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The perfect storm: Disruptions to institutional delivery care arising from the COVID-19 pandemic in Nepal.


ABSTRACT:

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 institutiona

SUBMITTER: Ashish KC 

PROVIDER: S-EPMC8141327 | biostudies-literature | 2021 May

REPOSITORIES: biostudies-literature