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10.7189/jogh.11.05010 http://scihub22266oqcxt.onion/10.7189/jogh.11.05010 34055329!8141327!34055329     free     free     free Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=34055329&cmd=llinks): Failed to open stream: HTTP request failed! HTTP/1.1 429 Too Many Requests in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 215       J+Glob+Health 2021 ; 11 (?): 05010 Nephropedia Template TP {{tp|p=34055329|t=2021. The perfect storm: Disruptions to institutional delivery care arising from the COVID-19 pandemic in Nepal |pdf=|usr=}}{{34055329}} gab.com Text The perfect storm: Disruptions to institutional delivery care arising from the COVID-19 pandemic in Nepal JO: J Glob Health http://www.kidney.de/pget.php?&tw=1&pmid=34055329 #FOAvip BACKGROUND: The COVID-19 pandemic has led to system-wide disruption of health services globally. We assessed the effect of the pandemic on the disruption of institutional delivery care in Nepal. METHODS: We conducted a prospective cohort study among 52 356 women in nine hospitals to assess the disruption of institutional delivery care during the pandemic (comparing March to August in 2019 with the same months in 2020). We also conducted a nested follow up cohort study with 2022 women during the pandemic to assess their provision and experience of respectful care. We used linear regression models to assess the association between provision and experience of care with volume of hospital births and women's residence in a COVID-19 hotspot area. RESULTS: The mean institutional births during the pandemic across the nine hospitals was 24 563, an average decrease of 11.6% (P < 0.0001) in comparison to the same time-period in 2019. The institutional birth in high-medium volume hospitals declined on average by 20.8% (P < 0.0001) during the pandemic, whereas in low-volume hospital institutional birth increased on average by 7.9% (P = 0.001). Maternity services halted for a mean of 4.3 days during the pandemic and there was a redeployment staff to COVID-19 dedicated care. Respectful provision of care was better in hospitals with low-volume birth (beta = 0.446, P < 0.0001) in comparison to high-medium-volume hospitals. There was a positive association between women's residence in a COVID-19 hotspot area and respectful experience of care (beta = 0.076, P = 0.001). CONCLUSIONS: The COVID-19 pandemic has had differential effects on maternity services with changes varying by the volume of births per hospital with smaller volume facilities doing better. More research is needed to investigate the effects of the pandemic on where women give birth and their provision and experience of respectful maternity care to inform a "building-back-better" approach in post-pandemic period. Twit Text FOAVip The perfect storm: Disruptions to institutional delivery care arising from the COVID-19 pandemic in Nepal ????J Glob Health http://www.kidney.de/pget.php?&tw=1&pmid=34055329 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=34055329 #FOAvip English Wikipedia <ref>{{Cite pmid|34055329}}</ref> The perfect storm: Disruptions to institutional delivery care arising from the COVID-19 pandemic in Nepal #MMPMID34055329 Ashish KC; Peterson SS; Gurung R; Skalkidou A; Gautam J; Malla H; Paudel P; Bhattarai K; Joshi N; Tinkari BS; Adhikari S; Shrestha D; Ghimire B; Sharma S; Khanal L; Shrestha S; Graham WJ; Kinney M J Glob Health 2021[May]; 11 (?): 05010 PMID34055329show ga BACKGROUND: The COVID-19 pandemic has led to system-wide disruption of health services globally. We assessed the effect of the pandemic on the disruption of institutional delivery care in Nepal. METHODS: We conducted a prospective cohort study among 52 356 women in nine hospitals to assess the disruption of institutional delivery care during the pandemic (comparing March to August in 2019 with the same months in 2020). We also conducted a nested follow up cohort study with 2022 women during the pandemic to assess their provision and experience of respectful care. We used linear regression models to assess the association between provision and experience of care with volume of hospital births and women's residence in a COVID-19 hotspot area. RESULTS: The mean institutional births during the pandemic across the nine hospitals was 24 563, an average decrease of 11.6% (P < 0.0001) in comparison to the same time-period in 2019. The institutional birth in high-medium volume hospitals declined on average by 20.8% (P < 0.0001) during the pandemic, whereas in low-volume hospital institutional birth increased on average by 7.9% (P = 0.001). Maternity services halted for a mean of 4.3 days during the pandemic and there was a redeployment staff to COVID-19 dedicated care. Respectful provision of care was better in hospitals with low-volume birth (beta = 0.446, P < 0.0001) in comparison to high-medium-volume hospitals. There was a positive association between women's residence in a COVID-19 hotspot area and respectful experience of care (beta = 0.076, P = 0.001). CONCLUSIONS: The COVID-19 pandemic has had differential effects on maternity services with changes varying by the volume of births per hospital with smaller volume facilities doing better. More research is needed to investigate the effects of the pandemic on where women give birth and their provision and experience of respectful maternity care to inform a "building-back-better" approach in post-pandemic period. |*Delivery, Obstetric[MESH] |*Pandemics[MESH] |Adult[MESH] |COVID-19/*epidemiology[MESH] |Female[MESH] |Follow-Up Studies[MESH] |Hospitals[MESH] |Humans[MESH] |Maternal Health Services/*organization & administration[MESH] |Nepal/epidemiology[MESH] |Pregnancy[MESH]The perfect storm: Disruptions to institutional delivery care arising (epmc).pdf DeepDyve Pubget Overpricing