Perspectives and experiences of healthcare providers on the response to the COVID-19 pandemic in three maternal and neonatal referral hospitals in Guinea in 2020: a qualitative study.

Perspectives and experiences of healthcare providers on the response to the COVID-19 pandemic in three maternal and neonatal referral hospitals in Guinea in 2020: a qualitative study.

Publication date: Feb 21, 2024

The COVID-19 pandemic has adversely affected access to essential healthcare services. This study aimed to explore healthcare providers’ perceptions and experiences of the response to the COVID-19 pandemic in three referral maternal and neonatal hospitals in Guinea. We conducted a longitudinal qualitative study between June and December 2020 in two maternities and one neonatology referral ward in Conakry and Mamou. Participants were purposively recruited to capture diversity of professional cadres, seniority, and gender. Four rounds of in-depth interviews (46 in-depth interviews with 18 respondents) were conducted in each study site, using a semi-structured interview guide that was iteratively adapted. We used both deductive and inductive approaches and an iterative process for content analysis. We identified four themes and related sub-themes presented according to whether they were common or specific to the study sites, namely: 1) coping strategies & care reorganization, which include reducing staffing levels, maintaining essential healthcare services, suspension of staff daily meetings, insertion of a new information system for providers, and co-management with COVID-19 treatment center for caesarean section cases among women who tested positive for COVID-19; 2) healthcare providers’ behavior adaptations during the response, including infection prevention and control measures on the wards and how COVID-19-related information influenced providers’ daily work; 3) difficulties encountered by providers, in particular unavailability of personal protective equipment (PPE), lack of financial motivation, and difficulties reducing crowding in the wards; 4) providers perceptions of healthcare service use, for instance their fear during COVID-19 response and perceived increase in severity of complications received and COVID-19 cases among providers and parents of newborns. This study provides insights needed to be considered to improve the preparedness and response of healthcare facilities and care providers to future health emergencies in similar contexts.

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Concepts Keywords
December COVID-19
June Guinea
Neonatology Health system response
Pandemic Healthcare providers
Professional Maternal health
Maternity ward
Neonatal health
Neonatology ward
Sub-Saharan Africa

Semantics

Type Source Name
disease MESH COVID-19 pandemic
disease IDO site
disease IDO process
drug DRUGBANK Etoperidone
disease MESH infection
disease VO LACK
disease MESH complications
disease MESH emergencies
disease MESH Long Covid
pathway REACTOME Reproduction
disease MESH morbidity
disease VO pregnant women
disease VO document
disease VO vaccine
drug DRUGBANK Spinosad
disease VO organization
disease VO volume
disease IDO country
drug DRUGBANK Trestolone
disease MESH neonatal deaths
disease IDO facility
drug DRUGBANK Creatinolfosfate
drug DRUGBANK Coenzyme M
disease VO time
drug DRUGBANK Methyltestosterone
drug DRUGBANK Methionine
disease VO protocol
disease MESH infectious diseases
disease VO nose
disease VO mouth
disease VO frequency
disease IDO quality
drug DRUGBANK Pentaerythritol tetranitrate
drug DRUGBANK Polyethylene glycol
disease MESH eclampsia
disease MESH uterine ruptures
drug DRUGBANK Oxytocin
drug DRUGBANK Serine
disease MESH psychosis
disease MESH nosocomial infection
disease MESH Ebola Virus Disease
disease VO effective
disease MESH MCD
drug DRUGBANK Diethylstilbestrol
drug DRUGBANK Nitrazepam
disease MESH stillbirth
drug DRUGBANK Ibuprofen
disease VO organ
drug DRUGBANK L-Citrulline
disease MESH live births
drug DRUGBANK Aminosalicylic Acid

Original Article

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