Department of Health Promotion and Behavioral Sciences, University of Texas Health Science Center at Houston School of Public Health, San Antonio, TX, USA.
Department of Social and Behavioral Sciences, Yale School of Public Health, New Haven, CT, USA.
Glob Health Action. 2023 Dec 31;16(1):2243760. doi: 10.1080/16549716.2023.2243760.
The effects of COVID-19-associated restrictions on youth sexual and reproductive health (SRH) care during the pandemic remain unclear, particularly in sub-Saharan Africa. This study uses interrupted time series analyses to assess changes in SRH care utilisation (including visits for HIV testing and treatment, family planning, and antenatal care) adolescent girls' and young women's (AGYW; aged 15-24 years old) in eSwatini following COVID-19 lockdown beginning in March 2020. SRH utilisation data from 32 clinics in the Manzini region that remained open throughout the 2020 COVID-19 period were extracted from eSwatini's electronic health record system. We tabulated and graphed monthly visits (both overall and by visit type) by AGYW during the two-year period between January 2019 and December 2020. Despite the March to September 2020 lockdown, we did not detect significant changes in monthly visit trends from 2019 to 2020. Our findings suggest little change to AGYW's SRH utilisation in eSwatini during the 2020 COVID-19 lockdown period.
新冠疫情相关限制措施对大流行期间青年生殖健康（SRH）护理的影响尚不清楚，特别是在撒哈拉以南非洲地区。本研究使用中断时间序列分析来评估 2020 年 3 月新冠疫情封锁开始后，斯威士兰青少年和年轻女性（15-24 岁）的 SRH 护理利用情况（包括艾滋病毒检测和治疗、计划生育和产前护理就诊）的变化。从斯威士兰电子健康记录系统中提取了曼齐尼地区 32 家在整个 2020 年新冠疫情期间保持开放的诊所的 SRH 利用数据。我们对 2019 年 1 月至 2020 年 12 月期间两年内 AGYW 的每月就诊情况（总体和就诊类型）进行了列表和绘图。尽管 2020 年 3 月至 9 月实施了封锁，但我们没有发现 2019 年至 2020 年每月就诊趋势的显著变化。我们的研究结果表明，斯威士兰在 2020 年新冠疫情封锁期间，AGYW 的 SRH 利用情况几乎没有变化。
