Mapping Evidence of Impacts of COVID-19 Outbreak on Sexual and Reproductive Health: A Scoping Review

Bolarinwa, Obasanjo Afolabi; Seidu, Abdul‐Aziz; Ameyaw, Edward Kwabena; Saeed, Balsam Qubais; Hagan, John Elvis; Nwagbara, Ugochinyere Ijeoma

doi:10.3390/healthcare9040436

Cited by 30 publications

(37 citation statements)

References 43 publications

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“…65 Similarly, although not directly comparable as most studies in the reviews came from high-income settings, two reviews showed adverse effects of COVID-19 on hospital visits, hospitalisations, diagnostics, and maternal and child health services. 19 66 Furthermore, the current study showed that the pandemic had also affected the mental health status of healthcare workers due to fear of infection and work-related stress. The findings from Africa were consistent with those from Thailand, which revealed that the COVID-19 pandemic led to uncertainty, anxiety, fear and stigmatisation among healthcare workers.…”

Section: Discussionmentioning

confidence: 69%

The COVID-19 pandemic and healthcare systems in Africa: a scoping review of preparedness, impact and response

et al. 2021

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BackgroundThe COVID-19 pandemic has overwhelmed health systems in both developed and developing nations alike. Africa has one of the weakest health systems globally, but there is limited evidence on how the region is prepared for, impacted by and responded to the pandemic.MethodsWe conducted a scoping review of PubMed, Scopus, CINAHL to search peer-reviewed articles and Google, Google Scholar and preprint sites for grey literature. The scoping review captured studies on either preparedness or impacts or responses associated with COVID-19 or covering one or more of the three topics and guided by Arksey and O’Malley’s methodological framework. The extracted information was documented following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension checklist for scoping reviews. Finally, the resulting data were thematically analysed.ResultsTwenty-two eligible studies, of which 6 reported on health system preparedness, 19 described the impacts of COVID-19 on access to general and essential health services and 7 focused on responses taken by the healthcare systems were included. The main setbacks in health system preparation included lack of available health services needed for the pandemic, inadequate resources and equipment, and limited testing ability and surge capacity for COVID-19. Reduced flow of patients and missing scheduled appointments were among the most common impacts of the COVID-19 pandemic. Health system responses identified in this review included the availability of telephone consultations, re-purposing of available services and establishment of isolation centres, and provisions of COVID-19 guidelines in some settings.ConclusionsThe health systems in Africa were inadequately prepared for the pandemic, and its impact was substantial. Responses were slow and did not match the magnitude of the problem. Interventions that will improve and strengthen health system resilience and financing through local, national and global engagement should be prioritised.

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Section: Discussionmentioning

confidence: 69%

The COVID-19 pandemic and healthcare systems in Africa: a scoping review of preparedness, impact and response

et al. 2021

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“…Indeed, the impact of the pandemic on contraceptive use depends on several factors such as the methods used by couples, types of disruptions experienced, and their need for contraceptives at a particular point in time (11). However, the literature has almost exclusively focused on the impact of COVID-19 on the use of pre-coital contraceptive methods, with limited attention given to the impact of COVID-19 on the use of post-coital contraceptives (2,(10)(11)(12)(13). Hence, there is limited empirical evidence on the impact of infectious disease outbreaks on the use of emergency contraceptives (ECs) in a pandemic situation.…”

Section: Introductionmentioning

confidence: 99%

Impact of COVID-19 on the Use of Emergency Contraceptives in Ghana: An Interrupted Time Series Analysis

Fuseini¹,

Jarvis

Hindin

et al. 2022

Front. Reprod. Health

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The Coronavirus disease pandemic has disrupted reproductive health services including decline in the use of pre-coital contraceptives. However, evidence of its impact on the use of emergency contraceptives, often, post-coital methods, is limited in the emerging literature, hence this study. Data on total number of emergency contraceptive users from January 2018 to February 2020 (pre-pandemic) and March to December 2020 (during the pandemic) were extracted from the Ghana Health Service District Health Information Management System. Interrupted Time Series analysis was used to estimate the impact of the pandemic on the trend of emergency contraceptive use, adjusting for serial autocorrelation and seasonality. The results showed a gradual upward trend in emergency contraceptive use before the pandemic, increasing at a rate of about 67 (95% CI 37.6–96.8; p = 0.001) users per month. However, the pandemic caused a sudden spike in the use of emergency contraceptives. The pandemic and its related restrictions had an immediate effect on the use of emergency contraceptives, increasing significantly by about 1939 users (95% CI 1096.6–2781.2; p = 0.001) in March 2020. Following March 2020, the number of emergency contraceptive users continued to increase by about 385 users per month (95% CI 272.9–496.4; p = 0.001). The evidence shows that use of emergency contraceptives, often used as post-coital methods for unprotected sex was not negatively impacted by the pandemic. In fact, it is the opposite. Hence, in planning for similar situations attention should be given to the distribution of post-coital contraceptive methods.

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“…We believe that our results are applicable to the Czech setting and patients using outpatient diabetes services, even during the COVID-19 pandemic. However, we are aware that in some other segments of health care or in other regions [ 50 , 52 , 53 ] the impact of this pandemic may have a non-negligible effect, not only on the spatial patterns of health service use.…”

Section: Discussionmentioning

confidence: 99%

Spatial Healthcare Accessibility: A District-Level Analysis of Travel for Outpatient Diabetology in Czechia

Šídlo

Maláková

2022

Healthcare

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Assessments of regional differences in the accessibility and capacity of health services often rely on indicators based on data from the permanent residents of a given region. However, a patient does not always use health services in their place of residence. The objective of this article is to evaluate the influence of spatial healthcare accessibility on regional differences in the provision and take-up of health services, using outpatient diabetology in Czechia as a case study. The analysis is grounded in monitoring the differences in the patient’s place of residence and the location of the healthcare provided. Anonymized individual data of the largest Czech health insurance company for 2019 are used (366,537 patients, 2,481,129 medical procedures). The data are aggregated at the district level (LAU 1). It has been identified that regions where patients travel outside their area of residence to access more than half of their healthcare needs are mostly in local/regional centres. Moreover, these patients increase the number of medical services provided in local/regional centres, often by more than 20%, which has been reflected in greater healthcare capacity in these centres. To assess regional differences, it is important to take the spatial healthcare accessibility into account and also consider why patients travel for healthcare. Reasons could be the insufficient local capacity, varied quality of health services or individual factors. In such cases, healthcare actors (health insurance companies, local government etc.) should respond to the situation and take appropriate action to reduce these dissimilarities.

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Mapping Evidence of Impacts of COVID-19 Outbreak on Sexual and Reproductive Health: A Scoping Review

Cited by 30 publications

References 43 publications

The COVID-19 pandemic and healthcare systems in Africa: a scoping review of preparedness, impact and response

The COVID-19 pandemic and healthcare systems in Africa: a scoping review of preparedness, impact and response

Impact of COVID-19 on the Use of Emergency Contraceptives in Ghana: An Interrupted Time Series Analysis

Spatial Healthcare Accessibility: A District-Level Analysis of Travel for Outpatient Diabetology in Czechia

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