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

被引:4
作者
Kouanda, Seni [1 ]
Chomi, Eunice Nahyuha [1 ]
Kim, Caron [2 ]
Jen, Sothornwit [3 ]
Bahamondes, Luis [4 ]
Cecatti, Jose Guilherme [5 ]
Lumbiganon, Pisake [3 ]
Emefa, Modey [6 ]
Brizuela, Vanessa [2 ]
Kuganantham, Hamsadvani [2 ]
Seuc, Armando Humberto [2 ]
Ali, Moazzam [2 ]
机构
[1] Inst Res Hlth Sci, Reprod Hlth Unit, Ouagadougou, Burkina Faso
[2] WHO, Dept Sexual & Reprod Hlth, Geneva, Switzerland
[3] Khon Kaen Univ, Dept Obstet & Gynaecol, Nai Mueang, Thailand
[4] State Univ Campinas UNICAMP, Dept Obstet & Gynaecol, Campinas, SP, Brazil
[5] Univ Estadual Campinas, Dept Obstet & Gynaecol, Campinas, SP, Brazil
[6] Univ Ghana, Dept Populat Family & Reprod Hlth, Legon, Ghana
关键词
COVID-19; public health; reproductive medicine;
D O I
10.1136/bmjopen-2021-057810
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
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.
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页数:8
相关论文
共 22 条
[1]  
[Anonymous], 2007, Everybody Business: Strengthening Health Systems to Improve Health Outcomes: WHOs Framework for Action
[2]  
[Anonymous], 2020, In Search of Justice for Crimes of Violence Against Women and Girls
[3]  
[Anonymous], 2001, Putting women first: Ethical and safety recommendations for research on domestic violence against women
[4]  
[Anonymous], 2018, SEC GEND BAS VIOL QU
[5]  
[Anonymous], 2020, ADDRESSING HUMAN RIG
[6]  
[Anonymous], 2020, SEXUAL REPROD HLTH R
[7]  
[Anonymous], 2020, Impact of the COVID-19 Pandemic on TB Detection and Mortality in 2020
[8]  
[Anonymous], 2020, Strategic Communications Section, Community outreach and COVID-19
[9]  
[Anonymous], 2020, CORONAVIRUS DIS COVI
[10]  
[Anonymous], One Year until the Brexit Due Date: What We Know and Dont Know