Impact of COVID-19 pandemic on safe abortion and family planning services at a tertiary care women’s hospital in Nepal

Background: The COVID-19pandemic emerged as a major public health crisis, which has affected all dimensions of the health care system. Sexual and reproductive health services were severely affected, leading to a decrease in access and service utilization, affecting the overall health of women. Metho...

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Published inInternational Journal of Reproduction, Contraception, Obstetrics and Gynecology Vol. 10; no. 6; p. 2453
Main Authors Mishra, Sangeeta Kaushal, Rana, T. Geetha, Adhikary, Shree Prasad, Paudel, Sandesh, Sah, Prabhu
Format Journal Article
LanguageEnglish
Published International Journal of Reproduction, Contraception, Obstetrics and Gynecology 01.06.2021
Subjects
Abortion
Epidemics
Family planning
Family planning services
Health
Health care industry
Health planning
Nepal
Oral contraceptives
Travel restrictions
Nepal
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Summary:Background: The COVID-19pandemic emerged as a major public health crisis, which has affected all dimensions of the health care system. Sexual and reproductive health services were severely affected, leading to a decrease in access and service utilization, affecting the overall health of women. Methods: A two-year comparative study, before and during the COVID-19 pandemic, on safe abortion services and family planning, was conducted at Paropakar maternity and women's hospital to assess the impact of COVID-19 on service utilization. Results: Safe abortion services were decreased by 34.4%, and family planning services by 39%, in 2020 as compared to the previous year. Uptake of long-acting reversible contraceptives and permanent methods was most affected. Utilization of services was affected markedly during lockdown, and showed a persistent decline, even after the lockdown was lifted. Conclusions: The COVID-19 pandemic has seriously affected safe abortion and family planning services in Nepal due to lockdown, travel restriction, home isolation, resource reallocation, health facilities serving only emergencies and confusing messages about COVID-19 control. The decline in these services will create additional demand and pressure on the health care system, resulting from unplanned pregnancies and unsafe abortions. Health care staffs should be reoriented about the essential nature of safe abortion and family planning services during emergencies, and the implications of service disruption, on society and the country. Pragmatic and gender sensitive changes to national policies should be made, to ensure that women's health is safeguarded, and safe abortion and family planning included as essential health care services during emergencies. Keywords: Safe abortion, Contraception, Family planning, COVID-19, Sexual and reproductive health, Nepal
ISSN:2320-1770
2320-1789
DOI:10.18203/2320-1770.ijrcog20212192