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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

From: COVID-19 epidemiology and changes in health service utilization in Uganda’s refugee settlements during the first year of the pandemic

 

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

  1. Bold results indicate a statistically significant result (confidence interval does not include 1)
  2. 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
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BMC Public Health

ISSN: 1471-2458

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