{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T10:50:06Z","timestamp":1785322206022,"version":"3.55.0"},"reference-count":13,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2020,12,3]],"date-time":"2020-12-03T00:00:00Z","timestamp":1606953600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>We aimed to give a global overview of trends in access to sexual and reproductive health and rights (SRHR) during the coronavirus disease 2019 (COVID\u201019) pandemic and what is being done to mitigate its impact.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and methods<\/jats:title><jats:p>We performed a descriptive analysis and content analysis based on an online survey among clinicians, researchers, and organizations. Our data were extracted from multiple\u2010choice questions on access to SRHR services and risk of SRHR violations, and written responses to open\u2010ended questions on threats to access and required response.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The survey was answered by 51 people representing 29 countries. Eighty\u2010six percent reported that access to contraceptive services was less or much less because of COVID\u201019, corresponding figures for surgical and medical abortion were 62% and 46%. The increased risk of gender\u2010based and sexual violence was assessed as moderate or severe by 79%. Among countries with mildly restrictive abortion policies, 69% had implemented changes to facilitate access to abortion during the pandemic, compared with none among countries with severe restrictions (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.001), 87.5% compared with 46% had implemented changes to facilitate access to contraception (<jats:italic>P<\/jats:italic>\u00a0=\u00a0.023). The content analysis showed that (a) prioritizations in health service delivery at the expense of SRHR, (b) lack of political will, (c) the detrimental effect of lockdown, and (d) the suspension of sexual education, were threats to SRHR access (theme 1). Requirements to mitigate these threats (theme 2) were (a) political will and support of universal access to SRH services, (b) the sensitization of providers, (c) free public transport, and (d) physical protective equipment. A contrasting third theme was the state of exception of the COVID\u201019 pandemic as a window of opportunity to push forward women's health and rights.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Many countries have seen decreased access to and increased violations of SRHR during the COVID\u201019 pandemic. Countries with severe restrictions on abortion seem less likely to have implemented changes to SRHR delivery to mitigate this impact. Political will to support the advancement of SRHR is often lacking, which is fundamental to ensuring both continued access and, in a minority of cases, the solidification of gains made to SRHR during the pandemic.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aogs.14043","type":"journal-article","created":{"date-parts":[[2020,11,12]],"date-time":"2020-11-12T07:29:03Z","timestamp":1605166143000},"page":"571-578","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":70,"title":["How the coronavirus disease 2019 pandemic is impacting sexual and reproductive health and rights and response: Results from a global survey of providers, researchers, and policy\u2010makers"],"prefix":"10.1111","volume":"100","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0164-6455","authenticated-orcid":false,"given":"Margit","family":"Endler","sequence":"first","affiliation":[{"name":"Department of Women and Children's Health Karolinska Institutet, and Karolinska University Hospital Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8494-8760","authenticated-orcid":false,"given":"Taghreed","family":"Al\u2010Haidari","sequence":"additional","affiliation":[{"name":"Scientific Affairs Unit Al Kindy College of Medicine University of Baghdad Baghdad Iraq"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chiara","family":"Benedetto","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics Sant\u00b4Anna University Hospital Torino Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sameena","family":"Chowdhury","sequence":"additional","affiliation":[{"name":"Obstetrical and Gynecological Society of Bangladesh Dhaka Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan","family":"Christilaw","sequence":"additional","affiliation":[{"name":"Faculty of Medicine University of British Columbia Vancouver BC Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Faysal","family":"El Kak","sequence":"additional","affiliation":[{"name":"American University of Beirut, Beirut, Lebanon, and International Federation of Obstetricians and Gynecologists London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diana","family":"Galimberti","sequence":"additional","affiliation":[{"name":"University of Buenos Aires Buenos Aires Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudia","family":"Garcia\u2010Moreno","sequence":"additional","affiliation":[{"name":"World Health Organization Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miguel","family":"Gutierrez","sequence":"additional","affiliation":[{"name":"Instituto de Salud Popular (INSAP) Lima 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Rwanda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Atziri","family":"Ramirez\u2010Negrin","sequence":"additional","affiliation":[{"name":"Urogynecology Department Hospital Dr Manuel Gea Gonzalez Mexico City Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hemantha","family":"Senanayake","sequence":"additional","affiliation":[{"name":"University of Colombo Colombo Sri Lanka"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rubina","family":"Sohail","sequence":"additional","affiliation":[{"name":"Services Institute of Medical Sciences\/Services Hospital Lahore Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marleen","family":"Temmerman","sequence":"additional","affiliation":[{"name":"Aga Khan University, Nairobi, Kenya and Ghent University Ghent 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