Evidence map›Paper›PMID 39206677›Full record

ArticleWomen's health (London, England)

Women's experiences of receiving antenatal and intrapartum care during COVID-19 at public hospitals in the Sidama region, Ethiopia: A qualitative study using the combination of three delay and social-ecological framework (hybrid framework).

Zemenu Yohannes Kassa, Vanessa Scarf, Sabera Turkmani, Deborah Fox

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Article in Women's health (London, England). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Zemenu Yohannes KassaCollective for Midwifery, Child and Family Health, Faculty of Health, University of Technology Sydney, Broadway, NSW, Australia.ORCID 0000-0002-3496-7493
Vanessa ScarfCollective for Midwifery, Child and Family Health, Faculty of Health, University of Technology Sydney, Broadway, NSW, Australia.
Sabera TurkmaniCollective for Midwifery, Child and Family Health, Faculty of Health, University of Technology Sydney, Broadway, NSW, Australia.
Deborah FoxCollective for Midwifery, Child and Family Health, Faculty of Health, University of Technology Sydney, Broadway, NSW, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic, drought and internal conflict have worsened Ethiopia's already weak healthcare system. Antenatal and intrapartum care are especially prone to interruption under these circumstances.

objectiveTo explore women's experiences receiving antenatal and intrapartum care during the pandemic.

designA descriptive qualitative approach was utilised.

methodsWe conducted in-depth interviews with 17 women and held 4 focus group discussions with women who gave birth at 4 public hospitals during the pandemic. A study was conducted at four public hospitals in the Sidama region of Ethiopia, during which data were collected from 14 February to 10 May 2022. Thematic analysis was performed to generate themes.

resultsThe peak of the COVID-19 pandemic in Ethiopia presented several barriers to access and uptake of antenatal and intrapartum care at public hospitals. Four themes and 10 subthemes emerged from the thematic analysis. The themes were 'Barriers to maternity care uptake during COVID-19', 'Shortage of resources during COVID-19', 'Delays in maternity care uptake during COVID-19' and 'Mistreatment of women during maternity care during COVID-19'. The subthemes included 'Fear of contracting COVID-19', 'People in the hospital neglecting COVID-19 prevention', 'Women losing their job during COVID-19', 'Shortage of beds in the labour ward', 'Shortage of medical supplies', 'Delays in seeking care', 'Delays in receiving care', 'Complications during childbirth', 'disrespectful' and 'suboptimal care'.

conclusionThe findings of this study underscore the impact of COVID-19 on antenatal and intrapartum care, leading to delays in seeking and receiving care due to reduced rapport, resource shortages, companion restrictions, disrespectful care and suboptimal care. These factors contribute to increased obstetric complications during COVID-19. It is imperative for policymakers to prioritise essential resources for antenatal and intrapartum care in the present and future pandemics. Moreover, healthcare providers should maintain respectful and optimal care even amid challenges.

Indexed as

COVID-19Focus GroupsHospitals, PublicPrenatal CareQualitative ResearchAdultEthiopiaFemaleHealth Services AccessibilityHumansMaternal Health ServicesPatient Acceptance of Health CarePerinatal CarePregnancySARS-CoV-2Young Adultantenatal and intrapartum careduring COVID-19Ethiopiawomen’s experiences

Identifiers

PMID39206677
PMCPMC11363044

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LicenceCC BY-NC
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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.