作者
Mark J Siedner, John D Kraemer, Mark J Meyer, Guy Harling, Thobeka Mngomezulu, Patrick Gabela, Siphephelo Dlamini, Dickman Gareta, Nomathamsanqa Majozi, Nothando Ngwenya, Janet Seeley, Emily Wong, Collins Iwuji, Maryam Shahmanesh, Willem Hanekom, Kobus Herbst
发表日期
2020/10/1
期刊
BMJ open
卷号
10
期号
10
页码范围
e043763
出版商
British Medical Journal Publishing Group
简介
Objectives
We evaluated whether implementation of lockdown orders in South Africa affected ambulatory clinic visitation in rural Kwa-Zulu Natal (KZN).
Design
Observational cohort
Setting
Data were analysed from 11 primary healthcare clinics in northern KZN.
Participants
A total of 46 523 individuals made 89 476 clinic visits during the observation period.
Exposure of interest
We conducted an interrupted time series analysis to estimate changes in clinic visitation with a focus on transitions from the prelockdown to the level 5, 4 and 3 lockdown periods.
Outcome measures
Daily clinic visitation at ambulatory clinics. In stratified analyses, we assessed visitation for the following subcategories: child health, perinatal care and family planning, HIV services, non-communicable diseases and by age and sex strata.
Results
We found no change in total clinic visits/clinic/day at the time of implementation of the level 5 lockdown …
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