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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BMJ Publishing Group
2022-06-01
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| author | 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 |
| author_facet | 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 |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-830c343654dc4b83bc69e327e7dbfff3 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2022-06-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-830c343654dc4b83bc69e327e7dbfff32025-01-28T01:00:10ZengBMJ Publishing GroupBMJ Open2044-60552022-06-0112610.1136/bmjopen-2021-057810Health 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 José Guilherme Cecatti0Kun Tang1Igor Toskin2Moazzam Ali3Caron Kim4Stefano Uccella5Simone Garzon6Ge Yang7Vanessa Brizuela8Pisake Lumbiganon9Seni Kouanda10Alexandra SawyerNigel Sherriff11Alessia Savoldi12Anna Thorson13Marleen TemmermanJörg Huber14Soe Soe Thwin15Maddalena Cordioli16Massimo Mirandola17Jaime Vera18Armando Seuc19Laila Ladak20Debbie WilliamsLuis Bahamondes21Deda Ogum Alangea22Abdu MohiddinEunice Nahyuha Chomi23Sothornwit Jen24Modey Emefa25Hamsadvani Kuganantham26Armando Humberto Seuc27Eunice ChomiHanxiyue ZhangYifan ZhuYueping GuoChunxiao PengKwasi TropseyEmefa Judith ModeyRozina Karmaliani28Jen SothornwitFerdinand Okwaro29Ranieri PoliJoy Jerop ChebetHugo Gamerro AbregoDepartamento de Tocoginecologia, Universidade Estadual de Campinas Faculdade de Ciencias Medicas, Campinas, Sao Paulo, BrazilDepartment of Neurology, Wuhan No. 1 Hospital, Wuhan, Hubei, China18 Department of Reproductive Health and Research, World Health Organization, Geneva, Switzerland10 Department of Sexual and Reproductive Health, World Health Organization, Geneva, SwitzerlandDepartment of Sexual and Reproductive Health and Research, World Health Organization, Geneva, Switzerland1 Unit of Obstetrics and Gynecology, Department of Surgery, Dentistry, Pediatrics, and Gynecology, AUOI Verona, University of Verona, Verona, Italy1 Unit of Obstetrics and Gynecology, Department of Surgery, Dentistry, Pediatrics, and Gynecology, AUOI Verona, University of Verona, Verona, ItalyDivision of Neonatology and Center for Newborn Care, Guangzhou Women and Children`s Medical Center, Guangzhou Medical University, Guangzhou, People`s Republic of ChinaUNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), Department of Sexual and Reproductive Health and Research, World Health Organization, Geneve, SwitzerlandDepartment of Obstetrics and Gynaecology, Khon Kaen University, Nai Mueang, ThailandInstitut de Recherche en Sciences de la santé, Centre National de la Recherche Scientifique et Technologique, Ouagadougou, Burkina Faso2 School of Health Sciences, University of Brighton, Brighton, UK2 Infectious Disease Section, Department of Diagnostic and Public Health, University of Verona, Verona, Italy1 UNICEF/UNDP/World Bank/WHO Special Programme for Research and Training in Tropical Diseases (TDR), WHO, Geneva, Switzerland5 School of Health Sciences, University of Brighton, Brighton, UK20 Department of Sexual and Reproductive Health and Research, World Health Organization, Geneva, Switzerland1 WHO Collaborating Centre for Sexual Health and Vulnerable Populations - Epidemiology Unit - Division of Infectious Diseases, Department of Medicine, Verona University Hospital, Verona, Italy1 WHO Collaborating Centre for Sexual Health and Vulnerable Populations - Epidemiology Unit - Division of Infectious Diseases, Department of Medicine, Verona University Hospital, Verona, ItalyDepartment of Global Health and Infection, Brighton and Sussex Medical School, Brighton, UK2 Department of Reproductive Health and Research, World Health Organization, Geneva, Switzerland1 School of Nursing and Midwifery, Aga Khan University, Karachi, PakistanDepartamento de Tocoginecologia, Universidade Estadual de Campinas Faculdade de Ciencias Medicas, Campinas, Sao Paulo, BrazilDepartment of Population, Family, and Reproductive Health, School of Public Health, University of Ghana, Accra, GhanaInstitut de Recherche en Sciences de la Sante, Ouagadougou, Burkina FasoDepartment of Obstetrics and Gynaecology, Khon Kaen University, Khon Kaen, ThailandDept. of Population, Family & Reproductive Health, College of Health Sciences, University of Ghana, Accra, GhanaDepartment of Sexual and Reproductive Health, WHO, Geneve, SwitzerlandNational Institute of Hygiene Epidemiology and Microbiology, Habana, La Habana, CubaAga Khan University School of Nursing & Midwifery, Karachi, PakistanCentre of Excellence in Women and Child Health, The Aga Khan University—Kenya, Nairobi, KenyaIntroduction 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.https://bmjopen.bmj.com/content/12/6/e057810.full |
| spellingShingle | 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 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 BMJ Open |
| title | 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 |
| title_full | 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 |
| title_fullStr | 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 |
| title_full_unstemmed | 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 |
| title_short | 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 |
| title_sort | 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 |
| url | https://bmjopen.bmj.com/content/12/6/e057810.full |
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