探索新冠疫情对生殖健康的影响：对巴基斯坦关键利益相关者的深入访谈
Exploring Reproductive Health Impact of COVID 19 pandemic: In Depth Interviews with key stakeholders in Pakistan.
作者信息
Shah Nighat, Musharraf Mehjabeen, Khan Farah, Shah Nusrat
机构信息
Dr. Nighat Shah Assistant Professor, Jinnah Sindh Medical University, Karachi, Pakistan.
Mehjabeen Musharraf, Senior lecturer, Jinnah Sindh Medical University, Karachi, Pakistan.
出版信息
Pak J Med Sci. 2021 Jul-Aug;37(4):1069-1074. doi: 10.12669/pjms.37.4.3877.
OBJECTIVE
To explore the effects of COVID 19 on reproductive and child health services and gender relations.
METHODS
This is a Qualitative Exploratory Research. Due to lockdown, setting was online interviews on Zoom. Sampling was purposive. Five in-depth interviews were conducted in June 2020 followed by compilation of results and manuscript writing in July and August 2020.
RESULTS
Maternal Neonatal morbidity and mortality will rise as part of collateral damage of C19. As all routine services of maternity care, family planning, post abortion care and vaccination were also in lockdown. Baby boom, unwanted pregnancies, unsafe abortions and violence against women will be the secondary consequences of C19.
CONCLUSION
Some critical services should never stop which include maternal and neonatal essential services. MNCH service continuity has to be maintained to optimize maternal neonatal health, prevent unwanted pregnancy and abortion. With appropriate standard operating procedures, and protective equipments, health facilities need to open. LHWs and community mobilisers with PPEs should continue services.
目的
探讨新冠疫情对生殖健康及儿童健康服务以及性别关系的影响。
方法
这是一项定性探索性研究。由于实施封锁，研究通过Zoom进行在线访谈。采用目的抽样法。2020年6月进行了五次深度访谈，随后在2020年7月和8月对结果进行整理并撰写论文。
结果
作为新冠疫情附带损害的一部分，孕产妇和新生儿发病率及死亡率将会上升。因为所有常规的孕产妇保健、计划生育、流产后护理和疫苗接种服务也都处于封锁状态。婴儿潮、意外怀孕、不安全流产以及针对妇女的暴力行为将是新冠疫情的次生后果。
结论
一些关键服务绝不能中断，其中包括孕产妇和新生儿基本服务。必须维持妇幼保健服务的连续性，以优化孕产妇和新生儿健康，防止意外怀孕和流产。通过适当的标准操作程序和防护设备，卫生设施需要开放。配备个人防护装备的乡村保健员和社区动员者应继续提供服务。
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