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1. Issues related to pregnancy, pregnancy prevention and abortion in the context of the COVID-19 pandemic: a WHO qualitative study protocol

Author

Cecatti, Jose Guilherme, primary, Bahamondes, Luis, additional, Ali, Moazzam, additional, Alangea, Deda Ogum, additional, Brizuela, Vanessa, additional, Nahyuha Chomi, Eunice, additional, Kouanda, Seni, additional, Karmaliani, Rozina, additional, Ladak, Laila, additional, Lumbiganon, Pisake, additional, Emefa, Modey, additional, Jen, Sothornwit, additional, Kuganantham, Hamsadvani, additional, and Kim, Caron, additional

Published
2022
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2. Health systems analysis and evaluation of the barriers to availability, utilisation and readiness of sexual and reproductive health services in COVID-19-affected areas: a WHO mixed-methods study protocol

Author

Kouanda, Seni, Nahyuha Chomi, Eunice, Kim, Caron, Jen, Sothornwit, Bahamondes, Luis, Cecatti, Jose Guilherme, Lumbiganon, Pisake, Emefa, Modey, Brizuela, Vanessa, Kuganantham, Hamsadvani, Seuc, Armando Humberto, Ali, Moazzam, Luis, Bahamondes, Jose Guilherme Cecatti, Eunice, Chomi, Seni, Kouanda, Kun, Tang, Hanxiyue, Zhang, Yifan, Zhu, Yueping, Guo, Yang, Ge, Chunxiao, Peng, Deda Ogum Alangea, Kwasi, Tropsey, Emefa Judith Modey, Rozina, Karmaliani, Laila, Ladak, Pisake, Lumbiganon, Marleen, Temmerman, Abdu, Mohiddin, Ferdinand, Okwaro, Mirandola, Massimo, Cordioli, Maddalena, Savoldi, Alessia, Garzon, Simone, Uccella, Stefano, Poli, Ranieri, Nigel, Sherriff, Alexandra, Sawyer, Jorg, Huber, Jaime, Vera, Debbie, Williams, Moazzam, Ali, Caron, Kim, Hamsadvani, Kuganantham, Igor, Toskin, Vanessa, Brizuela, Anna, Thorson, Joy Jerop Chebet, Hugo Gamerro Abrego, Soe Soe Thwin, and Armando, Seuc

Subjects
Systems Analysis, COVID19, public health, Social Sciences, COVID-19, General Medicine, World Health Organization, Cross-Sectional Studies, Pregnancy, Medicine and Health Sciences, Humans, Female, Reproductive Health Services, Pandemics, reproductive medicine
Abstract

IntroductionCOVID-19 has led to an unprecedented increase in demand on health systems to care for people infected, necessitating the allocation of significant resources, especially medical resources, towards the response. This, compounded by the restrictions on movement instituted may have led to disruptions in the provision of essential services, including sexual and reproductive health (SRH) services. This study aims to assess the availability of contraception, comprehensive abortion care, sexually transmitted infection prevention and treatment and sexual and gender-based violence care and support services in local health facilities during COVID-19 pandemic. This is a standardised generic protocol designed for use across different global settings.Methods and analysisThis study adopts both quantitative and qualitative methods to assess health facilities’ SRH service availability and readiness, and clients’ and providers’ perceptions of the availability and readiness of these services in COVID-19-affected areas. The study has two levels: (1) perceptions of clients (and the partners) and healthcare providers, using qualitative methods, and (2) assessment of infrastructure availability and readiness to provide SRH services through reviews, facility service statistics for clients and a qualitative survey for healthcare provider perspectives. The health system assessment will use a cross-sectional panel survey design with two data collection points to capture changes in SRH services availability as a result of the COVID-19 epidemic. Data will be collected using focus group discussions, in-depth interviews and a health facility assessment survey.Ethics and disseminationEthical approval for this study was obtained from the WHO Scientific and Ethics Review Committee (protocol ID CERC.0103). Each study site is required to obtain the necessary ethical and regulatory approvals that are required in each specific country.

Published
2022

3. Health systems analysis and evaluation of the barriers to availability, utilisation and readiness of sexual and reproductive health services in COVID-19-affected areas: a WHO mixed-methods study protocol.

Author

Kouanda S, Nahyuha Chomi E, Kim C, Jen S, Bahamondes L, Cecatti JG, Lumbiganon P, Emefa M, Brizuela V, Kuganantham H, Seuc AH, and Ali M

Subjects
Cross-Sectional Studies, Female, Humans, Pandemics, Pregnancy, Systems Analysis, World Health Organization, COVID-19, Reproductive Health Services
Abstract

Introduction: COVID-19 has led to an unprecedented increase in demand on health systems to care for people infected, necessitating the allocation of significant resources, especially medical resources, towards the response. This, compounded by the restrictions on movement instituted may have led to disruptions in the provision of essential services, including sexual and reproductive health (SRH) services. This study aims to assess the availability of contraception, comprehensive abortion care, sexually transmitted infection prevention and treatment and sexual and gender-based violence care and support services in local health facilities during COVID-19 pandemic. This is a standardised generic protocol designed for use across different global settings., Methods and Analysis: This study adopts both quantitative and qualitative methods to assess health facilities' SRH service availability and readiness, and clients' and providers' perceptions of the availability and readiness of these services in COVID-19-affected areas. The study has two levels: (1) perceptions of clients (and the partners) and healthcare providers, using qualitative methods, and (2) assessment of infrastructure availability and readiness to provide SRH services through reviews, facility service statistics for clients and a qualitative survey for healthcare provider perspectives. The health system assessment will use a cross-sectional panel survey design with two data collection points to capture changes in SRH services availability as a result of the COVID-19 epidemic. Data will be collected using focus group discussions, in-depth interviews and a health facility assessment survey., Ethics and Dissemination: Ethical approval for this study was obtained from the WHO Scientific and Ethics Review Committee (protocol ID CERC.0103). Each study site is required to obtain the necessary ethical and regulatory approvals that are required in each specific country., Competing Interests: Competing interests: None declared., (© Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY. Published by BMJ.)

Published
2022
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