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Introduction and aim. The objective of this study is to evaluate the nutritional status of children aged 0-24 months, and analyze its association with socioeconomic status during the COVID-19 pandemic in Morocco. Material and methods. This cross-sectional study was carried out in the outpatient health network between 2021 and 2022, by taking anthropometric measurements of children in accordance with World Health Organization standards and using a questionnaire sent to consenting mothers. Results. 1012 children were included in this study. The prevalence of overweight was 13.3%, obesity 3.2%, wasting and severe wasting 2.7%. The study revealed that boys had a higher prevalence of overweight compared to girls (p=0.01), while girls were more likely to have a normal weight than boys (p=0.001). Furthermore, a statistically significant association was observed between nutritional status and age in boys (p=0.003); however, malnutrition such as overweight and wasting increased after the age of 12 months in both genders. There was a significant correlation between child nutritional status, gender, and residence, but no significant association was found with parental education or household income. Conclusion. This study suggests that it is important to develop strategies to improve socio-economic status in the aftermath of the COVID-19 pandemic.
EN
Introduction and aim. The aim of this study was to compare trends of in-hospital maternal mortality in southern Morocco before and after the COVID-19 pandemic emerged in the Kingdom in March 2020. Material and methods. We conducted a retrospective study of a time series of hospital maternal deaths from January 2016 to December 2022. Data were collected from maternal death registers and monthly reports from maternity departments of six public hospitals in Souss Massa region (one regional and five provincial hospitals). Results. 216 maternal deaths occurred during the study period, 112 before and 104 during the pandemic. The highest annual maternal mortality ratio (MMR) was observed in 2021 (207.41 deaths/100,000 live births). Trends of monthly MMR showed a significant increase during the pandemic compared with the pre-pandemic period (p=0.002). Furthermore, an extremely high MMR value (977.57/100,000 live births) was noted in August 2021 (the Delta wave). There was a significant difference in the distribution of causes of maternal death. Proportion of indirect causes were tripled during the pandemic (from 8% to 24%), with 17/104 (16.3%) deaths related to SARS-CoV-2 pneumonia. Conclusion. In-hospital MMR increased in public hospitals of the Souss Massa region during the COVID-19 pandemic, particularly in the third quarter of 2021.
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