COVID19 and sexual reproductive health service utilisation among women of reproductive age in Zambia

Abstract

Zambia has made improvements in addressing maternal and child health in the past two decades. The COVID-19 pandemic outbreak, which could put a strain on the healthcare systems and alter how access to sexual and reproductive health services is provided, could, however, have a negative impact on the gains. Data from a recent nationally representative COVID-19 survey, conducted in April 2021, was used to examine the utilisation of antenatal care services among pregnant women during the pandemic in Zambia. Overall, 10 per cent (95% CI: 8.0–11.4) of pregnant women missed antenatal care during the COVID-19 period, signifying an increase when compared to the time before the outbreak of COVID-19. Age of a woman and level of education were associated with the risk of missing antenatal care services. The study highlights the need to improve communication to women on availability and access to sexual reproductive health services to stimulate demand and use among women during this period.