Impact of the COVID-19 pandemic on the quality of sexual and reproductive health services
DOI:
https://doi.org/10.29193/RMU.36.4.12Keywords:
COVID-19, CORONAVIRUS INFECTIONS, SEXUAL AND REPRODUCTIVE HEALTH, WOMEN’S HEALTHAbstract
Background: the COVID 19 pandemic may severely influence the sexual and reproductive rights and health agenda as a result of a decrease in the health services.
Justification: Uruguay has a privileged situation in terms of sexual and reproductive rights. Therefore, we need to systematize and develop measures to prevent the impact of the covid-19 pandemic on these services in order to keep the highest standards of care in connection with sexual and reproductive rights, despite the current pandemic.
Objective: to systematize the potential impact of the covid-19 pandemic on sexual and reproductive rights and health services and to promote strategies to identify and prevent this impact.
Method: the impact of the covid-19 pandemic on sexual and reproductive rights is analysed from two perspectives: by considering the delay in the provision of health care services and by exploring its impact on each specific sexual and reproductive right.
Perspectives: to promote positive discrimination actions at the sexual and reproductive rights services, while conducting epidemiological surveillance to contribute to the matching of sexual and reproductive rights services to the changes caused by the covid-19 pandemic on the health system and on society.
References
(1) Wenham C, Smith J, Morgan R; Gender and COVID-19 Working Group. COVID-19: the gendered impacts of the outbreak. Lancet 2020; 395(10227):846-8. Disponible en: https://www.thelancet.com/journals/lancet/article/PIIS0140- 6736(20)30526-2/fulltext [Consulta: 16 febrero 2020].
(2) Fondo de Población de las Naciones Unidas. Covid-19: un enfoque de género. Proteger la salud y los derechos sexuales y reproductivos y promover la igualdad de género. (Informe técnico) marzo 2020. Disponible en: https://uruguay.unfpa.org/sites/default/files/pub-pdf/COVID- 19%20A%20Gender%20Lens%20Guidance%20Note.docx_en-US_es-MX_0.pdf [Consulta: 12 abril 2020].
(3) Starrs AM, Ezeh AC, Barker G, Basu A, Bertrand JT, Blum R, et al. Accelerate progress–sexual and reproductive health and rights for all: report of the Guttmacher–Lancet Commission. Lancet 2018; 391(10140):2642-92. doi: 10.1016/S0140-6736(18)30293-9.
(4) Carter J. Patriarchy and violence against women and girls. Lancet 2015; 585(9978):e40-1. doi: 10.1016/S0140- 6736 (14)62217-0.
(5) UNFPA; Avenir Health, Johns Hopkins University; Victoria University (Australia). Impact of the COVID-19 pandemic on family planning and ending gender-based violence, female genital mutilation and child marriage. UNFPA, 2020.
(6) Briozzo L. Origen, impacto sanitario y perspectivas de la Pandemia COVID 19. La Diaria 9 abril 2020. Disponible en: https://ladiaria.com.uy/articulo/2020/4/origen-impacto-sanitario-y-perspectivas-de-la-pandemia-covid-19/ [Consulta: 12 abril 2020].
(7) Swinburn B, Kraak V, Allender S, Atkins V, Baker P, Bogard J, et al. The global syndemic of obesity, undernutrition and climate change: the Lancet Commission report. Lancet 2019; 393:791-846.
(8) Shah S. ¿De dónde viene el coronavirus? Le Monde Diplomatique 2020 marzo. Disponible en: https://www.lemondediplomatique.cl/2020/03/de-donde-viene-el-coronavirus.html [Consulta: 12 abril 2020].
(9) Medina J. Pandemia por SARS-CoV-2 (COVID-19): entre la incertidumbre y la fortaleza. Rev Méd Urug 2020; 36(2):119-20.
(10) Briozzo L, Gómez Ponce de León R, Tomasso G, Faúndes A. Overall and abortion-related maternal mortality rates in Uruguay over the past 25 years and their association with policies and actions aimed at protecting women’s rights. Int J Gynaecol Obstet 2016; 134:S20-3.
(11) Uruguay. Ministerio de Salud Pública. Tendencias recientes de la natalidad, fecundidad y mortalidad infantil en Uruguay. Montevideo: MSP, 2020. Disponible en: http://www. presidencia.gub.uy/comunicacion/comunicacionnoticias/salud-embarazo-adolescente-mortalidad-infantil-basso- msp-cifras-fecundidad [Consulta: 26 abril 2020].
(12) Briozzo L. From risk and harm reduction to decriminalizing abortion: the Uruguayan model for women’s rights. Int J Gynaecol Obstet 2016; 134(Suppl 1):S3-6. doi: 10.1016/j.ijgo.2016.06.003.
