Introduction The COVID- 19 pandemic discontinued sexual and reproductive health care in Chile and the world. The national focus on hospital care led primary care teams to respond in natural and diverse ways. Understanding the factors involved in this process may improve future responses from the judgment of good practices. Therefore, this study aimed to identify and systematize sexual and reproductive health initiatives raised by primary care teams in response to the COVID- 19 pandemic in Chile. Methods We systematically evaluated initiatives and practices in sexual and reproductive health in prima-ry care between June 2020 and November 2021. This study was developed in three methodological phases: a review of documents, a collection of experiences through an electronic instrument sent to the 29 health services in Chile, and in-depth interviews. According to best practice criteria, mapping and characterizing the initiatives and critical discourse analysis of narratives and interviews were carried out. Results Forty-one initiatives from 19 health services were identified, mainly from the South Central macro zone and urban areas. In these areas, care was recognized. These practices were relevant, aligned with their objectives, rapidly implemented, and used novel strategies through new technologies. However, these initiatives had little intercultural relevance or evaluation. Perceived success was related to motivation, leadership, and institutional and community resilience. The adaptability of initiatives emerged as a new need and criterion of analysis. Conclusion The lessons learned from these initiatives invite us to consider health care teams' mental health, their relationship with the community, the use of new technologies, the evaluation of practices considering satisfaction, cross- cutting approaches, and their adaptability. In all, these aspects may improve primary care response in sexual and reproductive health to new crises.

Este estudio realiza una revisión de alcance basado en la metodología del Joanna Briggs Institute, a través de una búsqueda en sitios web de organizaciones internacionales, buscadores académicos y bases de datos gubernamentales; para observar la inclusión del enfoque de derechos humanos en las políticas de salud sexual y reproductiva, con el objetivo de identificar brechas existentes entre las expectativas y las garantías efectivamente declaradas. La búsqueda arrojó evidencia de 21 países que dan respuesta al enfoque describiendo mayoritariamente las subgarantías de acceso y calidad, parcialmente las de protección financiera y revisión continua, y mínimamente la de reparación. Se concluye que existe una heterogeneidad en la incorporación del enfoque de derechos en el diseño de las políticas: direccionado a la entrega de servicios y en menor medida a la participación social y a la reparación de vulneraciones a sus derechos.