Research Article

ASSESSMENT OF THE EFFECT OF COVID-19 ON ANTENATAL CARE SERVICES UTILIZATION AND PROVISION IN CROSS RIVER STATE, NIGERIA

1 Department of Public Health, Texila American University, Guyana, South America
2 Department of Biochemistry, Faculty of Basic Medical Sciences, College of Medical Sciences, University of Calabar, Nigeria
* Corresponding author: okputujerome93@gmail.com
Published: Mar, 2025
Pages: 83-91
Views: 17
Downloads: 7

Abstract

The effect of the COVID-19 pandemic has disrupted health services worldwide, with associated maternal health care, which includes antenatal care (ANC) services in sub-Saharan Africa. In Nigeria, the maternal mortality ratio has been estimated at 512/100,000 in Nigerian. This study assesses the impact of COVID-19 on the utilization and provision of ANC service in Cross River State, Nigeria. A cross-sectional design was used to collect data from health facilities, pregnant women and healthcare providers via questionnaires, surveys and interviews from one Local Government Area in each Senatorial District in the state. The major areas of interest include service availability, public perception safety during the pandemic, accessibility to the health facilities, patient attendance and healthcare workers preparedness, as well as Traditional Birth Attendants (TBAs). The results obtained in 2019 show that the total number of ANC visits was 26733 as compared to what was obtained in the survey results of 4777 in 2020. This simply indicates a 7.4% reduction in antenatal care attendance. Also institutional birth delivery in 2019 (4679) and 2022 (6015) shows an increase in the number of institutional births of about 1344. This study revealed discrepancies in healthcare service delivery and utilization across the districts as the proportion of births at health facilities were 51.4%, 30.7% and 17.9% in the south, central and north respectively. Conclusively, there was an increasing trend in home deliveries and TBAs due to the negative impact of the COVID-19 pandemic on antenatal services and utilization of healthcare facilities. 

