Demand and Supply of Adolescent and Young People Sexual and Reproductive Health Services During Covid-19 in Sub-Saharan Africa: A Scoping Review
Keywords:
Demand, supply, sexual and reproductive health, adolescents, young people
Abstract
The Covid-19 pandemic and its attendant containment strategies impacted the logistics for sexual and reproductive health (SRH) services for adolescents and young people (AYP). The scoping review focused on the SRH of AYP during the Covid-19 lock down (January 2020-December 2021). The review was guided by the Arksey and O’ Malley (2005) procedure, and the Joanna Briggs Institute (JBI) Reviewer’s Manual (2020), articles published from the databases were searched. Studies revealed how discrepancies in the demand and supply of SRH services during the Covid-19 left a wide gap for AYP’s specific need, and the strategies that were adopted by countries in SSA to mitigate the effects. Countries in SSA built resilience among health providers, while AYP look for alternative to mitigate the shortage in SRH services by using alternative medicine. Evidence presented can inform efforts to ensure availability and accessibility of SRH services for AYP during future health emergency.
References
[UNFPA], U. N. P. F. (2021). Impact of COVID-19 on Family Planning: What we know one year into the pandemic. UNFPA Technical Note. https://www.unfpa.org/sites/default/files/resource-pdf/COVID_Impact_FP_V5.pdf.
Adelekan, B., Goldson, E., Abubakar, Z., Mueller, U., Alayande, A., Ojogun, T., . . . Okonofua, F. (2021). Effect of COVID-19 pandemic on provision of sexual and reproductive health services in primary health facilities in Nigeria: a cross-sectional study. Reprod Health, 18(1), 166. doi:10.1186/s12978-021-01217-5
AHB, A. H. B. (2020). Partnerships for COVID-19 in Africa: Manufacturing and supply chain. https://www.ahb.co.ke/partnerships-for-covid-19-in-africa-manufacturing-and-supply-chain-2/ Retrieved May 15, 2021.
Ahmed, Z., & Sonfield, A. (2020a). The COVID-19 outbreak: Potential fallout for sexual and reproductive health and rights. Guttmacher Institute. Retrieved May, 15, 2020.
Ahmed, Z., & Sonfield, A. (2020b). The COVID-19 outbreak: Potential fallout for sexual and reproductive health and rights. Guttmacher Institute. Retrieved from
Arksey, H., & O'Malley, L. (2005). Scoping studies: towards a methodological framework. International journal of social research methodology, 8(1), 19-32.
Binezero Mambo, S., Sikakulya, F. K., Ssebuufu, R., Mulumba, Y., Wasswa, H., Thompson, K., . . . Olabisi Akib, S. (2021). Factors that influenced access and utilisation of sexual and reproductive health services among Ugandan youths during the COVID-19 pandemic lockdown: An online cross-sectional survey.
Bolarinwa, O. A. (2020). Ignoring the elephant in the room: factors contributing to inadequate access to contraception and sources of contraception during novel coronavirus diseases 2019 in South Africa. medRxiv.
Covidence (Producer). https://www.covidence.org/ accessed 2022.
Decker, M. R., Wood, S. N., Thiongo, M., Byrne, M. E., Devoto, B., Morgan, R., . . . Gichangi, P. (2021). Gendered health, economic, social and safety impact of COVID-19 on adolescents and young adults in Nairobi, Kenya. PLoS One, 16(11), e0259583. doi:10.1371/journal.pone.0259583
Eremutha, F., & Gabriel, V. C. (2019). Barriers limiting youth access to reproductive health services by primary health care facilities in Nigeria. Universal Journal of Public Health, 7(1), 36-43.
Gausman, J., Othman, A., Al-Qotob, R., Shaheen, A., Abu Sabbah, E., Aldiqs, M., . . . Langer, A. (2021). Health care professionals’ attitudes towards youth-friendly sexual and reproductive health services in Jordan: a cross-sectional study of physicians, midwives and nurses. Reproductive Health, 18(1), 1-12.
Habtu, Y., Kaba, M., & Mekonnen, H. (2021). What do service providers in Southern Ethiopia say about barriers to using youth-friendly sexual and reproductive health services for adolescents?: Qualitative study. Reproductive Health, 18(1), 1-15.
