Scholarlink

Background <p>COVID-19 pandemic has put tremendous burden on health services. Only limited evidence, however, is available to identify the impact of COVID-19 on sexual and reproductive health (SRH). This world health organization (WHO)-led research sought to evaluate health systems focusing on SRH in Brazil, Burkina Faso, China, Ghana, Italy, Pakistan, Thailand, and the United Kingdom.</p> Methods <p>The study was conducted in Thailand on two levels using a mixed-methods design: 1) Individual level included in-depth interviews and focus group discussions with clients (and their partners, where applicable) and healthcare providers (HCPs) to investigate service perceptions and obstacles to SRH service utilization; 2) health facility level, a quantitative evaluation of health facility preparedness for SRH service provision was performed using an adapted version of the WHO Service Availability and Readiness Assessment (SARA) tool. The data was collected at two timepoints, baseline and endline, at time intervals of 9&#xa0;months.</p> Results <p>Almost all SRH services were maintained with some shortage of supply such as medications for safe abortion during the first few months. Both providers and clients perceived that all SRH services should be maintained. Some clients were concerned about fear of getting COVID-19 infection while visiting the facility. Some clients switched from short-acting to long-acting contraceptive methods. At the endline, this affect was less obvious since a large proportion of clients were familiar with the pandemic and already received vaccination.</p> <p>The Centre for COVID-19 Situation Administration (CCSA) was established to update COVID-19 pandemic situation, new government policy and intervention to reduce fake news. Telemedicine was used to reduce avoidable appointments. For postpartum women, appointment tended to be more individualized. For those who required pregnancy protection, contraceptive methods were offered to clients before discharge from the hospital. A follow-up visit was performed using both telemedicine and in-person visit at the hospital. For those required medications such as antibiotics for STI, home delivery to clients was provided.</p> Conclusions <p>This study demonstrated that COVID-19 pandemic had some but non-significant effect on SRH services. The two major referral hospitals in Northeast, Thailand had service readiness to provide SRH services during the COVID-19 pandemic and pandemic recovery.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Impact of COVID-19 pandemic on family planning and sexual transmitted infection services in Thailand: results from WHO survey

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年9月30日

查看全文
  • Jen Sothornwit,
  • Pisake Lumbiganon,
  • Nampet Jampathong,
  • Somporn Rungreangkulkij,
  • Netchanok Kaewjanta,
  • Caron Kim,
  • Moazzam Ali,
  • Luis Bahamondes,
  • Jose Guilherme Cecatti,
  • Vilma Zotareli,
  • Rachel E Soeiro,
  • Karayna G Fernandes,
  • Mariana B Rogerio,
  • Samira M Haddad,
  • Silvana F Bento,
  • Karla S Padua,
  • Aline Munezero,
  • Charles M Charles,
  • Montas Laporte,
  • Eunice Chomi,
  • Seni Kouanda,
  • Flore Marie Gisèle Donessouné,
  • Armel Sogo,
  • Kun Tang,
  • Yueping Guo,
  • Hanxiyue Zhang,
  • Yifan Zhu,
  • Ge Yang,
  • Chunxiao Peng,
  • Xizhuo Xie,
  • Hao Wang,
  • Deda Ogum Alangea,
  • Kwasi Torpey,
  • Emefa Judith Modey,
  • Adom Manu,
  • Ernest T. Maya,
  • Rozina Karmaliani,
  • Laila Ladak,
  • Arusa Lakhani,
  • Marina Baig,
  • Yasmin Parpio,
  • Salima Somani,
  • Pisake Lumbiganon,
  • Jen Sothornwit,
  • Nampet Jampathong,
  • Somporn Rungreangkulkij,
  • Marleen Temmerman,
  • Ferdinand Okwaro,
  • Abdu Mohiddin,
  • Massimo Mirandola,
  • Maddalena Cordioli,
  • Alessia Savoldi,
  • Simone Garzon,
  • Stefano Uccella,
  • Nigel Sherriff,
  • Alexandra Sawyer,
  • Catherine Aicken,
  • Jörg W Huber,
  • Jaime Vera,
  • Deborah Williams,
  • Moazzam Ali,
  • Caron Kim,
  • Vanessa Brizuela,
  • Hamsadvani Kuganantham,
  • Grace Kapustianyk,
  • Igor Toskin,
  • Soe Soe Thwin,
  • Armando Seuc,
  • Gabriela Garcia Camacho

摘要

Background

COVID-19 pandemic has put tremendous burden on health services. Only limited evidence, however, is available to identify the impact of COVID-19 on sexual and reproductive health (SRH). This world health organization (WHO)-led research sought to evaluate health systems focusing on SRH in Brazil, Burkina Faso, China, Ghana, Italy, Pakistan, Thailand, and the United Kingdom.

Methods

The study was conducted in Thailand on two levels using a mixed-methods design: 1) Individual level included in-depth interviews and focus group discussions with clients (and their partners, where applicable) and healthcare providers (HCPs) to investigate service perceptions and obstacles to SRH service utilization; 2) health facility level, a quantitative evaluation of health facility preparedness for SRH service provision was performed using an adapted version of the WHO Service Availability and Readiness Assessment (SARA) tool. The data was collected at two timepoints, baseline and endline, at time intervals of 9 months.

Results

Almost all SRH services were maintained with some shortage of supply such as medications for safe abortion during the first few months. Both providers and clients perceived that all SRH services should be maintained. Some clients were concerned about fear of getting COVID-19 infection while visiting the facility. Some clients switched from short-acting to long-acting contraceptive methods. At the endline, this affect was less obvious since a large proportion of clients were familiar with the pandemic and already received vaccination.

The Centre for COVID-19 Situation Administration (CCSA) was established to update COVID-19 pandemic situation, new government policy and intervention to reduce fake news. Telemedicine was used to reduce avoidable appointments. For postpartum women, appointment tended to be more individualized. For those who required pregnancy protection, contraceptive methods were offered to clients before discharge from the hospital. A follow-up visit was performed using both telemedicine and in-person visit at the hospital. For those required medications such as antibiotics for STI, home delivery to clients was provided.

Conclusions

This study demonstrated that COVID-19 pandemic had some but non-significant effect on SRH services. The two major referral hospitals in Northeast, Thailand had service readiness to provide SRH services during the COVID-19 pandemic and pandemic recovery.