Table 6.
Interrupted Time Series results: impact of COVID-19 on routine health services and health outcomes in refugee settlements in Uganda, by region, January 1, 2017 – March 31, 2021
West Nile | Center | South | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
IRRa immediate effect [95% CIb] | p-value | IRRa change in trend [95% CIb] | p-value | IRRa immediate effect [95% CIb] | p-value | IRRa change in trend [95% CIb] | p-value | IRRa immediate effect [95% CIb] | p-value | IRRa change in trend [95% CIb] | p-value | |
Health utilization rate | 0.953 [0.687 – 1.322] | 0.774 | 1.042 [0.947 – 1.147] | 0.394 | 0.773 [0.509 – 1.175] | 0.228 | 1.019 [0.894 – 1.161] | 0.780 | 1.033 [0.789 – 1.352] | 0.814 | 0.972 [0.910 – 1.039] | 0.405 |
Mortality rate | 1.649 [0.881 – 3.088] | 0.118 | 0.891 [0.781 – 1.016] | 0.086 | 0.746 [0.324 – 1.717] | 0.490 | 0.989 [0.875 – 1.119] | 0.866 | 0.847 [0.514 – 1.396] | 0.515 | 0.906 [0.842 – 0.975] | 0.009 |
Maternal and reproductive health | ||||||||||||
ANC1c coverage | 1.106 [0.842 – 1.453] | 0.469 | 0.996 [0.952 – 1.042] | 0.854 | 1.074 [0.657 – 1.754] | 0.776 | 1.006 [0.892 – 1.134] | 0.926 | 1.069 [0.817 – 1.397] | 0.627 | 0.977 [0.946 – 1.010] | 0.175 |
Skilled delivery coverage | 0.907 [0.605 – 1.360] | 0.636 | 1.060 [0.908 – 1.237] | 0.460 | 0.995 [0.754 – 1.313] | 0.970 | 0.983 [0.944 – 1.025] | 0.428 | 0.941 [0.693 – 1.278] | 0.697 | 0.986 [0.925 – 1.052] | 0.678 |
Contraceptive prevalence | 0.929 [0.615 – 1.403] | 0.725 | 1.040 [0.975 – 1.109] | 0.234 | 1.070 [0.545 – 2.100] | 0.845 | 0.980 [0.860 – 1.117] | 0.762 | 1.100 [0.696 – 1.739] | 0.682 | 1.004 [0.846 – 1.191] | 0.966 |
Child Health | ||||||||||||
DPT1d Vaccination coverage | 0.931 [0.774 – 1.120] | 0.449 | 1.054 [0.987 – 1.126] | 0.117 | 0.919 [0.667 – 1.265] | 0.604 | 0.998 [0.960 – 1.038] | 0.930 | 1.092 [0.898 – 1.328] | 0.377 | 1.012 [0.982 – 1.042] | 0.447 |
Infectious diseases | ||||||||||||
URTIe rate | 0.867 [0.650 – 1.157] | 0.332 | 1.059 [0.999 – 1.122] | 0.052 | 0.926 [0.550 – 1.558] | 0.771 | 1.033 [0.927 – 1.151] | 0.560 | 0.739 [0.554 – 0.988] | 0.041 | 1.044 [0.997 – 1.094] | 0.068 |
LRTIf rate | 0.448 [0.348 – 0.575] | < 0.001 | 1.035 [1.003 – 1.067] | 0.031 | 0.694 [0.264 – 1.828] | 0.460 | 1.023 [0.742 – 1.408] | 0.891 | 0.839 [0.581 – 1.211] | 0.348 | 0.990 [0.877 – 1.117] | 0.867 |
All RTIg rate | 0.666 [0.517 – 0.858] | 0.002 | 1.044 [0.983 – 1.108] | 0.163 | 0.729 [0.424 – 1.256] | 0.255 | 1.034 [0.893 – 1.197] | 0.655 | 0.699 [0.555 – 0.880] | 0.002 | 1.032 [1.000 – 1.065] | 0.050 |
Malaria rate | 0.838 [0.519 – 1.352] | 0.469 | 1.079 [0.977 – 1.191] | 0.133 | 0.527 [0.326 – 0.851] | 0.009 | 1.019 [0.911 – 1.140] | 0.743 | 1.070 [0.551 – 2.080] | 0.842 | 0.955 [0.839 – 1.086] | 0.481 |
Diarrhea rate | 0.835 [0.564 – 1.236] | 0.368 | 1.038 [0.917 – 1.176] | 0.555 | 0.951 [0.325 – 2.784] | 0.927 | 1.093 [0.779 – 1.534] | 0.606 | 0.966 [0.716 – 1.303] | 0.821 | 1.009 [0.961 – 1.060] | 0.709 |
Bold results indicate a statistically significant result (confidence interval does not include 1)
Acronyms: a IRR Incidence rate ratio, b CI Confidence interval, c ANC1 First antenatal care visit, d DPT1 First dose of diphtheria, pertussis, and tetanus vaccine, e URTI Upper respiratory tract infection, f LRTI Lower respiratory tract infection, g RTI Respiratory tract infection