Haile, B., Shegaze, M., Feleke, T., Glagn, M., & Andarge, E. (2020). Disparities in utilization of sexual and reproductive health services among high school adolescents from youth friendly service implemented and non-implemented areas of Southern Ethiopia. Archives of Public Health, 78(1), 1-11.
Hailemariam, S., Gutema, L., Agegnehu, W., & Derese, M. (2021). Challenges Faced by Female Out-of-School Adolescents in Accessing and Utilizing Sexual and Reproductive Health Service: A Qualitative Exploratory Study in Southwest, Ethiopia. J Prim Care Community Health, 12, 21501327211018936. doi:10.1177/21501327211018936
Isiugo-Abanihe, I. M. (2005). Benefits of sexuality education for young persons in Nigeria. In: Citeseer.
Kellermeyer, L., Harnke, B., & Knight, S. (2018). Covidence and rayyan. Journal of the Medical Library Association: JMLA, 106(4), 580.
Mmeje, O. O., Coleman, J. S., & Chang, T. (2020). Unintended Consequences of the COVID-19 Pandemic on the Sexual and Reproductive Health of Youth. J Adolesc Health, 67(3), 326-327. doi:10.1016/j.jadohealth.2020.06.019
Mmeje, O. O., Coleman, J. S., & Chang, T. (2020). Unintended consequences of the COVID-19 pandemic on the sexual and reproductive health of youth. Journal of Adolescent Health, 67(3), 326-327.
Mongbo, Y., Sombié, I., Dao, B., Johnson, E. A., Ouédraogo, L., Tall, F., . . . Ndour, M. (2021). Maintaining continuity of essential reproductive, maternal, neonatal, child and adolescent health services during the COVID-19 pandemic in Francophone West Africa. African Journal of Reproductive Health, 25(2), 76-85.
Mutea, L., Ontiri, S., Kadiri, F., Michielesen, K., & Gichangi, P. (2020). Access to information and use of adolescent sexual reproductive health services: Qualitative exploration of barriers and facilitators in Kisumu and Kakamega, Kenya. PLoS One, 15(11), e0241985. doi:10.1371/journal.pone.0241985
Ninsiima, L. R., Chiumia, I. K., & Ndejjo, R. (2021). Factors influencing access to and utilisation of youth-friendly sexual and reproductive health services in sub-Saharan Africa: a systematic review. Reproductive Health, 18(1), 1-17.
Odo, A. N., Ofuebe, J. I., Anike, A. I., & Samuel, E. S. (2021). Predictors of young people's use of sexual and reproductive health services in Nigeria: a mixed-method approach. BMC Public Health, 21(1), 37. doi:10.1186/s12889-020-10022-x
Okawa, S., Mwanza-Kabaghe, S., Mwiya, M., Kikuchi, K., Jimba, M., Kankasa, C., & Ishikawa, N. (2018). Sexual and reproductive health behavior and unmet needs among a sample of adolescents living with HIV in Zambia: a cross-sectional study. Reprod Health, 15(1), 55. doi:10.1186/s12978-018-0493-8
Oyediran, K. A., Makinde, O. A., & Adelakin, O. (2020). The Role of Telemedicine in Addressing Access to Sexual and Reproductive Health Services in sub-Saharan Africa during the COVID-19 Pandemic. Afr J Reprod Health, 24(s1), 49-55. doi:10.29063/ajrh2020/v24i2s.8
Peters, M. D., Godfrey, C., McInerney, P., Munn, Z., Tricco, A. C., & Khalil, H. (2020). Chapter 11: scoping reviews (2020 version). JBI manual for evidence synthesis, JBI, 2020.
Tilahun, T., Bekuma, T. T., Getachew, M., & Seme, A. (2021). Assessment of access and utilization of adolescent and youth sexual and reproductive health services in western Ethiopia. Reprod Health, 18(1), 85. doi:10.1186/s12978-021-01136-5
Togun, T., Kampmann, B., Stoker, N. G., & Lipman, M. (2020). Anticipating the impact of the COVID-19 pandemic on TB patients and TB control programmes. Ann Clin Microbiol Antimicrob, 19(1), 21. doi:10.1186/s12941-020-00363-1
Tricco, A. C., Lillie, E., Zarin, W., O'Brien, K. K., Colquhoun, H., Levac, D., . . . Weeks, L. (2018). PRISMA extension for scoping reviews (PRISMA-ScR): checklist and explanation. Annals of internal medicine, 169(7), 467-473.
