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India imposed a lockdown in March 2020 to contain the spread of the pandemic. Limited mobility, lack of clarity about abortion as an essential service and abortion as a service permitted through telemedicine, shut down of services providing long\u2010acting and permanent methods of contraception, and changes to decision\u2010making about birthing and parenting during a pandemic are factors that may impact the demand for abortion during and after the lockdown. Shortage of raw materials and limited inter\u2010 and intra\u2010 state transport of drugs may result in breakages in the supply of medication abortion. Given that 73 percent of abortions in India in 2015 occurred outside of health facilities, the pandemic may have several implications on the need for evidence\u2010based information and quality abortion services, as well as if and how medication abortion is accessed in India, and what self\u2010managed abortion looks like in the COVID\u201019 era. We discuss factors contributing to reduced access to abortion, changes in abortion need, and suggest strategies to respond to an increased demand for abortion in India.<\/jats:p>","DOI":"10.1111\/sifp.12139","type":"journal-article","created":{"date-parts":[[2020,11,2]],"date-time":"2020-11-02T06:46:30Z","timestamp":1604299590000},"page":"377-383","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Preparing for an Increased Need for Abortion Access in India during and after COVID\u201019: Challenges and Strategies"],"prefix":"10.1111","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7152-2752","authenticated-orcid":false,"given":"Sruthi","family":"Chandrasekaran","sequence":"first","affiliation":[{"name":"Sruthi Chandrasekaran, Senior Project Manager Ibis Reproductive Health Suite 320 2067 Massachusetts Avenue  Cambridge MA 02140 USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nadia","family":"Diamond\u2010Smith","sequence":"additional","affiliation":[{"name":"Nadia Diamond\u2010Smith, Assistant Professor, Department of Epidemiology &amp; Biostatistics University of California  San Francisco CA 94158 USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karthik","family":"Srinivasan","sequence":"additional","affiliation":[{"name":"Karthik Srinivasan, Chief Medical Advisor International Planned Parenthood Federation  London SE1 3UZ UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suchitra","family":"Dalvie","sequence":"additional","affiliation":[{"name":"Suchitra Dalvie, Coordinator Asia Safe Abortion Partnership  Mumbai India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,11]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"HH Akhter 2001"},{"key":"e_1_2_10_3_1","unstructured":"BBC News.2020a. \u201cCoronavirus: India Enters \u2018Total Lockdown\u2019 after Spike in Cases \u201d March 25 2020.https:\/\/www.bbc.com\/news\/world-asia-india-52024239. 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