Center for Vaccine Development, Mali (CVD-Mali).
International Center for Research on Women, USA (ICRW).
Afr J Reprod Health. 2022 Dec;26(12s):169-179. doi: 10.29063/ajrh2022/v26i12s.18.
A qualitative study assessed the effects of the COVID-19 epidemic on Malian sexual and reproductive health services. Sexual and reproductive health (SRHR) providers in 25 purposively selected public health facilities in urban Bamako, rural Kita (western Mali) and Koutiala (southeast Mali) were interviewed. Disruptions within SRH supply, staffing, the prioritization of SRHR services, and patients' ability to seek, obtain and pay for services were reported across urban and rural settings at all levels of public health care, and by all cadres of SRHR providers. Most facilities in the study areas sustained some SRHR services at the height of the COVID-19 epidemic through innovative outreach and phone-based consultations. This study offers critical lessons for SRHR service provision during future waves of the pandemic or during periods of comparable emergency.
一项定性研究评估了 COVID-19 疫情对马里性健康和生殖健康服务的影响。在巴马科的 25 家定点公立卫生机构、基塔（马里西部）和库里亚塔（马里东南部）的农村地区，对性健康和生殖健康（SRHR）提供者进行了访谈。在城市和农村各级公立医疗保健机构，以及所有 SRHR 提供者群体中，都报告了 SRHR 供应、人员配备、SRHR 服务的优先次序以及患者寻求、获得和支付服务的能力受到干扰的情况。在研究地区的大多数机构，在 COVID-19 疫情高峰期，通过创新的外展和电话咨询，维持了一些 SRHR 服务。本研究为未来的大流行浪潮或类似紧急时期的 SRHR 服务提供提供了重要的经验教训。