UNFPA. (2021). Impact of COVID-19 on Family Planning: What we know one year into the pandemic. UNFPA Technical Note. https://www.unfpa.org/sites/default/files/resource-pdf/COVID_Impact_FP_V5.pdf. . Retrieved from
Watara, A. S., Mumuni, A., Zuwera, Y., Edward, A. A., Iddrisu, M. G., & Margret, B. D. (2020). Young people’s experiences in accessing sexual and reproductive health services in sub-Saharan Africa from 1994 to 2019-A content analysis. International Journal of Sexual and Reproductive Health Care, 3(1), 017-026.
Weiss, C., Elouard, Y., Gerold, J., & Merten, S. (2018). Training in youth-friendly service provision improves nurses’ competency level in the Great Lakes Region. International journal of public health, 63(6), 753-763.
Wood, S. N., Karp, C., OlaOlorun, F., Pierre, A. Z., Guiella, G., Gichangi, P., . . . Moreau, C. (2021). Need for and use of contraception by women before and during COVID-19 in four sub-Saharan African geographies: results from population-based national or regional cohort surveys. Lancet Glob Health, 9(6), e793-e801. doi:10.1016/s2214-109x(21)00105-4
World Health Organization. (2020a). COVID-19: situation update for WHO African Region. External Situation Report. 2020;1–5. Available
from: https://apps.who.int/iris/bitstream/handle/10665/331840/SITREP_COVID-
19_WHOAFRO_20200422-eng.pdf (accessed July 22, 2022).
World Health Organization. (2020b). COVID-19: Situation update for WHO African Region. External Situation Report. http://apps.who.int/iris/bitstream/handle/10665/334326/SITREP_COVID-19_WHOAFRO_20200916-eng.pdf?sequence=1&isAllowed=y (Accessed July 2022). Retrieved from
Wusu, O. (2020). Contexts and persistence of age of consent for accessing family planning services in Lagos, Nigeria: A qualitative study. Afr J Reprod Health, 24(3), 135-145. doi:10.29063/ajrh2020/v24i3.15
Zuniga, C., Wollum, A., Grindlay, K., Douglas-Durham, E., Higgins, S., Barr-Walker, J., & Blanchard, K. (2022). The impacts of contraceptive stock-outs on users, providers, and facilities: A systematic literature review. Glob Public Health, 17(1), 83-99. doi:10.1080/17441692.2020.1850829
Adelekan, B., Goldson, E., Abubakar, Z., Mueller, U., Alayande, A., Ojogun, T., . . . Okonofua, F. (2021). Effect of COVID-19 pandemic on provision of sexual and reproductive health services in primary health facilities in Nigeria: a cross-sectional study. Reprod Health, 18(1), 166. doi:10.1186/s12978-021-01217-5
AHB, A. H. B. (2020). Partnerships for COVID-19 in Africa: Manufacturing and supply chain. https://www.ahb.co.ke/partnerships-for-covid-19-in-africa-manufacturing-and-supply-chain-2/ Retrieved May 15, 2021.
Ahmed, Z., & Sonfield, A. (2020a). The COVID-19 outbreak: Potential fallout for sexual and reproductive health and rights. Guttmacher Institute. Retrieved May, 15, 2020.
Ahmed, Z., & Sonfield, A. (2020b). The COVID-19 outbreak: Potential fallout for sexual and reproductive health and rights. Guttmacher Institute. Retrieved from
Arksey, H., & O'Malley, L. (2005). Scoping studies: towards a methodological framework. International journal of social research methodology, 8(1), 19-32.
Binezero Mambo, S., Sikakulya, F. K., Ssebuufu, R., Mulumba, Y., Wasswa, H., Thompson, K., . . . Olabisi Akib, S. (2021). Factors that influenced access and utilisation of sexual and reproductive health services among Ugandan youths during the COVID-19 pandemic lockdown: An online cross-sectional survey.
