Reproductive Maternal and Newborn Health Providers’ Assessment of Facility Preparedness and Its Determinants during the COVID-19 Pandemic in Lagos, Nigeria.
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Date
2021
Authors
Ameh, C
Banke-Thomas, A
Balogun, M
Makwe, CC
Afolabi, BB
Journal Title
Journal ISSN
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Abstract
The global COVID-19 pandemic is predicted to compromise the achievement of global reproductive, maternal,
and newborn health (RMNH) targets. The objective of this study was to determine the health facility (HF) preparedness
forRMNHservice delivery during the outbreak from the perspective ofRMNHproviders and to determine what
factors significantly predict this. An anonymous cross-sectional online survey ofRMNHproviders was conducted from to
July 1–21, 2020 in Lagos State, Nigeria. We conducted a descriptive and ordinal regression analysis, with RMNH worker
perception of HF preparedness for RMNH service delivery during the outbreak as the dependent variable. In all, 256
RMNH workers participated, 35.2% reported that RMNH services were unavailable at some time since March 2020,
87.1% felt work-related burnout, 97.7% were concerned about the availability of personal protective equipment (PPE) and
related guidelines, and only 11.7% were satisfied with the preparedness of their HFs. Our final model was a statistically
significant predictor of RMNH worker perception of HF preparedness explaining 54.7% of the variation observed. The
most significant contribution to the model was communication by HF management (likelihood ratio chi-square [LRCS]:
87.94, P < 0.001) and the availability of PPE and COVID-19 guidelines (LRCS: 15.43, P < 0.001). A one-unit increase in the
level of concern about the availability of PPE and COVID-19 guidelines would increase the odds of observing a higher
category of satisfaction with HF COVID-19 preparedness. Adequate support ofRMNHproviders, particularly provision of
PPE and guidelines, and appropriate communications about COVID-19 should be prioritized as part of HF preparedness.
Description
Keywords
COVID-19, Disease outbreak, Facility preparedness, Reproductive maternal and newborn health, Nigeria
Citation
Ameh C, Banke-Thomas A, Balogun M, Makwe CC, Afolabi BB. Reproductive Maternal and Newborn Health Providers’ Assessment of Facility Preparedness and Its Determinants during the COVID-19 Pandemic in Lagos, Nigeria. The American Journal of Tropical Medicine and Hygiene. 2021; 104(4): 1495-1506. https://doi.org/10.4269/ajtmh.20-1324