Introduction. Recent experiences from global outbreaks have highlighted the severe disruptions in sexual and reproductive health services that expose women and girls to preventable health risks. Yet, to date, there is no review studying the possible impact of outbreaks on sexual and reproductive health (SRH). Methodology. Studies reporting outbreaks impacting sexual and reproductive health and pregnancy outcomes were identified using MEDLINE, Embase, and ISI-WoS. Reported impacts were reviewed at systems, community, and legislative levels. Results. The initial run listed 4423 studies; the 37 studies that met all inclusion criteria were mainly from Latin America and Africa. Studies on outbreaks of diseases like Zika and Ebola have documented declines in facility-based deliveries, contraceptive use, and antenatal and institutional care due to burdened healthcare system. Service usage was also impacted by a lack of trust in the healthcare system and system shocks, including workforce capacity and availability. At the community level, poverty and lack of awareness were critical contributors to poor access to SRH services. Assessing the target population’s knowledge, attitude, beliefs, and behavior and using health literacy principles for communication were fundamental for designing service delivery. Online resources for SRH services were an acceptable medium of information among young adults. In outbreak situations, SRH and pregnancy outcomes were improved by implementing laboratory surveillance, free-of-cost contraceptive services, improved screening through professional training, and quality of care. In addition, mobile health clinics were reported to be effective in remote areas. Knowledge Contribution. In outbreaks, the interventions are categorized into preoutbreak, during, and postoutbreak periods. The proposed steps can help to improve and do course correction in emergencies. Though conducted before the COVID-19 crisis, the authors believe that lessons can be drawn from the paper to understand and mitigate the impact of the pandemic on sexual and reproductive health services.

中文翻译：

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暴发对性和生殖健康服务影响的范围审查：暴发前、内和后情况的拟议框架

简介。近期全球疫情的经验凸显了性健康和生殖健康服务的严重中断，使妇女和女孩面临可预防的健康风险。然而，迄今为止，还没有审查研究暴发对性和生殖健康 (SRH) 的可能影响。方法论。使用 MEDLINE、Embase 和 ISI-WoS 确定了报告爆发影响性和生殖健康以及妊娠结局的研究。报告的影响在系统、社区和立法层面进行了审查。结果. 最初的运行列出了 4423 项研究；符合所有纳入标准的 37 项研究主要来自拉丁美洲和非洲。对寨卡病毒和埃博拉病毒等疾病爆发的研究表明，由于医疗保健系统负担过重，以设施为基础的分娩、避孕药具的使用以及产前和机构护理有所下降。服务使用也受到对医疗保健系统缺乏信任和系统冲击的影响，包括劳动力能力和可用性。在社区层面，贫困和缺乏认识是难以获得 SRH 服务的关键因素。评估目标人群的知识、态度、信仰和行为并使用健康素养原则进行交流是设计服务提供的基础。SRH 服务的在线资源是年轻人可接受的信息媒介。在爆发情况下，通过实施实验室监测、免费避孕服务、通过专业培训改进筛查和护理质量，可以改善 SRH 和妊娠结局。此外，据报道，流动医疗诊所在偏远地区也很有效。知识贡献。在暴发中，干预措施分为暴发前、暴发期间和暴发后时期。建议的步骤可以帮助改进和在紧急情况下进行路线修正。尽管是在 COVID-19 危机之前进行的，但作者认为，可以从该论文中吸取教训，以了解和减轻大流行对性健康和生殖健康服务的影响。