Parameter estimates for monthly district-level indicators in Nampula Province from January 2018 to July 2021
| Indicator | Average monthly change in number of visits/cases during prepandemic period β1 (95% CI) | Change in the average monthly number of visits/cases at the onset of the pandemic β2 (95% CI) | Difference between the average monthly change in number of visits/cases during the pandemic compared with the prepandemic period β3 (95% CI) | Linear trend during pandemic β1+β3 (95% CI) |
| Service utilisation†‡ | ||||
| ANC-1 | −3.5 (−7.2 to 0.2) | −53.6 (−146.5 to 39.2) | 29.8 (18.2 to 41.4)** | 26.3 (16.8 to 35.8)** |
| Early ANC | 3.9 (2.2 to 5.7)** | −13.0 (−31.4 to 5.4) | 11.3 (5.5 to 17.2)** | 15.3 (9.7 to 20.8)** |
| ANC-4 | 5.9 (2.3 to 9.5)** | 23.6 (−28.2 to 75.4) | 0.5 (−8.8 to 9.9) | 6.4 (−0.7 to 13.6) |
| Facility delivery | 0.6 (−1.9 to 3.1) | −71.1 (−110.5 to −31.7)** | 6.1 (0.03 to 12.2)* | 6.7 (2.0 to 11.5)** |
| Maternal outcomes (per 100 000 facility deliveries)† | ||||
| Caesarean delivery | 15.9 (2.7 to 29.0)* | 85.6 (−77.1 to 248.4) | −30.1 (−55.0 to −5.3)* | −14.29 (−31.1 to 2.5) |
| Pre-eclampsia/eclampsia | −1.7 (−3.9 to 0.6) | 101.4 (−42.4 to 245.2) | 6.3 (−1.2 to 13.8) | 4.65 (−1.9 to 11.2) |
| Postpartum haemorrhage | −2.57 (−7.8 to 2.8) | 52.5 (−59.6 to 164.6) | −4.2 (−13.0 to 4.5) | −6.71 (−12.8 to −0.6)* |
| Obstructed labour | 3.5 (−2.1 to 9.0) | −2.1 (−167.0 to 162.9) | −9.7 (−26.3 to 6.8) | −6.28 (−20.9 to 8.3) |
| Uterine rupture | 0.7 (−0.8 to 2.2) | 2.4 (−50.4 to 55.2) | −5.3 (−9.9 to −0.6)* | −4.56 (−8.8 to −0.3)* |
| Maternal sepsis | 0.3 (−0.2 to 0.8) | −5.4 (−23.9 to 13.1) | −0.9 (−2.3 to 0.6) | −0.59 (−1.9 to 0.7) |
| Maternal mortality | 0.5 (−0.4 to 1.5) | −13.6 (−37.7 to 10.6) | −1.8 (−5.1 to 1.6) | −1.22 (−4.2 to 1.7) |
| Perinatal outcomes (per 100 000 facility deliveries)† | ||||
| Stillbirths | 1.9 (−7.8 to 11.7) | 42.6 (−159.3 to 244.5) | −19.2 (−33.8 to −4.6)** | −17.3 (−28.6 to −6.0)** |
| Neonatal sepsis | −0.1 (−1.0 to 0.9) | −23.5 (−41.9 to −5.2)* | −0.2 (−1.8 to 1.5) | −0.2 (−1.6 to 1.1) |
| Neonatal asphyxia | 3.9 (−2.6 to 10.4) | 43.4 (−119.0 to 205.7) | −11.3 (−29.2 to 6.6) | −7.4 (−23.2 to 8.4) |
*P<0.05; **p<0.01.
†Adjusts for seasonality.
‡Adjusts for population growth.
ANC, antenatal care.