Impact of COVID-19 on access to and delivery of sexual and reproductive healthcare services in countries with universal healthcare systems: A systematic review

PLoS ONE, Journal Year: 2024, Volume and Issue: 19(2), P. e0294744 - e0294744

Published: Feb. 23, 2024

Objectives The COVID-19 pandemic has caused unforeseen impacts on sexual and reproductive healthcare (SRH) services worldwide, the nature prevalence of these changes have not been extensively synthesized. We sought to synthesise reported outcomes impact SRH access delivery in comparable countries with universal systems. Methods Following PRISMA guidelines, we searched MEDLINE, Embase, PsycInfo, CINAHL from January 1st, 2020 June 6th, 2023. Original research was eligible for inclusion if study and/or delivery. Twenty-eight OECD economies systems were included. extracted characteristics, participant design, outcome variables. methodological quality each article assessed using Quality Assessment Diverse Studies (QuADS) tool. Preferred Reporting Items Systematic Reviews Meta-analyses (PRISMA) guidelines followed reporting results. This registered PROSPERO (#CRD42021245596). Synthesis Eighty-two studies met criteria. Findings qualitatively synthesised into domains of: antepartum care, intrapartum postpartum assisted technologies, abortion access, gynaecological health services, HIV care. Research concentrated relatively few countries. Access negatively impacted by a variety factors, including service disruptions, unclear communication regarding policy decisions, decreased timeliness fear exposure. Across outpatient providers favoured models care that avoided in-person appointments. Hospitals prioritized reduced time number people hospital aerosol-generating environments. Conclusions Overall, demonstrated across most during COVID-19. Variations restrictions accommodations heterogeneous within between institutions. Future work should examine long-term COVID-19, underserved populations, underrepresented

Language: Английский

Birth under restrictions: Exploring women's experiences of maternity care in Aotearoa New Zealand during the COVID-19 lockdown of 2020

New Zealand College of Midwives, Journal Year: 2023, Volume and Issue: 59, P. 5 - 13

Published: March 1, 2023

Introduction: In Aotearoa New Zealand the COVID-19 pandemic in 2020 resulted a four-week lockdown March and April of with ongoing restrictions for several weeks. Aim: To explore experiences women who were pregnant, giving birth and/or managing early weeks motherhood during alert levels 3 4 Zealand. Method: This qualitative study used semi-structured interviews to childbirth level restrictions. Reflexive, inductive, thematic analysis was identify codes, subthemes themes. Findings: Seventeen participated study. Analysis revealed four The first these was: Relationship my midwife, which participants described importance midwifery continuity care relationship, midwives often going above beyond usual filling gaps service provision. Disruption theme feeling anxious uncertain, concerns about hospital changing rules. also their Isolation postnatal maternity facility due separation from partners/whānau; they describe receiving bare necessities care, on own, working towards release home; all took an emotional mental toll. final theme, Undisturbed space, describes positive aspects being undisturbed by visitors, better able bond baby breastfeed peace. Conclusion: Midwifery appears have supported families/whānau caused lockdown. partner, or other primary support person, whānau should be considered essential not excluded postpartum care.

Language: Английский

Societal Duty or Pragmatic Paradox? Exploring Midwives’ Experiences of Contradictory Work Demands During COVID-19 Lockdowns

Journal of Management Inquiry, Journal Year: 2024, Volume and Issue: unknown

Published: Dec. 18, 2024

We theorize how the nested-ness and knotted-ness of a pragmatic paradox shapes experience ensuing tensions. Our theorization draws on qualitative, abductive study essential workers (midwives) who were forced to accept contradictory work demands during COVID-19 lockdowns. Midwives experienced these as performing tensions stemming from an interconnected need both protect wellbeing risk in their professional roles. In turn, midwives’ knotted with belonging nested within organizing faced by societal leaders. Surprisingly, we found that although most midwives unrefusable disempowering paradox, some same motivating duty. The crux was interpreted alignment between research provides more nuanced view “live through” paradoxes offers insights into complex interplay power asymmetries multi-level, interwoven paradoxes.

Language: Английский