Impact of the COVID-19 pandemic on access to and utilisation of services for sexual and reproductive health: a scoping review.
COVID-19
HIV
Health systems
Systematic review
Journal
BMJ global health
ISSN: 2059-7908
Titre abrégé: BMJ Glob Health
Pays: England
ID NLM: 101685275
Informations de publication
Date de publication:
10 2022
10 2022
Historique:
received:
11
05
2022
accepted:
13
08
2022
entrez:
6
10
2022
pubmed:
7
10
2022
medline:
12
10
2022
Statut:
ppublish
Résumé
The COVID-19 pandemic has negatively impacted health systems globally and widened preexisting disparities. We conducted a scoping review on the impact of the COVID-19 pandemic on women and girls' access to and utilisation of sexual and reproductive health (SRH) services for contraception, abortion, gender-based and intimate partner violence (GBV/IPV) and sexually transmitted infections (STIs). We systematically searched peer reviewed literature and quantitative reports, published between December 2019 and July 2021, focused on women and girls' (15-49 years old) access to and utilisation of selected SRH services during the COVID-19 pandemic. Included studies were grouped based on setting, SRH service area, study design, population and reported impact. Qualitative data were coded, organised thematically and grouped by major findings. We included 83 of 3067 identified studies and found that access to contraception, in-person safe abortion services, in-person services for GBV/IPV and STI/HIV testing, prevention and treatment decreased. The geographical distribution of this body of research was uneven and significantly less representative of countries where COVID-19 restrictions were very strict. Access was limited by demand and supply side barriers including transportation disruptions, financial hardships, limited resources and legal restrictions. Few studies focused on marginalised groups with distinct SRH needs. Reports indicated negative impacts on access to and utilisation of SRH services globally, especially for marginalised populations during the pandemic. Our findings call for strengthening of health systems preparedness and resilience to safeguard global access to essential SRH services in ongoing and future emergencies.
Identifiants
pubmed: 36202429
pii: bmjgh-2022-009594
doi: 10.1136/bmjgh-2022-009594
pmc: PMC9539651
pii:
doi:
Types de publication
Journal Article
Systematic Review
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Subventions
Organisme : World Health Organization
ID : 001
Pays : International
Informations de copyright
© Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.
Références
Prev Med. 2021 Sep;150:106664
pubmed: 34081938
PLoS Med. 2007 Oct;4(10):1584-8
pubmed: 17958467
Reprod Health Matters. 2004 Nov;12(24 Suppl):1-8
pubmed: 15938152
Eur J Contracept Reprod Health Care. 2020 Dec;25(6):445-448
pubmed: 33044107
Lancet HIV. 2020 Nov;7(11):e735
pubmed: 32758479
Trop Med Infect Dis. 2021 May 31;6(2):
