Evidence map›Paper›PMID 36202429›Full record

ArticleBMJ global health2022

Impact of the COVID-19 pandemic on access to and utilisation of services for sexual and reproductive health: a scoping review.

Hannah VanBenschoten, Hamsadvani Kuganantham, Elin C Larsson, Margit Endler, Anna Thorson, Kristina Gemzell-Danielsson, Claudia Hanson, Bela Ganatra, Moazzam Ali, Amanda Cleeve

Open access · goldAbstract readScoping Review
In one paragraph

Article in BMJ global health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 68 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
68citing papers in PubMed, 3 pooled it
16.6field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

68 citing papers in PubMed, 3 syntheses or guidelines pooled it, 97 citations in OpenAlex.

  1. The use of telemedicine services for medical abortion.The Cochrane database of systematic reviews · 2025
    Pooled it
  2. Extended duration of use of long-acting reversible contraceptives: Systematic review.Canadian family physician Medecin de famille canadien · 2025
    Pooled it
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8 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 4 countries.

Hannah VanBenschotenDepartment of Bioengineering, University of Washington, Seattle, Washington, USA.ORCID 0000-0002-2629-150X
Hamsadvani KugananthamDepartment of Sexual and Reproductive Health, WHO, Geneve, Switzerland.
Elin C LarssonDepartment of Women's and Children's Health, Karolinska Institute, Stockholm, Sweden.
Margit EndlerDepartment of Women and Children's Health, Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0003-0164-6455
Anna ThorsonDepartment of Sexual and Reproductive Health and Research, WHO, Geneve, Switzerland.
Kristina Gemzell-DanielssonDepartment of Women's and Children's Health, Karolinska Institute, Stockholm, Sweden.
Claudia HansonDepartment of Global Public Health, Karolinska Institute, Stockholm, Sweden.ORCID 0000-0001-8066-7873
Bela GanatraDepartment of Sexual and Reproductive Health and Research, WHO, Geneve, Switzerland.
Moazzam AliDepartment of Sexual and Reproductive Health and Research, WHO, Geneve, Switzerland.ORCID 0000-0001-6949-8976
Amanda CleeveDepartment of Women's and Children's Health, Karolinska Institute, Stockholm, Sweden Amanda.cleeve@ki.se.ORCID 0000-0001-8115-5503
Karolinska Institutet · SEWorld Health Organization · CHKarolinska University Hospital · SEUniversity of Washington · US

Funding

World Health Organization 001
6 · The paper itself

Abstract

introductionThe COVID-19 pandemic has negatively impacted health systems globally and widened preexisting disparities. We conducted a scoping review on the impact of the COVID-19 pandemic on women and girls' access to and utilisation of sexual and reproductive health (SRH) services for contraception, abortion, gender-based and intimate partner violence (GBV/IPV) and sexually transmitted infections (STIs).

methodsWe systematically searched peer reviewed literature and quantitative reports, published between December 2019 and July 2021, focused on women and girls' (15-49 years old) access to and utilisation of selected SRH services during the COVID-19 pandemic. Included studies were grouped based on setting, SRH service area, study design, population and reported impact. Qualitative data were coded, organised thematically and grouped by major findings.

resultsWe included 83 of 3067 identified studies and found that access to contraception, in-person safe abortion services, in-person services for GBV/IPV and STI/HIV testing, prevention and treatment decreased. The geographical distribution of this body of research was uneven and significantly less representative of countries where COVID-19 restrictions were very strict. Access was limited by demand and supply side barriers including transportation disruptions, financial hardships, limited resources and legal restrictions. Few studies focused on marginalised groups with distinct SRH needs.

conclusionReports indicated negative impacts on access to and utilisation of SRH services globally, especially for marginalised populations during the pandemic. Our findings call for strengthening of health systems preparedness and resilience to safeguard global access to essential SRH services in ongoing and future emergencies.

Indexed as

COVID-19Reproductive Health ServicesSexual HealthSexually Transmitted DiseasesAdolescentAdultFemaleHumansMiddle AgedPandemicsPregnancyReproductive HealthYoung AdultCOVID-19Health systemsHIVSystematic review

Identifiers

PMID36202429
PMCPMC9539651
OpenAlexW4303519727

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.