Assessing changes in adolescent girls’ and young women’s sexual and reproductive health service utilisation following a COVID-19 lockdown in eSwatini

The effects of COVID-19-associated restrictions on youth sexual and reproductive health (SRH) care during the pandemic remain unclear, particularly in sub-Saharan Africa. This study uses interrupted time series analyses to assess changes in SRH care utilisation (including visits for HIV testing and...

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Main Authors: Marie A. Brault, Erika L. Linnander, Thokozani M. Ginindza, Khabonina Mabuza, Sarah Christie, Maureen E. Canavan, Anastasia Jones, Mayur M. Desai
Format: Article
Language:English
Published: Taylor & Francis Group 2023-12-01
Series:Global Health Action
Subjects:
Online Access:http://dx.doi.org/10.1080/16549716.2023.2243760
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author Marie A. Brault
Erika L. Linnander
Thokozani M. Ginindza
Khabonina Mabuza
Sarah Christie
Maureen E. Canavan
Anastasia Jones
Mayur M. Desai
author_facet Marie A. Brault
Erika L. Linnander
Thokozani M. Ginindza
Khabonina Mabuza
Sarah Christie
Maureen E. Canavan
Anastasia Jones
Mayur M. Desai
author_sort Marie A. Brault
collection DOAJ
description The effects of COVID-19-associated restrictions on youth sexual and reproductive health (SRH) care during the pandemic remain unclear, particularly in sub-Saharan Africa. This study uses interrupted time series analyses to assess changes in SRH care utilisation (including visits for HIV testing and treatment, family planning, and antenatal care) adolescent girls’ and young women’s (AGYW; aged 15–24 years old) in eSwatini following COVID-19 lockdown beginning in March 2020. SRH utilisation data from 32 clinics in the Manzini region that remained open throughout the 2020 COVID-19 period were extracted from eSwatini’s electronic health record system. We tabulated and graphed monthly visits (both overall and by visit type) by AGYW during the two-year period between January 2019 and December 2020. Despite the March to September 2020 lockdown, we did not detect significant changes in monthly visit trends from 2019 to 2020. Our findings suggest little change to AGYW’s SRH utilisation in eSwatini during the 2020 COVID-19 lockdown period.
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spelling doaj.art-306cc80304d14012943f4c7f6d6c30152024-01-18T15:58:24ZengTaylor & Francis GroupGlobal Health Action1654-98802023-12-0116110.1080/16549716.2023.22437602243760Assessing changes in adolescent girls’ and young women’s sexual and reproductive health service utilisation following a COVID-19 lockdown in eSwatiniMarie A. Brault0Erika L. Linnander1Thokozani M. Ginindza2Khabonina Mabuza3Sarah Christie4Maureen E. Canavan5Anastasia Jones6Mayur M. Desai7University of Texas Health Science Center at Houston School of Public HealthYale School of Public HealtheSwatini Ministry of HealthProject Last MileYale School of Public HealthYale Cancer Outcomes, Public Policy and Effectiveness Research (COPPER) CenterUniversity of Texas Health Science Center at HoustonYale School of Public HealthThe effects of COVID-19-associated restrictions on youth sexual and reproductive health (SRH) care during the pandemic remain unclear, particularly in sub-Saharan Africa. This study uses interrupted time series analyses to assess changes in SRH care utilisation (including visits for HIV testing and treatment, family planning, and antenatal care) adolescent girls’ and young women’s (AGYW; aged 15–24 years old) in eSwatini following COVID-19 lockdown beginning in March 2020. SRH utilisation data from 32 clinics in the Manzini region that remained open throughout the 2020 COVID-19 period were extracted from eSwatini’s electronic health record system. We tabulated and graphed monthly visits (both overall and by visit type) by AGYW during the two-year period between January 2019 and December 2020. Despite the March to September 2020 lockdown, we did not detect significant changes in monthly visit trends from 2019 to 2020. Our findings suggest little change to AGYW’s SRH utilisation in eSwatini during the 2020 COVID-19 lockdown period.http://dx.doi.org/10.1080/16549716.2023.2243760covid-19sexual and reproductive healthprimary care utilizationadolescent girls and young womeneswatini
spellingShingle Marie A. Brault
Erika L. Linnander
Thokozani M. Ginindza
Khabonina Mabuza
Sarah Christie
Maureen E. Canavan
Anastasia Jones
Mayur M. Desai
Assessing changes in adolescent girls’ and young women’s sexual and reproductive health service utilisation following a COVID-19 lockdown in eSwatini
Global Health Action
covid-19
sexual and reproductive health
primary care utilization
adolescent girls and young women
eswatini
title Assessing changes in adolescent girls’ and young women’s sexual and reproductive health service utilisation following a COVID-19 lockdown in eSwatini
title_full Assessing changes in adolescent girls’ and young women’s sexual and reproductive health service utilisation following a COVID-19 lockdown in eSwatini
title_fullStr Assessing changes in adolescent girls’ and young women’s sexual and reproductive health service utilisation following a COVID-19 lockdown in eSwatini
title_full_unstemmed Assessing changes in adolescent girls’ and young women’s sexual and reproductive health service utilisation following a COVID-19 lockdown in eSwatini
title_short Assessing changes in adolescent girls’ and young women’s sexual and reproductive health service utilisation following a COVID-19 lockdown in eSwatini
title_sort assessing changes in adolescent girls and young women s sexual and reproductive health service utilisation following a covid 19 lockdown in eswatini
topic covid-19
sexual and reproductive health
primary care utilization
adolescent girls and young women
eswatini
url http://dx.doi.org/10.1080/16549716.2023.2243760
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