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

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

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 d...

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Main Authors: José Guilherme Cecatti, Kun Tang, Igor Toskin, Moazzam Ali, Caron Kim, Stefano Uccella, Simone Garzon, Ge Yang, Vanessa Brizuela, Pisake Lumbiganon, Seni Kouanda, Alexandra Sawyer, Nigel Sherriff, Alessia Savoldi, Anna Thorson, Marleen Temmerman, Jörg Huber, Soe Soe Thwin, Maddalena Cordioli, Massimo Mirandola, Jaime Vera, Armando Seuc, Laila Ladak, Debbie Williams, Luis Bahamondes, Deda Ogum Alangea, Abdu Mohiddin, Eunice Nahyuha Chomi, Sothornwit Jen, Modey Emefa, Hamsadvani Kuganantham, Armando Humberto Seuc, Eunice Chomi, Hanxiyue Zhang, Yifan Zhu, Yueping Guo, Chunxiao Peng, Kwasi Tropsey, Emefa Judith Modey, Rozina Karmaliani, Jen Sothornwit, Ferdinand Okwaro, Ranieri Poli, Joy Jerop Chebet, Hugo Gamerro Abrego
Format: Article
Language:English
Published: BMJ Publishing Group 2022-06-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/12/6/e057810.full
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Summary: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.
ISSN:2044-6055

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