pubmed: 34072803
Am J Prev Med. 2021 Sep;61(3):386-393
pubmed: 34020848
Womens Health Rep (New Rochelle). 2021 Mar 23;2(1):71-77
pubmed: 33786533
Lancet. 2020 Dec 12;396(10266):1864-1866
pubmed: 33271130
Bull World Health Organ. 2021 Jun 01;99(6):429-438
pubmed: 34108753
Trop Med Infect Dis. 2021 May 10;6(2):
pubmed: 34068615
BMJ Sex Reprod Health. 2021 Oct;47(4):277-284
pubmed: 33737316
Int J Environ Res Public Health. 2021 Apr 06;18(7):
pubmed: 33917305
BMJ Sex Reprod Health. 2021 Oct;47(4):e14
pubmed: 33093040
WHO South East Asia J Public Health. 2020 Sep;9(2):100-103
pubmed: 32978340
Reprod Health. 2020 Oct 28;17(1):166
pubmed: 33115474
J Interpers Violence. 2021 May;36(9-10):4899-4915
pubmed: 33691528
BMJ Sex Reprod Health. 2021 Oct;47(4):238-245
pubmed: 33431614
BMC Public Health. 2021 May 12;21(1):901
pubmed: 33980193
Sex Transm Dis. 2020 Jul;47(7):434-436
pubmed: 32520878
Am J Public Health. 2014 Jun;104 Suppl 3:S460-9
pubmed: 24754620
BMJ Glob Health. 2022 Jan;7(1):
pubmed: 35027438
Glob Public Health. 2020 Oct;15(10):1430-1442
pubmed: 32816628
Contraception. 2021 Jul;104(1):77-81
pubmed: 33894247
Lancet Glob Health. 2021 Jun;9(6):e759-e772
pubmed: 33811827
Lancet. 2018 Jun 30;391(10140):2642-2692
pubmed: 29753597
Obstet Gynecol. 2021 Mar 1;137(3):415-417
pubmed: 33543892
J Forensic Nurs. 2021 Apr-Jun 01;17(2):93-97
pubmed: 34432402
AIDS Behav. 2021 May;25(5):1366-1372
pubmed: 33738698
J Interpers Violence. 2022 Jun;37(11-12):NP9345-NP9366
pubmed: 33334241
Int J Gynaecol Obstet. 2021 Aug;154(2):220-226
pubmed: 34051106
AIDS Behav. 2020 Nov;24(11):3010-3013
pubmed: 32488552
EClinicalMedicine. 2021 Jun 19;37:100947
pubmed: 34195576
Sex Transm Dis. 2021 Aug 1;48(8):606-613
pubmed: 33859146
World Dev. 2021 Jan;137:105217
pubmed: 33012955
BMC Med. 2021 Feb 5;19(1):20
pubmed: 33541357
Int J Womens Health. 2021 May 19;13:479-488
pubmed: 34040456
J Glob Health. 2020 Dec;10(2):020359
pubmed: 33110555
BMJ Sex Reprod Health. 2021 Oct;47(4):269-276
pubmed: 33707178
Sex Reprod Health Matters. 2021 Dec;29(1):1921901
pubmed: 33982638
Psychiatry Clin Neurosci. 2021 Feb;75(2):64-66
pubmed: 33225558
PLoS One. 2021 Apr 1;16(4):e0249453
pubmed: 33793663
Econ Lett. 2021 Feb;199:109729
pubmed: 33897073
Open Forum Infect Dis. 2020 Nov 02;8(1):ofaa536
pubmed: 33506064
Nat Hum Behav. 2021 Apr;5(4):529-538
pubmed: 33686204
Healthcare (Basel). 2021 Apr 08;9(4):
pubmed: 33917784
Int J Evid Based Healthc. 2015 Sep;13(3):141-6
pubmed: 26134548
Reprod Health. 2021 Jan 18;18(1):10
pubmed: 33461593
Contraception. 2021 Mar;103(3):157-162
pubmed: 33212033
Perspect Sex Reprod Health. 2020 Dec;52(4):217-225
pubmed: 33289197
AIDS Behav. 2020 Nov;24(11):3006-3009
pubmed: 32451939
F1000Res. 2021 Feb 15;10:112
pubmed: 33880174
J Gynecol Obstet Hum Reprod. 2021 May;50(5):102038
pubmed: 33307242
Lancet HIV. 2021 Mar;8(3):e158-e165
pubmed: 33549166
BMJ Sex Reprod Health. 2021 Oct;47(4):252-260
pubmed: 33579717
