Women's reluctance for pregnancy: Experiences and perceptions of Zika virus in Medellin, Colombia

Tirado, Veronika; Mesa, Santiago Alberto Morales; Kinsman, John; Ekström, Anna Mia; Jaramillo, Berta Nelly Restrepo

doi:10.1002/ijgo.13046

Cited by 13 publications

(20 citation statements)

References 18 publications

(14 reference statements)

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“…Gomez and Ocampo further highlight women's dissatisfaction with the healthcare system, delayed access to care due to socioeconomic inequities, and high out‐of‐pocket expenses. Freitas et al., Salvador Mocelin et al., and Tirado et al . found, through their separate qualitative assessments of affected women in Brazil and Colombia, that the combined social and medical impact of Zika virus infection disproportionately affects women and is closely linked to poverty—confirming the findings of others—and stressing the inequitable impact of the epidemic.…”

mentioning

confidence: 73%

Research and research capacity strengthening in the context of an emerging epidemic: Zika virus in Latin America

Thorson

Aslanyan

Brizuela

et al. 2020

Intl J Gynecology & Obste

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Research and Training in Tropical Diseases (TDR) with the support of PAHO joined, to issue a call for research proposals. The aim was to combine support for research capacity strengthening in the context of an emerging epidemic, with investigations into the multifaceted but largely unknown nature of the Zika virus outbreak. Researchers based in the countries most affected by the epidemic were encouraged to apply for funding that prioritized implementation research projects to support an evidence-based, comprehensive public health response. 3In many of the Zika-affected countries in Latin America, socioeconomic inequities and legislation limit access to sexual and reproductive health services such as modern contraceptives and safe abortion. 4 The Zika epidemic exposed this vulnerability further, given its dire consequences for pregnant women. Viral characteristics, such as sexual transmission of the virus caused by it persisting in semen several months after infection 5 and the highly contextualized varying incidence rates of microcephaly following Zika infection during pregnancy, highlighted how inequities in and unmet access to sexual and reproductive health services determine the epidemic's impact.The combined effort between the WHO-hosted special research programs and the WHO regional office-focusing on infectious diseases of poverty and sexual and reproductive health and rights-enabled WHO to address the need for cross-cutting efforts between research areas and disciplines, in response to a complex emergency like the Zika epidemic. Ranging from studies on the spatial distribution of the virus and its relative risk, to articles on understanding how the virus impacts women's reproductive choices in communities without access to safe abortion, the papers in this Supplement illustrate the broad variety of perspectives necessary to ensure an understanding of the Zika virus context and to tailor the necessary response.The articles included in this Supplement come from Brazil, Colombia, and Peru. Colleagues implementing a study in Colombia (Forero et al. 6 ) This is an open access article distributed under the terms of the Creative Commons Attribution IGO License which permits unrestricted use, distribution and reproduction in any medium, provided that the original work is properly cited. In any reproduction of this article there should not be any suggestion that WHO or the article endorse any specific organization or products. The use of the WHO logo is not permitted. This notice should be preserved along with the article's URL.

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mentioning

confidence: 73%

Research and research capacity strengthening in the context of an emerging epidemic: Zika virus in Latin America

Thorson

Aslanyan

Brizuela

et al. 2020

Intl J Gynecology & Obste

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“…Zika led to concern amongst pregnant women (or those planning for pregnancy), whether it would be safe to continue a pregnancy (or become pregnant) ( Linde and Siqueira, 2018 ; Tirado et al, 2020 ). This concern had meaningful effects on reproductive decision making.…”

Section: The Zika Outbreakmentioning

confidence: 99%

Analysing the intersection between health emergencies and abortion during Zika in Brazil, El Salvador and Colombia

Wenham

Abagaro

Arévalo³

et al. 2021

Social Science & Medicine

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The Zika outbreak of 2015-7 is a lens to analyse the positioning of abortion within in global health security. The sequelae of the virus almost exclusively affected newborn children, manifested through Congenital Zika Syndrome (CZS), and a focus on women at risk of, planning or being pregnant. At the global level, debate considered whether Zika would provide impetus for regulatory change for reproductive rights in Latin America, a region with some of the most restrictive abortion regulation in the world. However, regulatory change for abortion did not occur. We analyse why the Zika health emergency did not lead to any changes in abortion regulation through multi-method analysis of the intersection between Zika, health emergencies and abortion in Brazil, Colombia and El Salvador. These case study countries were purposefully selected; each had Zika infected women (albeit with differing incidence) yet represent diverse regulatory environments for abortion. Our comparative research is multi-method: framework analysis of key informant interviews (n = 49); content analysis of women's enquiries to a medical abortion telemedicine provider; and, policy analysis of (inter)national-level Zika response and abortion policies. We consider this within literature on global health security, and the prioritisation of a particular approach to epidemic control. Within this securitized landscape, despite increased public debate about abortion regulatory change, no meaningful change occurred, due to a dominant epidemiological approach to the Zika health emergency in all three countries and prominent conservative forces in government and within anti-abortion rights movements. Simultaneously, we demonstrate that regulation did not deter all women from seeking such service clandestinely.

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“…Twenty-eight articles [20,25,27,40,62,68,74,75,[78][79][80][81][82][83][84][85][86][87][88][89][90][91][92][93][94][95][96][97], of which twelve were original research articles [33,68,76,[78][79][80]83,86,87,89,91,97], gave insight into barriers to sustaining or commencing use of contraception during disasters.…”

Section: Barriers To Use Of Contraception During Disastersmentioning

confidence: 99%

“…Being less informed about HIV-, and Zika-related adverse outcomes were further barriers to contraception [62,[88][89][90][91]. For sex workers in areas of socio-political unrest such as the Colombian conflict, the costs of condoms and being able to charge more for condom-less sex were further barriers to use of contraception [68].…”

Section: Barriers To Use Of Contraception During Disastersmentioning

confidence: 99%

The impact of disasters on contraception in OECD member countries: a scoping review

Freed

Hillman

Shantikumar

et al. 2021

The European Journal of Contraception & Reproductive Health

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Objectives: Review evidence is lacking about how contraception is affected by severe social disruption, such as that caused by the COVID-19 pandemic. The purpose of this scoping review was to explore the impact of natural and man-made disasters on contraception in OECD member countries. Methods: Manual searches and systematic searches in six electronic databases were conducted with no language restrictions. All articles were screened by at least two researchers. The data were analysed thematically. Results: 108 articles were included. Most focussed on the Zika virus outbreak (n ¼ 50) and the COVID-19 pandemic (n ¼ 28). Four key themes were identified: importance of contraception during disasters, impact of disasters on contraceptive behaviour, barriers to contraception during disasters and ways of improving use of contraception during disasters. Despite efforts to increase access to contraception including by transforming ways of delivery, barriers to use meant that unmet need persisted. Conclusions: To prevent adverse health outcomes and reduce health costs as a result of failure to have access to contraception during disasters, there is a need to intensify efforts to remove barriers to use. This should include increasing access and information on methods of contraception and their side effects (e.g., menstrual suppression) and making contraception freely available.

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Women's reluctance for pregnancy: Experiences and perceptions of Zika virus in Medellin, Colombia

Cited by 13 publications

References 18 publications

Research and research capacity strengthening in the context of an emerging epidemic: Zika virus in Latin America

Research and research capacity strengthening in the context of an emerging epidemic: Zika virus in Latin America

Analysing the intersection between health emergencies and abortion during Zika in Brazil, El Salvador and Colombia

The impact of disasters on contraception in OECD member countries: a scoping review

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