Opportunities and Challenges of Delivering Postabortion Care and Postpartum Family Planning During the COVID-19 Pandemic

Abstract

We seek to assist decision makers in maximizing provision of essential services without compromising access to quality family planning care and while minimizing the risk of COVID-19 transmission among clients, and between clients and health care workers. n Managers should help facility teams to integrate counseling and provide a range of contraceptive methods as is feasible within existing contacts with pregnant, postabortion, birthing, and postpartum women, even as services migrate to new models with a mixture of in-person and virtual/tele-health consultations. n Policy makers should prioritize devoting resources to meet the family planning needs of pregnant, postabortion, birthing, and postpartum women, and the health care workers serving them as an investment against higher health systems burdens in later months and during subsequent waves of the pandemic.

Contraceptive dynamics during COVID-19 in sub-Saharan Africa: longitudinal evidence from Burkina Faso and Kenya

“…► Fourteen percent of women at risk of unintended pregnancy and not using contraception in Kenya Original research mobility restrictions, service disruptions and economic insecurity, which inhibit access to time-sensitive care. [4][5][6][7][8][9] Adding to the existing challenges of satisfying women's need for contraception in the region, 10 the pandemic may increase rates of unintended pregnancy and unsafe abortion. 11 Women's fertility intentions and need for contraception may also change due to unpredictable economic circumstances.…”

How Home Delivery of Antiretroviral Drugs Ensured Uninterrupted HIV Treatment During COVID-19: Experiences From Indonesia, Laos, Nepal, and Nigeria

“…3,4 In some low-and middle-income countries (LMICs), health care workers have been redeployed to support the COVID-19 response, causing human resource shortages in routine services. 5,6 Travel restrictions, 7 clinic closures, 8 and fears about the risk of infection at health facilities 9 have discouraged health facility visits. The current COVID-19 pandemic and the possibility of future global health security threats restricting access to health facilities make it imperative to find alternative ways of delivering services to PLHIV in the interest of avoiding increased morbidity and mortality associated with treatment interruptions.…”

Covi̇d 19 Pandemi̇si̇nde Kontrasepsi̇yon Ve Yeni̇ Jenerasyon Sadece Progesti̇n İçeren Haplarin Yeri̇/Derleme

“…Bu doğum kontrol yöntemi geleneksel olarak en çok emziren kadınlarda veya östrojen artışının komplikasyonlara yol açabileceği hasta grubunda kullanılmaktadır. Ancak özellikle pandemi gibi sağlık sistemine erişimin kısıtlı olduğu durumlarda çoğu kadın bu yöntemi rahatlıkla kullanabilir (16). Yeni jenerasyon sadece progestin içeren haplardan; 28 gün sürekli kullanım gerektiren 75mcg Desogestrel (Desirett®, Cera-zette® ) ülkemizde bulunurken 24 aktif hormon + 4 gün placebo içeren 4mg/g Drospirenon (Slynd ®) ülkemizde mevcut değildir.…”