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. 2021 Aug 27;16(8):e0256330. doi: 10.1371/journal.pone.0256330

Table 1. Effects of COVID-19 on maternal, child and neonatal health care services in Tigray, Northern Ethiopia, 2020.

Type of service Indicator Sum Pre COVID-19 Sum Post COVID-19 Difference (Post COVID-19 minus Pre COVID-19) Level of service disruption or gain (%) Wilcoxon signed rank test P-value
Maternal Family Planning new acceptors 39526 37623 -1903 -4.81% 0.0372
Family planning acceptance rate 53.67% 55.53% 1.86% 3.47% 0.1569
Family planning repeat acceptors 106298 112780 6482 6.10% 0.0217
ANC at least once 47896 50327 2431 5.08% 0.0978
ANC 4 times 30523 29658 -865 -2.83% 0.5761
Skilled delivery 33888 36792 2904 8.57% 0.0001
Still births 560 664 104 18.57% 0.0062
Institutional maternal deaths 23 19 -4 -17.39% 0.3173
Postnatal care within 7 days of delivery 38305 43662 5357 13.99% 0.0003
Delivery by caesarian section (CS) 2392 3063 671 28.05% 0.0040
Number of women received comprehensive abortion care 5950 5218 -732 -12.30% 0.3133
Still birth rate 15.7 16.9 1.2 7.64% 0.0618
Neonates Number of neonatal deaths in the first 7 days of life (institutional) 784 417 -367 -46.81% 0.0733
Children DPT1-HepB1-Hib1 (pentavalent First dose) immunization coverage (< 1 year) 98.01% 112.57% 14.56% 14.86% <0.0001
Measles first dose immunization (MCV1) coverage (< 1 year) 90.01% 103.67% 13.66% 15.18% <0.0001
Number of children received all vaccine doses before 1st birthday 35763 41024 5261 14.71% <0.0001
Measles second dose (MCV 2) Immunization coverage (12–24 months) 49% 56.6% 7.6% 15.51% 0.1313
Number of children under two years of age who have received second dose of measles 25866 25812 -54 -0.21% 0. 3800
Number of children treated for diarrhea with ORS and zinc 36337 34838 -1499 -4.13% 0.1679
Number of children less than 2 years weighted during GMP session 211729 215393 3664 1.73% 0.2316
Number of weights recorded with moderate malnutrition (Z score between -2 and -3) 19323 (9.13%) 23604 (10.96) 4281 22.15% 0.5606
Number of weights recorded with severe malnutrition (Z score below -3) 3650 (1.72%) 3232 (1.50%) -418 -11.45% 0.0929
Total number of children <5 years screened for acute malnutrition 1178916 1196194 17278 1.47% 0.6012
Number of children <5 year screened and have moderate acute malnutrition 42762 (3.63%) 54621 (4.57%) 11859 (0.94%) 27.73% 0.0069
Number of children <5 year screened and have severe acute malnutrition 3753 (0.32%) 4916 (0.41%) 1163 (0.09%) 30.99% 0.0002
Children with SAM admitted for management 1405 3061 1656 117.86% <0.0001
Death among children admitted by SAM 3 44 41 1366.67% 0.1797
Death rate among the admitted SAM under 5 years children 0.21% 1.44% 1.23% 585.71% 0.6547
Total number of children aged 6–59 months who received Vitamin A supplementation by age 263183 267978 4795 1.82% 0.3035