Abstract

The COVID-19 pandemic has substantially strained health systems across the globe. In particular, documented disruptions to voluntary family planning and reproductive health care due to competing health priorities, service disruptions, stockouts, and lockdowns are significantly impacting reproductive, maternal, newborn, and child health. As governments and family planning programmes grapple with how best to respond to the direct and indirect effects of the pandemic on family planning and reproductive health (FP/RH), the implementation and adaptation of evidence-based practices is crucial. In this commentary, we outline applications of the High Impact Practices in Family Planning (HIPs) towards COVID-19 response efforts. The HIPs are a set of evidence-based family planning practices which reflect global expert consensus on what works in family planning programming. Drawing upon preliminary COVID-19 data, documented experiences from prior health emergencies, and recommended programme adaptations from a variety of global health partners, we outline situations where specific HIPs may assist family planning programme managers in developing context-specific and evidence-based responses to COVID-19-related impacts on FP/RH, with the ultimate goal of ensuring the accessibility, availability, and continuity of voluntary family planning services across the world.

摘要

COVID-19大流行严重危害了全球的卫生系统。特别是，由于相互竞争的卫生优先事项，服务中断，缺货和停工而导致的自愿性计划生育和生殖健康护理的记录中断，严重影响了生殖，孕产妇，新生儿和儿童的健康。随着政府和计划生育计划努力应对流感大流行对计划生育和生殖健康（FP / RH）的直接和间接影响的最佳方式，实施和适应循证做法至关重要。在此评论中，我们概述了计划生育高影响实践（HIP）在COVID-19响应工作中的应用。HIP是一组基于证据的计划生育实践，反映了全球专家对计划生育编程工作的共识。根据COVID-19的初步数据，以往卫生突发事件的记录经验以及各种全球卫生合作伙伴建议的方案改编方案，我们概述了特定的HIP可以帮助计划生育方案管理人员针对具体情况和基于证据制定应对方案的情况与COVID-19相关的对FP / RH的影响，其最终目标是确保全球自愿性计划生育服务的可访问性，可用性和连续性。