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Background <p>The novel SARS-CoV-2 (COVID-19) led to an unprecedented increase in demand on health systems to care for people infected, necessitating the allocation of significant resources, especially medical resources, towards the response. This, compounded by the restrictions on movement led to disruptions in the provision of essential services, including sexual and reproductive health (SRH) services. This study assessed the effects of the COVID-19 pandemic on demand, utilisation and delivery of family planning and abortion services in Burkina Faso.</p> Methods <p>The study used a mixed method, cross-sectional panel survey to collect data at two time points in eight health facilities in Ouagadogou and Bobo Dioulasso. Data was collected using in-depth interviews (IDI) and focus group discussion (FGDs) with women, their male partners, and healthcare providers and health facility availability and readiness assessments.</p> Results <p>Demand for family planning services declined during the lockdown period due to movement restrictions, fear of infection and of being quarantined if found to be infected. Despite no direct demand for abortion services, healthcare providers reported increased unintended pregnancies and demand for treatment of complications of abortion, suggesting recourse to unsafe abortions. At least 30% of facilities experienced partial disruption in delivery of services, including staff shortages, supply chain challenges and reduced outpatient volumes. Health facility readiness scores remained moderate, implying existing constraints worsened by the pandemic.</p> Conclusions <p>COVID-19 response and containment measures indirectly affected demand, delivery and utilisation of family planning and abortion services in Burkina Faso, by increasing the existing barriers for women and girls. Strengthening health system resilience, community-based service delivery and communication strategies is essential to ensure uninterrupted access during health emergencies.</p>

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The dynamics of family planning and abortion services during COVID-19: perspectives from healthcare providers and clients in Burkina Faso

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年7月21日

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  • Eunice Nahyuha Chomi,
  • Marie Gisèle Donessouné,
  • Armel Sogo,
  • Armando Humberto Seuc,
  • Gabriela Garcia Camacho,
  • Ali Moazzam,
  • Seni Kouanda,
  • 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,
  • Flore Marie Gisèle Donessouné,
  • 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 Sherri,
  • 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

摘要

Background

The novel SARS-CoV-2 (COVID-19) led to an unprecedented increase in demand on health systems to care for people infected, necessitating the allocation of significant resources, especially medical resources, towards the response. This, compounded by the restrictions on movement led to disruptions in the provision of essential services, including sexual and reproductive health (SRH) services. This study assessed the effects of the COVID-19 pandemic on demand, utilisation and delivery of family planning and abortion services in Burkina Faso.

Methods

The study used a mixed method, cross-sectional panel survey to collect data at two time points in eight health facilities in Ouagadogou and Bobo Dioulasso. Data was collected using in-depth interviews (IDI) and focus group discussion (FGDs) with women, their male partners, and healthcare providers and health facility availability and readiness assessments.

Results

Demand for family planning services declined during the lockdown period due to movement restrictions, fear of infection and of being quarantined if found to be infected. Despite no direct demand for abortion services, healthcare providers reported increased unintended pregnancies and demand for treatment of complications of abortion, suggesting recourse to unsafe abortions. At least 30% of facilities experienced partial disruption in delivery of services, including staff shortages, supply chain challenges and reduced outpatient volumes. Health facility readiness scores remained moderate, implying existing constraints worsened by the pandemic.

Conclusions

COVID-19 response and containment measures indirectly affected demand, delivery and utilisation of family planning and abortion services in Burkina Faso, by increasing the existing barriers for women and girls. Strengthening health system resilience, community-based service delivery and communication strategies is essential to ensure uninterrupted access during health emergencies.