References

  1. Agan, T. U., Archibong, E. I., Abeshi, S. E., Edentekhe, T. A. and Bassey, E. E. (2010). Trends in maternal mortality at the University of Calabar Teaching Hospital, Nigeria (1999-2009). InternationalJournal of Women's Health, 2, 249-254.
  2. Ahmed, M., Suleiman, M. A., Akorede, S. N., Musa, U., & Hassan, A. I. (2021). Assessment of clinical constraints to ending preventable deaths of newborns as perceived by community health workers in North East Zone, Nigeria. Global Journal of Health Related Researches, 5(1), 27-33.
  3. Akorede, S. N. (2021). COVID-19 lockdown and domestic violence among partners in Nigeria. KIU Interdisciplinary Journal of Humanities and Social Sciences, 2(2), 38-47.
  4. Akorede, S. N., Ajayi, A. E., Toyin, A., & Uwadia, G. U. (2021). Influence of COVID-19 on the psychological wellbeing of tertiary institution students in Nigeria. Tanzania Journal of Science, 47(1), 70-79. https://dx.doi.org/10.4314/tjs.v47i1.7
  5. Akorede S. N., Muhammed, A. S., Isiaq, A. T., & Akorede, A. A. (2022). Impact and prospects of maternal health care services on maternal health in Zaria Local Government of Kaduna State. International Journal of Advanced Research in Multidisciplinary Studies, 2(1), 60-66.
  6. Cross River State Ministry of Information Special Report (2015). Food and nutrition in focus. Available at http//www.keketripod.com.
  7. Ejemot-Nwadiaro R. I., Ehiri J. E., Arikpo D., Meremikwu, M. M. and Critchley, J. A. (2021). Hand washing promotion for preventing diarrhoea. Cochrane Database Systemic Review, 12(1), CD004265 Doi: 10.1002/14651858.CD004265.pub3. PMID: 26346329; PMCID: PMC4563982.
  8. Elem, M. and Nyeche, S. (2016). Health Inequality and the Empowerment of Reproductive Age of Women for Development in Rivers State Primary Health Care Strategy in the Reduction of MaternalMortality (2007-2015). International Journal of Advanced Academic Research Social Management and Sciences, 20(11), 3-8.
  9. Hogan, M. C., Foreman, K. C. and Naghavi, M., (2010). Maternal mortality for 181 countries, 1980–2008: a systematic analysis of progress towards Millennium Development Goal 5. The Lancet, 375(9726), 1609–1623.
  10. Kabiru, A., Akorede, S. N., Aminu, Y., Yusuf, B., Shehu, S., & Sani, M. A. (2024). Assessment of awareness, attitude and practice of non-pharmaceutical protocols in prevention of severe acute respiratory tract infections among non-civil servants in Northern Nigeria. Global Journal of Health Related Researches, 6(1), 57-62.
  11. Kingsley, A., Edu, C. B., Edakabasi, A., Essien O. and Bibia G. P. (2021). Successful Management of Sickle Cell Disease Patient with Covid-19 Infection in a Low Resource Setting: Case Study. International Journal of General Medicine, 16, 3503-3515. DOI: 10.9734/JPRI/2021.
  12. Knight, M. (2019). The findings of the MBRRACE-UK confidential enquiry into maternal deaths and morbidity. Obstetrics,
  13. National Population Commission and ICF, (2019). Nigeria Demographic and Health Survey 2018. Abuja, Nigeria, and Rockville, Maryland, USA: NPC and ICF.
  14. Okereke, M., Ukor, N. A. Adebisi, Y. A. Ogunkola, I. O. Favour Iyagbaye, E., Adiela Owhor, G., and Lucero-Prisno D.E. (2020). Impact of COVID-19 on access to healthcare in low and middle-income countries: current evidence and future recommendations. International Journal of Health Planning and Management, 36(1), 13-17.
  15. Olubiyi, S. K., Muraina, K. O., Akorede, S. N., Balogun, R. O., Olubiyi, Y. M., & Ayeni, A. R. (2019). Relationship between the use of drugs and violent sexual behavior among married men: A case study of Alimosho Local Government Area, Lagos State. Achievers Journal of Scientific Research, 2(1), 1-5.
  16. Say, L., Chou, D., Gemmill, A., Tunçalp, Ö., Moller, A., Daniels, J. and Gülmezoglu, A. M. (2014). Global causes of maternal death: a WHO systematic analysis. Lancet Glob Health, 2:323–33.
  17. Seemab, N., Sarah, S., Farnaz, N., Masum, B., Eleanor, N., Elizabeth, F., Nalini, P., Lester, F., Manolo, M., Ana, L. G., Archana, P., Prabir, D., Avinash, K., Shivaprasad, S., Goudar, F. E., Elwyn, C., Adrien, L., Antoinette, T., Rashidul, H., Shahjahan, S., Sana, Y., Melissa, B., Edward, A., Liechty, N. F., Krebs, R. J., Derman, W. A., Carlo, W. A., Petri, Jr., Patricia L., Hibberd, M. Koso-Thomas, V., Thorsten, E. M., and McClure, R. L., (2022). Knowledge, attitudes, and practices of pregnant women regarding COVID-19 vaccination in pregnancy in 7 low- and middle-income countries: An observational trial from the Global Network for Women and Children's Health Research. International Journal of Obstetrics & Gynaecology, 00:1-8. Doi.org/10.1111/1471-0528.17226
  18. Shehu, C. E., Ibrahim, M. T. O., Oche, M. O., and Nwobodo, E. I. (2016). Determinants of place of delivery: A comparison between an urban and a rural community in Nigeria. Journal of Public Health and Epidemiology, 8(6): 91-101.
  19. Tessema, G. A., Laurence, C. O, Melaku, Y. A, Misganaw, A., Woldie, S. A, Hiruye, A., Amare, A. T, Lakew, Y., Zeleke, B. M. and Deribew, A. (2017). Trends and causes of maternal mortality in Ethiopia during 1990–2013: findings from the global burden of diseases study 2013. BMC Public Health, 17:160. Doi.org/10.1186/s12889-017-4071-8.
  20. Tunçalp Ö, Were W. M., MacLennan C., Oladapo, O. T., Gülmezoglu, A. M., and Bahl, R. (2015). Quality of care for pregnant women and newborns-the WHO vision. BJOG.,122(8):1045–1049.
  21. WHO, UNICEF, United Nations Population Fund, World Bank Group & United Nations Population Division, (2020). Trends in maternal mortality: 1990 to 2015. Geneva: World Health Organization, 2015.
  22. Woiynshet G/tsadik Kelebore, Aschalech Asefa, Asefa Tunje, Shitaye Shibiru, Simret Hassen, Dinkalem Getahun, and Mesfine Mamo (2016). Assessment of factors affecting institutional delivery service utilization among mother who gave birth in last two years, Arbaminch Town, Gamo Gofa Zone, SNNPR, Ethiopia. Science Journal of Public Health, 4(6):457-461. Doi: 10.11648/j.sjph.20160406.17.
  23. World Health Organization, (2010). ICD-10: International Classification of Diseases and Related Health Problems. 2010. 10th Revision, Vol. 2, Instruction Manual. Geneva: WHO.
  24. World Health Organization, (2020). Application of maternal near-miss approach to audits of severematernal complications in a low-resource country. Guest Editor: João Paulo Souza. The Nigeria Near-miss and Maternal Death Survey was financially supported by the UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), a co-sponsored programme executed by the World Health Organization.
  25. World Health Organization. (2018). Estimates generated by the WHO and Maternal and Child Epidemiology Estimation Group (MCEE). http://data.unicef.org.
How to Cite

Chimaobim, E. B., Bassey, E. P., Igbang, O. J., Echu, O. F., & Idu, E. R. (2025). ASSESSMENT OF THE EFFECT OF COVID-19 ON ANTENATAL CARE SERVICES UTILIZATION AND PROVISION IN CROSS RIVER STATE, NIGERIA. Global Journal of Health Related Researches, 7(1), 83-91. https://doi.org/10.67203/gjhrr.2025.txxyzu8r

E. B. Chimaobim, E. P. Bassey, O. J. Igbang, O. F. Echu, and E. R. Idu, "ASSESSMENT OF THE EFFECT OF COVID-19 ON ANTENATAL CARE SERVICES UTILIZATION AND PROVISION IN CROSS RIVER STATE, NIGERIA," Global Journal of Health Related Researches, vol. 7, no. 1, pp. 83-91, March 2025. doi: 10.67203/gjhrr.2025.txxyzu8r

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