Characterisation of participating PIH sites, cumulative predicted counts, cumulative deviation in maternal health service use, date of national lockdowns and strategies implemented by PIH-supported facilities that may have contributed to preventing and/or mitigating the effects of the COVID-19 pandemic on maternal health service use during the COVID-19 pandemic in 2020 (March 2020–December 2020) by country
| Country and first year of collaboration with PIH | Number of PIH-supported facilities (n)* | Catchment population included in the study† | First antenatal care visit | Facility-based deliveries | Date of national lockdowns‡ | Strategies implemented during the pandemic§ | ||
| Cumulative predicted counts (95% PI) | Cumulative deviation (95% PI) | Cumulative predicted counts (95% PI) | Cumulative deviation (95% PI) | |||||
| Haiti (1987) | Total: 16 Included: 6 hospitals, 5 health centres and one primary care clinic | 1 164 556 | 52 413 (47 660 to 57 707) | −9413 (−14 707 to –4660) | 15 063 (14 094 to 160 321) | −2588 (−3557 to –1619) | March 2020–July 2020 September 2020–December 2020 |
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| Lesotho (2006) | Total: 79 Included: 7 rural health centres | 90 000 | 709 (625 to 799) | 46 (−44 to 130) | 642 (564 to 727) | −79 (−164 to –1) | March 2020–May 2020 |
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| Liberia (2014) | Total: 31 Included: one county referral hospital, 2 health centres and one primary care clinic | 66 879 | 4650 (4196 to 5204) | −334 (−888 to 120) | 1054 (938 to 1206) | −225 (−377 to –109) | March 2020–August 2020 |
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| Malawi (2007) | Total: 14 Included: 2 hospitals and 8 health centres | 146 009 | 3585 (4196 to 5204) | 192 (−54 to 402) | 1007 (917 to 1109) | 51 (−51 to 142) |
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| Mexico (2011) | Total: 13 Included: one basic community hospital and one birthing centre | 107 000 | Not available | Not available | 457 (402 to 524) | −74 (−141 to –19) | March 2020–December 2020 |
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| Sierra Leone (2014) | Total: 6 Included: one hospital and one clinic | 145 000 | 7671 (6629 to 8809) | −2439 (−3577 to –1397) | 1783 (1612 to 1965) | −285 (−467 to –114) | April 2020–May 2020 |
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*“Total” corresponds to all PIH-supported facilities in the country, while “included” are those facilities whose data were included in the analysis.
†The catchment population for each country was obtained by summing the known catchment area in each of the government facilities included in the study. This information had been previously established by local governments and ministries of health and is used for planning health services.
‡Only national lockdowns to prevent the spread of COVID-19 that required people to stay at home were included. Data retrieved from Our World in Data (https://ourworldindata.org/).
§Strategies implemented by PIH-supported facilities that may have contributed to preventing and/or mitigating the effects of the COVID-19 pandemic on maternal health service utilization.
CHW, community health worker; PIH, Partners In Health.