J Med Internet Res. 2020 Nov 26;22(11):e23449
pubmed: 33197230
Int J Infect Dis. 2020 Jul;96:311-314
pubmed: 32413608
Acta Obstet Gynecol Scand. 2021 Apr;100(4):571-578
pubmed: 33179265
Obstet Gynecol. 2020 Oct;136(4):835-837
pubmed: 32701762
Lancet Glob Health. 2020 Sep;8(9):e1132-e1141
pubmed: 32673577
Lancet. 2020 Aug 1;396(10247):301-302
pubmed: 32738942
Am J Trop Med Hyg. 2020 Dec 29;104(2):519-525
pubmed: 33377449
Sex Transm Infect. 2021 Sep;97(6):402-410
pubmed: 33782145
AIDS Behav. 2021 Jan;25(1):68-72
pubmed: 32816193
Radiology. 2021 Jan;298(1):E38-E45
pubmed: 32787700
Ann Intern Med. 2018 Oct 2;169(7):467-473
pubmed: 30178033
Arch Pediatr Adolesc Med. 2006 Dec;160(12):1248-54
pubmed: 17146022
Reprod Health. 2021 Dec 20;18(1):252
pubmed: 34930318
Open Forum Infect Dis. 2021 Jul 01;8(7):ofab283
pubmed: 34307725
Can J Public Health. 2011 Sep-Oct;102(5):345-8
pubmed: 22032099
Euro Surveill. 2020 Nov;25(47):
pubmed: 33243354
Sex Reprod Health Matters. 2020 Dec;28(1):1-3
pubmed: 32441213
N Z Med J. 2018 Dec 14;131(1487):54-69
pubmed: 30543612
Epidemiol Rev. 2010;32:152-74
pubmed: 20570955
Reprod Health. 2021 Dec 14;18(1):248
pubmed: 34906177
BMC Public Health. 2021 Feb 3;21(1):276
pubmed: 33536001
MMWR Morb Mortal Wkly Rep. 2021 May 28;70(21):794-795
pubmed: 34043613
Eur J Contracept Reprod Health Care. 2021 Aug;26(4):265-271
pubmed: 33615946
Open Access J Contracept. 2021 May 20;12:103-111
pubmed: 34045908
J Int Assoc Provid AIDS Care. 2021 Jan-Dec;20:23259582211017742
pubmed: 34013809
Sex Transm Infect. 2020 Nov;96(7):473-474
pubmed: 33077611
AIDS Behav. 2021 May;25(5):1323-1330
pubmed: 33389320
AIDS Care. 2021 May;33(5):559-565
pubmed: 33242981
BMJ Open. 2020 Oct 5;10(10):e043763
pubmed: 33020109
Am J Med Sci. 2022 Apr;363(4):288-294
pubmed: 35085528
Contraception. 2021 Jul;104(1):111-116
pubmed: 33930382
Int Perspect Sex Reprod Health. 2020 Apr 16;46:73-76
pubmed: 32343244
JAMA. 2021 Feb 16;325(7):691-693
pubmed: 33393997
J Fam Violence. 2022;37(6):969-977
pubmed: 33654343
Contraception. 2021 Jun;103(6):380-385
pubmed: 33587906
Health Care Women Int. 2020 Nov-Dec;41(11-12):1294-1312
pubmed: 33085577
J Med Internet Res. 2020 Aug 6;22(8):e20961
pubmed: 32716895
Nature. 2020 Jul;583(7815):194-198
pubmed: 32641809
Am J Trop Med Hyg. 2020 Sep;103(3):1198-1200
pubmed: 32762799
Trop Med Infect Dis. 2021 May 19;6(2):
pubmed: 34069332
PLoS One. 2021 Feb 2;16(2):e0244936
pubmed: 33529206
Am J Obstet Gynecol. 2021 Jul;225(1):94-95
pubmed: 33713682
Psychol Med. 2020 Dec 07;:1-2
pubmed: 33280627
J Med Internet Res. 2021 Feb 19;23(2):e22790
pubmed: 33605898
PLoS One. 2021 Mar 25;16(3):e0249195
pubmed: 33765080
Int J Environ Res Public Health. 2021 Apr 28;18(9):
pubmed: 33925021
Contracept X. 2020 Nov 21;2:100049
pubmed: 33305255
AIDS Behav. 2021 Jan;25(1):28-39
pubmed: 32918641
Lancet Glob Health. 2020 Sep;8(9):e1152-e1161
pubmed: 32710833
Lancet Glob Health. 2021 Jun;9(6):e793-e801
pubmed: 34019835