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The effect of covid-19 lockdown on healthcare utilisation and hospital mortality in children < 5 years of age in a large Cape Town District, South Africa
Thesis (MMed)--Stellenbosch University, 2023.
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| Format: | Thesis |
| Language: | en_ZA |
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Stellenbosch : Stellenbosch University
2023
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| _version_ | 1867614007939039232 |
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| access_status_str | Open Access |
| author | Elmi, Noradin |
| author2 | Smit, Liezl |
| author_browse | Elmi, Noradin Smit, Liezl |
| author_facet | Smit, Liezl Elmi, Noradin |
| author_sort | Elmi, Noradin |
| collection | Thesis |
| dc_rights_str_mv | Stellenbosch University |
| description | Thesis (MMed)--Stellenbosch University, 2023. |
| format | Thesis |
| id | oai:scholar.sun.ac.za:10019.1/127193 |
| institution | Stellenbosch University (South Africa) |
| language | en_ZA |
| last_indexed | 2026-06-10T12:45:11.659Z |
| license_str | Other — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository |
| publishDate | 2023 |
| publishDateRange | 2023 |
| publishDateSort | 2023 |
| publisher | Stellenbosch : Stellenbosch University |
| publisherStr | Stellenbosch : Stellenbosch University |
| record_format | dspace |
| source_str | SUNScholar — Stellenbosch University Repository |
| spelling | oai:scholar.sun.ac.za:10019.1/127193 The effect of covid-19 lockdown on healthcare utilisation and hospital mortality in children < 5 years of age in a large Cape Town District, South Africa Elmi, Noradin Smit, Liezl Rabie, Helena Wessels, Thandi Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Paediatrics and Child Health. Children -- Mortality -- Cape Town (South Africa) COVID-19 (Disease) -- Death -- Cape Town (South Africa) Children -- Hospitals -- Mortality -- Cape Town (South Africa) UCTD Thesis (MMed)--Stellenbosch University, 2023. ENGLISH SUMMARY: Background: Lockdown policies resulted in a de-escalation of non-COVID-19 healthcare services during the COVID-19 pandemic. The aim of this study was to investigate the effect of these lockdown measures on health care utilization and in-hospital mortality in children < 5 years of age in Metro East, a large Cape Town district in South Africa. Methods: A retrospective cross-sectional study was done to compare routinely collected child health data from 1 January – 31 December 2020, the first wave of the COVID-19 pandemic, with similar time periods in 2018 and 2019. Secondary data from the Standard Information Jointly Assembled by Networked Infrastructure (SINJANI) and the Child Healthcare Problem Identification Programme (CHPIP) databases for all Metro East primary healthcare clinics (PHC) and Hospitals were included in the data analysis. Results: During hard lockdown levels, primary healthcare visits across Metro East showed a 1.8 times decline compared to the same time period in 2019 (p<0.05). A 1.2 times decline in the provision of the first dose of measles with a 1.4 times decline in the number of fully immunised children at 1 year of age were seen (p=0.84). Total hospital emergency care visits were 35.7% less in 2020 (16 368) compared to 2019 (25 446). Total hospital admissions across Metro East decreased in 2020 (9 810) compared to 2019 (10 247) and 2018 (11 698) (p<0.01), with a sharp decrease when lockdown was instituted; recording 384 admissions in April 2020 compared to 1 168 in 2019 and 1 330 in 2018. In contrast to previous years, acute gastro-enteritis [27%; 2 675/9 810] accounted for a higher proportion of hospital admissions than acute respiratory infections [22%; 2 141/9 810] in 2020. Although fewer total deaths were reported in hospitals across Metro East in 2020 (119), the in-hospital mortality rate increased from 2.3% [96/4 163] in 2019 to 3.8% [95/2 498] (p<0.01) in 2020 in Tygerberg Hospital, where 80% (95/119) of deaths were recorded. Conclusion: Measures instituted during the COVID-19 pandemic in 2020 disrupted the access to, and provision of, healthcare services for children. This resulted in an immediate, and potential future, indirect effect on child morbidity and mortality in Cape Town. AFRIKAANSE OPSOMMING: Geen opsomming beskikbaar. Masters 2023-03-04T14:26:00Z 2023-05-18T07:09:05Z 2023-03-04T14:26:00Z 2023-05-18T07:09:05Z 2023-03 Thesis http://hdl.handle.net/10019.1/127193 en_ZA Stellenbosch University 37 pages ; includes annexures application/pdf Stellenbosch : Stellenbosch University |
| spellingShingle | Children -- Mortality -- Cape Town (South Africa) COVID-19 (Disease) -- Death -- Cape Town (South Africa) Children -- Hospitals -- Mortality -- Cape Town (South Africa) UCTD Elmi, Noradin The effect of covid-19 lockdown on healthcare utilisation and hospital mortality in children < 5 years of age in a large Cape Town District, South Africa |
| title | The effect of covid-19 lockdown on healthcare utilisation and hospital mortality in children < 5 years of age in a large Cape Town District, South Africa |
| title_full | The effect of covid-19 lockdown on healthcare utilisation and hospital mortality in children < 5 years of age in a large Cape Town District, South Africa |
| title_fullStr | The effect of covid-19 lockdown on healthcare utilisation and hospital mortality in children < 5 years of age in a large Cape Town District, South Africa |
| title_full_unstemmed | The effect of covid-19 lockdown on healthcare utilisation and hospital mortality in children < 5 years of age in a large Cape Town District, South Africa |
| title_short | The effect of covid-19 lockdown on healthcare utilisation and hospital mortality in children < 5 years of age in a large Cape Town District, South Africa |
| title_sort | effect of covid 19 lockdown on healthcare utilisation and hospital mortality in children 5 years of age in a large cape town district south africa |
| topic | Children -- Mortality -- Cape Town (South Africa) COVID-19 (Disease) -- Death -- Cape Town (South Africa) Children -- Hospitals -- Mortality -- Cape Town (South Africa) UCTD |
| url | http://hdl.handle.net/10019.1/127193 |
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