Bolarinwa, O. A. (2020). Ignoring the elephant in the room: factors contributing to inadequate access to contraception and sources of contraception during novel coronavirus diseases 2019 in South Africa. medRxiv.
Covidence (Producer). https://www.covidence.org/ accessed 2022.
Decker, M. R., Wood, S. N., Thiongo, M., Byrne, M. E., Devoto, B., Morgan, R., . . . Gichangi, P. (2021). Gendered health, economic, social and safety impact of COVID-19 on adolescents and young adults in Nairobi, Kenya. PLoS One, 16(11), e0259583. doi:10.1371/journal.pone.0259583
Eremutha, F., & Gabriel, V. C. (2019). Barriers limiting youth access to reproductive health services by primary health care facilities in Nigeria. Universal Journal of Public Health, 7(1), 36-43.
Gausman, J., Othman, A., Al-Qotob, R., Shaheen, A., Abu Sabbah, E., Aldiqs, M., . . . Langer, A. (2021). Health care professionals’ attitudes towards youth-friendly sexual and reproductive health services in Jordan: a cross-sectional study of physicians, midwives and nurses. Reproductive Health, 18(1), 1-12.
Habtu, Y., Kaba, M., & Mekonnen, H. (2021). What do service providers in Southern Ethiopia say about barriers to using youth-friendly sexual and reproductive health services for adolescents?: Qualitative study. Reproductive Health, 18(1), 1-15.
Haile, B., Shegaze, M., Feleke, T., Glagn, M., & Andarge, E. (2020). Disparities in utilization of sexual and reproductive health services among high school adolescents from youth friendly service implemented and non-implemented areas of Southern Ethiopia. Archives of Public Health, 78(1), 1-11.
Hailemariam, S., Gutema, L., Agegnehu, W., & Derese, M. (2021). Challenges Faced by Female Out-of-School Adolescents in Accessing and Utilizing Sexual and Reproductive Health Service: A Qualitative Exploratory Study in Southwest, Ethiopia. J Prim Care Community Health, 12, 21501327211018936. doi:10.1177/21501327211018936
Isiugo-Abanihe, I. M. (2005). Benefits of sexuality education for young persons in Nigeria. In: Citeseer.
Kellermeyer, L., Harnke, B., & Knight, S. (2018). Covidence and rayyan. Journal of the Medical Library Association: JMLA, 106(4), 580.
Mmeje, O. O., Coleman, J. S., & Chang, T. (2020). Unintended Consequences of the COVID-19 Pandemic on the Sexual and Reproductive Health of Youth. J Adolesc Health, 67(3), 326-327. doi:10.1016/j.jadohealth.2020.06.019
Mmeje, O. O., Coleman, J. S., & Chang, T. (2020). Unintended consequences of the COVID-19 pandemic on the sexual and reproductive health of youth. Journal of Adolescent Health, 67(3), 326-327.
Mongbo, Y., Sombié, I., Dao, B., Johnson, E. A., Ouédraogo, L., Tall, F., . . . Ndour, M. (2021). Maintaining continuity of essential reproductive, maternal, neonatal, child and adolescent health services during the COVID-19 pandemic in Francophone West Africa. African Journal of Reproductive Health, 25(2), 76-85.
Mutea, L., Ontiri, S., Kadiri, F., Michielesen, K., & Gichangi, P. (2020). Access to information and use of adolescent sexual reproductive health services: Qualitative exploration of barriers and facilitators in Kisumu and Kakamega, Kenya. PLoS One, 15(11), e0241985. doi:10.1371/journal.pone.0241985
Ninsiima, L. R., Chiumia, I. K., & Ndejjo, R. (2021). Factors influencing access to and utilisation of youth-friendly sexual and reproductive health services in sub-Saharan Africa: a systematic review. Reproductive Health, 18(1), 1-17.
