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应对新冠疫情期间女性基本性与生殖健康需求:一项文献综述

Responding to the Essential Sexual and Reproductive Health Needs for Women During the COVID-19 Pandemic: A Literature Review.

作者信息

Larki Mona, Sharifi Farangis, Manouchehri Elham, Latifnejad Roudsari Robab

机构信息

Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran.

Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.

出版信息

Malays J Med Sci. 2021 Dec;28(6):8-19. doi: 10.21315/mjms2021.28.6.2. Epub 2021 Dec 22.

Abstract

The pandemic and its consequences have been shown to have a negative impact on the availability and accessibility of the basic services, including sexual and reproductive health (SRH) needs. The aim of this study was to investigate the responses to the essential SRH needs for women during the COVID-19 pandemic. This narrative review was conducted based on the Scale for Assessing Narrative Review Articles (SANRA), in order to present key activities for responding to the important SRH needs of women in the current COVID-19 pandemic. The literature search was performed through English databases of Cochrane Library, PubMed, Scopus and ScienceDirect, as well as Persian databases including Magiran and Scientific Information Database (SID). In addition, the World Health Organization (WHO), the Joint United Nations Programme on HIV and AIDS (UNAIDS) and the reports of Center for Disease Control and Prevention (CDC) were searched. The search was carried out from December 2019 up to 10 January 2021. Essential reproductive healthcare services for women during the COVID-19 pandemic were divided into six categories including access to contraception, safe abortion and post-abortion care, sexual health and sexually transmitted disease (STD) prevention, cervical cancer screening and prevention, maternity services and also addressing violence against women and girls. These essential needs should be considered as a priority by governments as well as public and private stakeholders. It seems that the implementation of the shifted strategies, active participation of public and private stakeholders, consideration of human rights and ethical issues, ensuring access to vulnerable populations, regular contact with individuals and the increased cooperation of individuals for responding to the SRH needs during the COVID-19 outbreak, are necessary.

摘要

事实表明,疫情及其后果对包括性健康和生殖健康需求在内的基本服务的可得性和可及性产生了负面影响。本研究的目的是调查在新冠疫情期间对女性基本性健康和生殖健康需求的应对情况。本叙述性综述是根据叙述性综述文章评估量表(SANRA)进行的,以便介绍在当前新冠疫情中应对女性重要性健康和生殖健康需求的关键活动。文献检索通过Cochrane图书馆、PubMed、Scopus和ScienceDirect等英文数据库,以及包括Magiran和科学信息数据库(SID)在内的波斯文数据库进行。此外,还检索了世界卫生组织(WHO)、联合国艾滋病毒/艾滋病联合规划署(UNAIDS)以及疾病控制与预防中心(CDC)的报告。检索时间从2019年12月至2021年1月10日。新冠疫情期间女性的基本生殖保健服务分为六类,包括获得避孕措施、安全堕胎和堕胎后护理、性健康和性传播疾病(STD)预防、宫颈癌筛查和预防、孕产妇服务,以及应对针对妇女和女孩的暴力行为。各国政府以及公共和私营利益相关者应将这些基本需求视为优先事项。在新冠疫情爆发期间,似乎有必要实施转变后的策略、公共和私营利益相关者的积极参与、对人权和伦理问题的考虑、确保弱势群体能够获得服务、与个人保持定期联系以及个人为应对性健康和生殖健康需求而加强合作。

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本文引用的文献

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East Mediterr Health J. 2020 Sep 24;26(9):994-998. doi: 10.26719/emhj.20.097.
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JMIR Cancer. 2020 Oct 29;6(2):e21697. doi: 10.2196/21697.
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Int J Infect Dis. 2020 Nov;100:286-291. doi: 10.1016/j.ijid.2020.08.086. Epub 2020 Sep 11.
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COVID-19 and Immigrants' Access to Sexual and Reproductive Health Services in the United States.
Perspect Sex Reprod Health. 2020 Jul;52(2):69-73. doi: 10.1363/psrh.12150. Epub 2020 Jul 15.

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