Voices from the frontline: findings from a thematic analysis of a rapid online global survey of maternal and newborn health professionals facing the COVID-19 pandemic

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dc.contributor.authorSemaan, A.
dc.contributor.authorAudet, C.
dc.contributor.authorHuysmans, E.
dc.contributor.authorAfolabi, B.B.
dc.contributor.authorAssarag, B.
dc.contributor.authorBanke-Thomas, A.
dc.contributor.authorBlencowe, H.
dc.contributor.authorCaluwaerts, S.
dc.contributor.authorCampbell, O.M.R.
dc.contributor.authorCavallaro, F.L.
dc.contributor.authorChavane, L.
dc.contributor.authorDay, L.T.
dc.contributor.authorDelamou, A.
dc.contributor.authorDelvaux, T.
dc.contributor.authorGraham, W.J.
dc.contributor.authorGon, G.
dc.contributor.authorKascak, P.
dc.contributor.authorMatsui, M.
dc.contributor.authorMoxon, S.
dc.contributor.authorNakimuli, A.
dc.contributor.authorPembe, A.
dc.contributor.authorRadovich, E.
dc.contributor.authorvan den Akker, T.
dc.contributor.authorBenova, L.
dc.date.accessioned2020-09-09T14:44:33Z
dc.date.available2020-09-09T14:44:33Z
dc.date.issued2020-06
dc.description.abstractIntroduction: The COVID-19 pandemic has substantially impacted maternity care provision worldwide. Studies based on modelling estimated large indirect effects of the pandemic on services and health outcomes. The objective of this study was to prospectively document experiences of frontline maternal and newborn healthcare providers. Methods: We conducted a global, cross-sectional study of maternal and newborn health professionals via an online survey disseminated through professional networks and social media in 12 languages. Information was collected between 24 March and 10 April 2020 on respondents' background, preparedness for and response to COVID-19 and their experience during the pandemic. An optional module sought information on adaptations to 17 care processes. Descriptive statistics and qualitative thematic analysis were used to analyse responses, disaggregating by low-income and middle-income countries (LMICs) and high-income countries (HICs). Results: We analysed responses from 714 maternal and newborn health professionals. Only one-third received training on COVID-19 from their health facility and nearly all searched for information themselves. Half of respondents in LMICs received updated guidelines for care provision compared with 82% in HICs. Overall, 47% of participants in LMICs and 69% in HICs felt mostly or completely knowledgeable in how to care for COVID-19 maternity patients. Facility-level responses to COVID-19 (signage, screening, testing and isolation rooms) were more common in HICs than LMICs. Globally, 90% of respondents reported somewhat or substantially higher levels of stress. There was a widespread perception of reduced use of routine maternity care services, and of modification in care processes, some of which were not evidence-based practices. Conclusions: Substantial knowledge gaps exist in guidance on management of maternity cases with or without COVID-19. Formal information-sharing channels for providers must be established and mental health support provided. Surveys of maternity care providers can help track the situation, capture innovations and support rapid development of effective responses.en_US
dc.description.sponsorshipNoneen_US
dc.identifier.citationSemaan A, Audet C, Huysmans E, Afolabi B, Assarag B, Banke-Thomas A, Blencowe H, Caluwaerts S, Campbell OMR, Cavallaro FL, Chavane L, Day LT, Delamou A, Delvaux T, Graham WJ, Gon G, Kascak P, Matsui M, Moxon S, Nakimuli A, Pembe A, Radovich E, van den Akker T, Benova L. Voices from the frontline: findings from a thematic analysis of a rapid online global survey of maternal and newborn health professionals facing the COVID-19 pandemic. BMJ Glob Health. 2020 Jun;5(6). doi: 10.1136/bmjgh-2020-002967. PubMed PMID: 32586891; PubMed Central PMCID: PMC7335688en_US
dc.identifier.urihttps://ir.unilag.edu.ng/handle/123456789/8812
dc.language.isoenen_US
dc.publisherBMJ Global Healthen_US
dc.subjectchild healthen_US
dc.subjectcross-sectional surveyen_US
dc.subjecthealth services researchen_US
dc.subjecthealth systemsen_US
dc.subjectmaternal healthen_US
dc.titleVoices from the frontline: findings from a thematic analysis of a rapid online global survey of maternal and newborn health professionals facing the COVID-19 pandemicen_US
dc.typeArticleen_US
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