma
Jennifer Riches
Luis Gadama
Fannie Kachale
Rosemary Bilesi
Malangizo Mbewe
Andrew Likaka
Moses Kumwenda
Regina Makuluni
Bertha Maseko
Chifundo Ndamala
Annie Kuyere
Laura Munthali
Deborah Phiri
Edward J M Monk
Marc Y R Henrion
Maria L Odland
David Lissauer

Funding

Wellcome TrustWellcome Trust 206545/Z/17/Z
6 · The paper itself

Abstract

We used national facility-level data from all government hospitals in Malawi to examine the effects of the second and third COVID-19 waves on maternal and neonatal outcomes and access to care during September 6, 2020-October 31, 2021. The COVID-19 pandemic affected maternal and neonatal health not only through direct infections but also through disruption of the health system, which could have wider indirect effects on critical maternal and neonatal outcomes. In an interrupted time series analysis, we noted a cumulative 15.4% relative increase (63 more deaths) in maternal deaths than anticipated across the 2 COVID-19 waves. We observed a 41% decrease in postnatal care visits at the onset of the second COVID-19 wave and 0.2% by the third wave, cumulative to 36,809 fewer visits than anticipated. Our findings demonstrate the need for strengthening health systems, particularly in resource-constrained settings, to prepare for future pandemic threats.

Indexed as

COVID-19FamilyFemaleHumansInfant, NewbornMalawiPandemicsPostnatal CarePregnancyAfricacoronaviruscoronavirus diseaseCOVID-19interrupted time seriesMalawimaternal healthrespiratory infectionsSARSSARS-CoV-2severe acute respiratory syndrome coronavirus 2Surveillanceviruseszoonoses

Identifiers

PMID37640377
PMCPMC10521614

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.