(13) Briozzo L. La despenalización del aborto como estrategia hacia una práctica segura, accesible e infrecuente. Rev Méd Urug 2013; 29(2):114-7.
(14) Maine D, Rosenfeld A. The safe motherhood initiative: why has it stalled? Am J Public Health 1999; 89(4):480-2.
(15) Fondo de Población de las Naciones Unidas. UNFPA statement on novel coronavirus (COVID-19) and pregnancy. UNFPA, 2020. Disponible en: https://www.unfpa.org/ press/unfpa-statement-novel-coronavirus-covid-19-and-pregnancy [Consulta: 12 abril 2020].
(16) Wang X, Zhou Z, Zhang J, Zhu f, Tang Y, Shen X. A case of 2019 novel coronavirus in a pregnant woman with preterm delivery. Clinical Infect Dis 2020; 71(15):844-6. Disponible en: https://academic.oup.com/cid/advance-article/doi/10.1093/cid/ciaa200/5771323 [Consulta: 24 marzo 2020].
(17) Poon LC, Yang H, Kapur A, Melamed N, Blami D, Divakar H, et al. Global interim guidance on coronavirus disease 2019 (COVID-19) during pregnancy and puerperium from FIGO and allied partners: information for healthcare professionals. Int J Gynaecol Obstet 2020; 149(3):273-86. doi: 10.1002/IJGO.13156.
(18) Briozzo L, Viroga S. Abordaje obstétrico integral de la prematurez y restricción del crecimiento fetal y su relación con las enfermedades crónicas del adulto. Rev Méd Urug 2020; 36(1):216-34.
(19) Briozzo L, Coppola F, Gesuele JP, Tomasso G. Restricción de crecimiento fetal, epigenética y transmisión trans generacional de las enfermedades crónicas y la pobreza. Horiz Méd 2013; 13:45-53.
(20) Federación Internacional de Ginecología y Obstetricia. Acceso al aborto y seguridad con COVID-19. FIGO, 30 mar 2020. Disponible en: https://www.figo.org/es/acceso-al-aborto-y-seguridad-con-covid-19 [Consulta: 26 abril 2020].
(21) Federación Internacional de Ginecología y Obstetricia. Maternidad segura y COVID-19. FIGO, 30 mar 2020. Disponible en: https://www.figo.org/es/maternidad-segura-y-covid-19 [Consulta: 26 abril 2020].
(22) World Health Organization. WHO consolidated guideline on self-care interventions for health: sexual and reproductive health and rights. Geneva: WHO, 2019. Disponible en: https://apps.who.int/iris/bitstream/handle/10665/325480/9789241550550-eng.pdf?ua=1 [Consulta: 16 febrero 2020].
(23) Narasimhan M, Allotey P, Hardon A. Self care interventions to advance health and wellbeing: a conceptual framework to inform normative guidance. BMJ 2019; 365:l688. doi: 10.1136/bmj.l688.
(2) Fondo de Población de las Naciones Unidas. Covid-19: un enfoque de género. Proteger la salud y los derechos sexuales y reproductivos y promover la igualdad de género. (Informe técnico) marzo 2020. Disponible en: https://uruguay.unfpa.org/sites/default/files/pub-pdf/COVID- 19%20A%20Gender%20Lens%20Guidance%20Note.docx_en-US_es-MX_0.pdf [Consulta: 12 abril 2020].
(3) Starrs AM, Ezeh AC, Barker G, Basu A, Bertrand JT, Blum R, et al. Accelerate progress–sexual and reproductive health and rights for all: report of the Guttmacher–Lancet Commission. Lancet 2018; 391(10140):2642-92. doi: 10.1016/S0140-6736(18)30293-9.
(4) Carter J. Patriarchy and violence against women and girls. Lancet 2015; 585(9978):e40-1. doi: 10.1016/S0140- 6736 (14)62217-0.
(5) UNFPA; Avenir Health, Johns Hopkins University; Victoria University (Australia). Impact of the COVID-19 pandemic on family planning and ending gender-based violence, female genital mutilation and child marriage. UNFPA, 2020.
(6) Briozzo L. Origen, impacto sanitario y perspectivas de la Pandemia COVID 19. La Diaria 9 abril 2020. Disponible en: https://ladiaria.com.uy/articulo/2020/4/origen-impacto-sanitario-y-perspectivas-de-la-pandemia-covid-19/ [Consulta: 12 abril 2020].
(7) Swinburn B, Kraak V, Allender S, Atkins V, Baker P, Bogard J, et al. The global syndemic of obesity, undernutrition and climate change: the Lancet Commission report. Lancet 2019; 393:791-846.
