How the coronavirus disease 2019 pandemic is impacting sexual and reproductive health and rights and response: Results from a global survey of providers, researchers, and policy‐makers

作者：Margit Endler, Taghreed Alhaidari, Chiara Benedetto, Sameena Chowdhury, Jan Christilaw, Faysal El Kak, Diana Galimberti, Claudı́a Garcia‐Moreno, Miguel Gutiérrez, Shaimaa Ibrahim, Shantha Kumari, Colleen McNicholas, Desirée Mostajo Flores, John Muganda, Atziri Ramirez‐Negrin, Hemantha Senanayake, Rubina Sohail, Marleen Temmerman, Kristina Gemzell‐Danielsson · 发表于：Acta Obstetricia Et Gynecologica Scandinavica · 年份：2020 · DOI：10.1111/aogs.14043 · 被引用次数：91 · 研究领域：Reproductive Health and Contraception、COVID-19 Impact on Reproduction、Global Maternal and Child Health

INTRODUCTION: We aimed to give a global overview of trends in access to sexual and reproductive health and rights (SRHR) during the coronavirus disease 2019 (COVID-19) pandemic and what is being done to mitigate its impact. MATERIAL AND METHODS: We performed a descriptive analysis and content analysis based on an online survey among clinicians, researchers, and organizations. Our data were extracted from multiple-choice questions on access to SRHR services and risk of SRHR violations, and written responses to open-ended questions on threats to access and required response. RESULTS: The survey was answered by 51 people representing 29 countries. Eighty-six percent reported that access to contraceptive services was less or much less because of COVID-19, corresponding figures for surgical and medical abortion were 62% and 46%. The increased risk of gender-based and sexual violence was assessed as moderate or severe by 79%. Among countries with mildly restrictive abortion policies, 69% had implemented changes to facilitate access to abortion during the pandemic, compared with none among countries with severe restrictions (P < .001), 87.5% compared with 46% had implemented changes to facilitate access to contraception (P = .023). The content analysis showed that (a) prioritizations in health service delivery at the expense of SRHR, (b) lack of political will, (c) the detrimental effect of lockdown, and (d) the suspension of sexual education, were threats to SRHR access (theme 1). ...