ArticleFrontiers in global women's health2025
Maternal and child health services during the COVID-19 pandemic in India: an interrupted time-series analysis.
Article in Frontiers in global women's health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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3 citing papers in PubMed.
- Article
- Article
- Kerala's Aardram Mission and universal health coverage: integrated time series evidence on mortality reduction and assessment of financial protection and equity gaps.Frontiers in public health · 2026Article
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9 authors.
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Abstract
Background: The COVID-19 pandemic posed significant challenges to healthcare systems worldwide. Maintaining essential health services, including maternal and child health (MCH), while addressing the pandemic is an enormous task. This study aimed to assess the impact of the COVID-19 pandemic on the utilization of MCH services in India's public primary care. It extends prior work by applying nationwide HMIS data within an interrupted time-series framework with seasonal and ARMA adjustments to estimate counterfactual trends, thereby providing national-level insights into both immediate and evolving disruptions. Methods: A retrospective analysis using Health Management Information System (HMIS) data examined 12 indicators of service utilization, covering maternal health, child health, deliveries, and newborn care. Interrupted time-series analysis compared pre-pandemic (April 2017-March 2020) and pandemic (March 2020-May 2021) was performed using Ordinary Least Squares (OLS) and Generalized Least Squares (GLS) regression models, adjusting for seasonality and autocorrelation with ARMA terms. Results: Antenatal care (ANC) registrations decreased by 346,420 cases (-12.8%, Conclusions: The COVID-19 pandemic caused declines in MCH service utilization, with varying recovery across indicators. While services like antenatal care and vaccinations showed some stabilization over time, child health admissions and obstetric complications remained below pre-pandemic trends. Strengthening healthcare systems to maintain essential services and support recovery during and after public health emergencies is critical.
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