The reproductive health fall-out of a global pandemic.
The reproductive health fall-out of a global pandemic.
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DOI：
10.1080/26410397.2020.1763577
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发表时间：
2020-12
影响因子：
6
通讯作者：
Spitzer RF
中科院分区：
文献类型：
--
作者：
Thorne JG;Buitendyk M;Wawuda R;Lewis B;Bernard C;Spitzer RF
社交媒体上充斥着对新冠肺炎大流行9个月后即将到来的婴儿潮的讽刺。没那么好笑。或者就是这么简单。冠状病毒的全球传播导致了前所未有的遏制措施。在世界各地，企业和学校都关闭了；减少医院服务并将其重新定向为只提供紧急护理；全球援助和发展机构已将其雇员遣返回国。这些都是对迅速演变的大流行病的适当对策，但对各地的妇女和少女构成严重风险。我们的弱势群体现在正进一步孤立于急需的生殖保健之外。由于这次大流行，意外怀孕和危险怀孕将会增加。在像肯尼亚这样的中低收入国家（LMIC），我们通过AMPATH（提供医疗保健的学术模式）建立了直接的临床和教学关系，根据肯尼亚数据卫生系统（KDHS， 2014年）的报告，未满足的计划生育需求已经至少达到18%。这并不能准确反映出少女、某些部落、农村地区和教育和社会经济地位较低的妇女的需求未得到满足的情况要高得多，她们在国家统计数据中的代表性不足。由于不安全堕胎、感染、产后出血、心脏病等原因，这些妇女的孕产妇死亡率已经不成比例地增加。大流行期间获得卫生保健的限制迅速演变，将进一步扩大这些差距。在世界各地，政府限制和媒体哗众取宠给卫生部门带来了无数后果。这些问题包括前所未有地避开卫生设施，卫生设施人员减少，以及供应链不稳定，导致避孕商品和其他基本药物缺货。1 .对于那些有办法在私营部门或通过直接面向消费者的选择获得避孕药具的人来说，规避这些障碍是可能的。对于依赖较小公共设施的妇女来说，特别是在农村和不稳定地区，缺乏获得急需的生殖保健的机会已成为不幸的现实。在我们位于肯尼亚西部的三级保健设施中，计划生育诊所一直在努力为最需要的妇女提供持续的避孕用品和途径，但上述挑战导致手术时间和医生的可用性严重减少，病人人数也在减少。全球有160多个国家关闭了学校，其中包括美国的几乎所有国家
Social media outlets are inundated with quips about the baby boom coming nine months after the COVID-19 pandemic. It’s not that funny. Or that simple. The global spread of the coronavirus has resulted in unprecedented containment measures. Around the world, businesses and schools are closed; hospital services are reduced and redirected to provide only emergency care; global aid and development agencies have repatriated their employees. These are appropriate responses to a rapidly evolving pandemic, but pose serious risks for women and adolescent girls everywhere. Our vulnerable populations are now becoming further isolated from much needed reproductive health care. Unplanned and risky pregnancies will increase as a result of this pandemic. In lowand middle-income countries (LMIC) like Kenya, where we have a direct clinical and teaching relationship through AMPATH (the Academic Model Providing Access to Healthcare), the unmet family planning need is already at least 18%, as reported by the Kenya Data Health System (KDHS, 2014). This does not accurately reflect the much higher unmet need among adolescent girls, women within certain tribes, in rural areas and with low educational and socioeconomic status, who are underrepresented in national statistics.These women already face disproportionately increased maternal mortality due to unsafe abortion, infection, postpartum hemorrhage, heart disease, and more. These disparities will be further magnified by the rapidly evolving limits on access to health care during the pandemic. Around the world, government restrictions and media sensationalism are having innumerable consequences for the health sector. These include unprecedented avoidance of health facilities, reduced health facility staffing, and supply chain destabilisation with resulting stockouts of contraceptive commodities, among other essential drugs. 1 For those with the means to access contraceptives in the private sector or via direct-to-consumer options, circumventing these barriers is possible. For women who rely on smaller public facilities, especially in rural and unstable areas, a lack of access to muchneeded reproductive care has become the unfortunate reality. At our tertiary care facility in Western Kenya, the family planning clinic has scrambled to maintain a consistent supply and access to contracept those women most in need, but the challenges described above have resulted in severely reduced hours of operation and practitioner availability, with dwindling patient numbers. More than 160 countries worldwide have closed their schools, including nearly all countries in
影响因子：
7.7
作者：
Rosenberg, Molly;Pettifor, Audrey;Tollman, Stephen
通讯作者：
Tollman, Stephen
影响因子：
5.4
作者：
Rao, Smitha
通讯作者：
Rao, Smitha
影响因子：
2.5
作者：
Tanoue, Kaou;Nishigori, Hidekazu;Kato, Takahiko
通讯作者：
Kato, Takahiko