| Autor: |
Guy Harling, Maryam Shahmanesh, Mark J Siedner, Kobus Herbst, Nothando Ngwenya, Janet Seeley, John D Kraemer, Mark J Meyer, Thobeka Mngomezulu, Patrick Gabela, Siphephelo Dlamini, Dickman Gareta, Nomathamsanqa Majozi, Emily Wong, Collins Iwuji, Willem Hanekom |
| Jazyk: |
angličtina |
| Rok vydání: |
2020 |
| Předmět: |
|
| Zdroj: |
BMJ Open, Vol 10, Iss 10 (2020) |
| Druh dokumentu: |
article |
| ISSN: |
2044-6055 |
| DOI: |
10.1136/bmjopen-2020-043763 |
| Popis: |
Objectives We evaluated whether implementation of lockdown orders in South Africa affected ambulatory clinic visitation in rural Kwa-Zulu Natal (KZN).Design Observational cohortSetting Data were analysed from 11 primary healthcare clinics in northern KZN.Participants A total of 46 523 individuals made 89 476 clinic visits during the observation period.Exposure of interest We conducted an interrupted time series analysis to estimate changes in clinic visitation with a focus on transitions from the prelockdown to the level 5, 4 and 3 lockdown periods.Outcome measures Daily clinic visitation at ambulatory clinics. In stratified analyses, we assessed visitation for the following subcategories: child health, perinatal care and family planning, HIV services, non-communicable diseases and by age and sex strata.Results We found no change in total clinic visits/clinic/day at the time of implementation of the level 5 lockdown (change from 90.3 to 84.6 mean visits/clinic/day, 95% CI −16.5 to 3.1), or at the transitions to less stringent level 4 and 3 lockdown levels. We did detect a >50% reduction in child healthcare visits at the start of the level 5 lockdown from 11.9 to 4.7 visits/day (−7.1 visits/clinic/day, 95% CI −8.9 to 5.3), both for children aged |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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