COVID-19: What implications for sexual and reproductive health and rights globally?

Hussein, Julia

doi:10.1080/26410397.2020.1746065

Cited by 181 publications

(189 citation statements)

References 13 publications

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“…For instance, gendered roles as family caregivers and front-line healthcare workers may elevate women's exposure to COVID-19 [41], requiring a genderbased analysis of social and health impacts of public health measures such as quarantine. Past pandemics such as Ebola reduced women's access to maternal and child health services [42], abortion [43], and reduced uptake of HIV services [44]. Social disparities are associated with health disparities.…”

Section: Tensions Between Stigma Mitigation and Covid-19 Public Healtmentioning

confidence: 99%

How Do We Balance Tensions Between COVID-19 Public Health Responses and Stigma Mitigation? Learning from HIV Research

2020

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We are not being invaded. The body is not a battlefield. The ill are neither unavoidable casualties nor the enemy. We-medicine, society-are not authorized to fight back by any means whatever. -Sontag (1 p. 180) Sontag's quotation above from 'AIDS and its metaphors' [1] reminds us to expose, and disengage from, constructions of illness that propagate fear. We are called to address the fear of COVID-19 by correcting misinformation [2,3]. While misinformation is indeed a driver of fear and stigma, other underlying facilitators produce stigma [4,5] and need to be considered in stigma mitigation. HIV research and an understanding of the historical construction of illness can be leveraged to mitigate COVID-19 stigma. COVID-19 public health responses-essential for prevention and containment [6,7]-also have the potential to exacerbate stigma [8]. We outline four tensions between COVID-19 containment and stigma mitigation, and offer possible ways forward.

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Section: Tensions Between Stigma Mitigation and Covid-19 Public Healtmentioning

confidence: 99%

How Do We Balance Tensions Between COVID-19 Public Health Responses and Stigma Mitigation? Learning from HIV Research

2020

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“…These differences could also be partly attributed to the limited capacities and resources of healthcare systems in some LMICs. 48 There is speculation that the outbreak in African countries might be attenuated, but equally possible that trends similar to those witnessed in Europe might be observed. 49,50 This indicates an urgent need to mobilise resources in resource-limited settings, improve testing capacities, and upgrade the responses, including at maternity facilities.…”

Section: Responsementioning

confidence: 99%

Voices from the frontline: findings from a thematic analysis of a rapid online global survey of maternal and newborn health professionals facing the COVID-19 pandemic

Semaan

Audet

Huysmans

et al. 2020

Preprint

178

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ObjectiveTo prospectively document experiences of frontline maternal and newborn healthcare providers during the COVID-19 pandemic. DesignCross-sectional study via an online survey disseminated through professional networks and social media in 12 languages. We analysed responses using descriptive statistics and qualitative thematic analysis disaggregating by low-and middle-income countries (LMICs) and high-income countries (HICs).Setting 81 countries, between March 24 and April 10, 2020.Participants 714 maternal and newborn healthcare providers. Main outcome measuresPreparedness for and response to COVID-19, experiences of health workers providing care to women and newborns, and adaptations to 17 outpatient and inpatient care processes during the pandemic. ResultsOnly one third of respondents received training on COVID-19 from their health facility and nearly all searched for information themselves. Half of respondents in LMICs received updated guidelines for care provision compared with 82% in HICs. Overall, only 47% of participants in LMICs, and 69% in HICs felt mostly or completely knowledgeable in how to care for COVID-19 maternity patients. Facility-level responses to COVID-19 (signage, screening, testing, and isolation rooms) were more common in HICs than LMICs. Globally, 90% of respondents reported somewhat or substantially higher levels of stress. There was a widespread perception of reduced use of routine maternity care services, and of modification in care processes, some of which were not evidence-based. ConclusionsSubstantial knowledge gaps exist in guidance on management of maternity cases with or without COVID-19. Formal information sharing channels for providers must be established and mental health support provided. Surveys of maternity care providers can help track the situation, capture innovations, and support rapid development of effective responses. We would like to thank the study participants who took time to respond to this survey despite the difficult circumstances and increased workload. We acknowledge the Institutional

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“…race, sexual orientation) and practices (e.g., sex work, drug use) [15]. Instead, stigma is understood as intersectional, social ecological, and produced by drivers (e.g., misinformation) and facilitators (e.g., inequitable social norms) [15‐18]. Intersecting stigma – such as racism and poverty – interact with HIV‐related stigma to harm health engagement and outcomes [16,17] and may present analogous barriers to COVID‐19 testing and treatment [14].…”

mentioning

confidence: 99%

“…Social ecological approaches to HIV remind us that stigma is intrapersonal (affecting our self‐perception and mental health), interpersonal (altering our relationships), social (embedded in community norms and values) and structural (reproduced institutionally in health, legal, employment and other practices) [15,16]. Researchers can apply this lens to explore COVID‐19 stigma’s effects on mental health, intimate relationships [18], community cohesiveness, and interactions with police, employers, healthcare providers, among others.…”

mentioning

confidence: 99%

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Lessons learned from HIV can inform our approach to COVID‐19 stigma

Logie

2020

J Intern AIDS Soc

109

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COVID-19: What implications for sexual and reproductive health and rights globally?

Cited by 181 publications

References 13 publications

How Do We Balance Tensions Between COVID-19 Public Health Responses and Stigma Mitigation? Learning from HIV Research

How Do We Balance Tensions Between COVID-19 Public Health Responses and Stigma Mitigation? Learning from HIV Research

Voices from the frontline: findings from a thematic analysis of a rapid online global survey of maternal and newborn health professionals facing the COVID-19 pandemic

Lessons learned from HIV can inform our approach to COVID‐19 stigma

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