(8) Shah S. ¿De dónde viene el coronavirus? Le Monde Diplomatique 2020 marzo. Disponible en: https://www.lemondediplomatique.cl/2020/03/de-donde-viene-el-coronavirus.html [Consulta: 12 abril 2020].
(9) Medina J. Pandemia por SARS-CoV-2 (COVID-19): entre la incertidumbre y la fortaleza. Rev Méd Urug 2020; 36(2):119-20.
(10) Briozzo L, Gómez Ponce de León R, Tomasso G, Faúndes A. Overall and abortion-related maternal mortality rates in Uruguay over the past 25 years and their association with policies and actions aimed at protecting women’s rights. Int J Gynaecol Obstet 2016; 134:S20-3.
(11) Uruguay. Ministerio de Salud Pública. Tendencias recientes de la natalidad, fecundidad y mortalidad infantil en Uruguay. Montevideo: MSP, 2020. Disponible en: http://www. presidencia.gub.uy/comunicacion/comunicacionnoticias/salud-embarazo-adolescente-mortalidad-infantil-basso- msp-cifras-fecundidad [Consulta: 26 abril 2020].
(12) Briozzo L. From risk and harm reduction to decriminalizing abortion: the Uruguayan model for women’s rights. Int J Gynaecol Obstet 2016; 134(Suppl 1):S3-6. doi: 10.1016/j.ijgo.2016.06.003.
(13) Briozzo L. La despenalización del aborto como estrategia hacia una práctica segura, accesible e infrecuente. Rev Méd Urug 2013; 29(2):114-7.
(14) Maine D, Rosenfeld A. The safe motherhood initiative: why has it stalled? Am J Public Health 1999; 89(4):480-2.
(15) Fondo de Población de las Naciones Unidas. UNFPA statement on novel coronavirus (COVID-19) and pregnancy. UNFPA, 2020. Disponible en: https://www.unfpa.org/ press/unfpa-statement-novel-coronavirus-covid-19-and-pregnancy [Consulta: 12 abril 2020].
(16) Wang X, Zhou Z, Zhang J, Zhu f, Tang Y, Shen X. A case of 2019 novel coronavirus in a pregnant woman with preterm delivery. Clinical Infect Dis 2020; 71(15):844-6. Disponible en: https://academic.oup.com/cid/advance-article/doi/10.1093/cid/ciaa200/5771323 [Consulta: 24 marzo 2020].
(17) Poon LC, Yang H, Kapur A, Melamed N, Blami D, Divakar H, et al. Global interim guidance on coronavirus disease 2019 (COVID-19) during pregnancy and puerperium from FIGO and allied partners: information for healthcare professionals. Int J Gynaecol Obstet 2020; 149(3):273-86. doi: 10.1002/IJGO.13156.
(18) Briozzo L, Viroga S. Abordaje obstétrico integral de la prematurez y restricción del crecimiento fetal y su relación con las enfermedades crónicas del adulto. Rev Méd Urug 2020; 36(1):216-34.
(19) Briozzo L, Coppola F, Gesuele JP, Tomasso G. Restricción de crecimiento fetal, epigenética y transmisión trans generacional de las enfermedades crónicas y la pobreza. Horiz Méd 2013; 13:45-53.
(20) Federación Internacional de Ginecología y Obstetricia. Acceso al aborto y seguridad con COVID-19. FIGO, 30 mar 2020. Disponible en: https://www.figo.org/es/acceso-al-aborto-y-seguridad-con-covid-19 [Consulta: 26 abril 2020].
(21) Federación Internacional de Ginecología y Obstetricia. Maternidad segura y COVID-19. FIGO, 30 mar 2020. Disponible en: https://www.figo.org/es/maternidad-segura-y-covid-19 [Consulta: 26 abril 2020].
(22) World Health Organization. WHO consolidated guideline on self-care interventions for health: sexual and reproductive health and rights. Geneva: WHO, 2019. Disponible en: https://apps.who.int/iris/bitstream/handle/10665/325480/9789241550550-eng.pdf?ua=1 [Consulta: 16 febrero 2020].
(23) Narasimhan M, Allotey P, Hardon A. Self care interventions to advance health and wellbeing: a conceptual framework to inform normative guidance. BMJ 2019; 365:l688. doi: 10.1136/bmj.l688.
Downloads
Published
2020-12-01
How to Cite
1.
Briozzo L, Nozar F, Fiol V, Stapf C, Ben S, Citrin E, et al. Impact of the COVID-19 pandemic on the quality of sexual and reproductive health services. Rev. Méd. Urug. [Internet]. 2020 Dec. 1 [cited 2024 Nov. 21];36(4):436-44. Available from: https://revista.rmu.org.uy/index.php/rmu/article/view/650
Issue
Section
Opinion articles