Odo, A. N., Ofuebe, J. I., Anike, A. I., & Samuel, E. S. (2021). Predictors of young people's use of sexual and reproductive health services in Nigeria: a mixed-method approach. BMC Public Health, 21(1), 37. doi:10.1186/s12889-020-10022-x
Okawa, S., Mwanza-Kabaghe, S., Mwiya, M., Kikuchi, K., Jimba, M., Kankasa, C., & Ishikawa, N. (2018). Sexual and reproductive health behavior and unmet needs among a sample of adolescents living with HIV in Zambia: a cross-sectional study. Reprod Health, 15(1), 55. doi:10.1186/s12978-018-0493-8
Oyediran, K. A., Makinde, O. A., & Adelakin, O. (2020). The Role of Telemedicine in Addressing Access to Sexual and Reproductive Health Services in sub-Saharan Africa during the COVID-19 Pandemic. Afr J Reprod Health, 24(s1), 49-55. doi:10.29063/ajrh2020/v24i2s.8
Peters, M. D., Godfrey, C., McInerney, P., Munn, Z., Tricco, A. C., & Khalil, H. (2020). Chapter 11: scoping reviews (2020 version). JBI manual for evidence synthesis, JBI, 2020.
Tilahun, T., Bekuma, T. T., Getachew, M., & Seme, A. (2021). Assessment of access and utilization of adolescent and youth sexual and reproductive health services in western Ethiopia. Reprod Health, 18(1), 85. doi:10.1186/s12978-021-01136-5
Togun, T., Kampmann, B., Stoker, N. G., & Lipman, M. (2020). Anticipating the impact of the COVID-19 pandemic on TB patients and TB control programmes. Ann Clin Microbiol Antimicrob, 19(1), 21. doi:10.1186/s12941-020-00363-1
Tricco, A. C., Lillie, E., Zarin, W., O'Brien, K. K., Colquhoun, H., Levac, D., . . . Weeks, L. (2018). PRISMA extension for scoping reviews (PRISMA-ScR): checklist and explanation. Annals of internal medicine, 169(7), 467-473.
UNFPA. (2021). Impact of COVID-19 on Family Planning: What we know one year into the pandemic. UNFPA Technical Note. https://www.unfpa.org/sites/default/files/resource-pdf/COVID_Impact_FP_V5.pdf. . Retrieved from
Watara, A. S., Mumuni, A., Zuwera, Y., Edward, A. A., Iddrisu, M. G., & Margret, B. D. (2020). Young people’s experiences in accessing sexual and reproductive health services in sub-Saharan Africa from 1994 to 2019-A content analysis. International Journal of Sexual and Reproductive Health Care, 3(1), 017-026.
Weiss, C., Elouard, Y., Gerold, J., & Merten, S. (2018). Training in youth-friendly service provision improves nurses’ competency level in the Great Lakes Region. International journal of public health, 63(6), 753-763.
Wood, S. N., Karp, C., OlaOlorun, F., Pierre, A. Z., Guiella, G., Gichangi, P., . . . Moreau, C. (2021). Need for and use of contraception by women before and during COVID-19 in four sub-Saharan African geographies: results from population-based national or regional cohort surveys. Lancet Glob Health, 9(6), e793-e801. doi:10.1016/s2214-109x(21)00105-4
World Health Organization. (2020a). COVID-19: situation update for WHO African Region. External Situation Report. 2020;1–5. Available
from: https://apps.who.int/iris/bitstream/handle/10665/331840/SITREP_COVID-
19_WHOAFRO_20200422-eng.pdf (accessed July 22, 2022).
World Health Organization. (2020b). COVID-19: Situation update for WHO African Region. External Situation Report. http://apps.who.int/iris/bitstream/handle/10665/334326/SITREP_COVID-19_WHOAFRO_20200916-eng.pdf?sequence=1&isAllowed=y (Accessed July 2022). Retrieved from
Wusu, O. (2020). Contexts and persistence of age of consent for accessing family planning services in Lagos, Nigeria: A qualitative study. Afr J Reprod Health, 24(3), 135-145. doi:10.29063/ajrh2020/v24i3.15
Zuniga, C., Wollum, A., Grindlay, K., Douglas-Durham, E., Higgins, S., Barr-Walker, J., & Blanchard, K. (2022). The impacts of contraceptive stock-outs on users, providers, and facilities: A systematic literature review. Glob Public Health, 17(1), 83-99. doi:10.1080/17441692.2020.1850829
Published
2023-12-29
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Original research article
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