Disruption and recovery of family planning, contraception and other sexual and reproductive health services in Brazil with COVID-19 pandemic: a mixed methods approach
Abstract Background Limited scientific evidence is available on the impact of COVID-19 on Sexual and Reproductive Health (SRH). Some data shows that severe disruptions in SRH services expose women to preventable health risks. This study has the objective to provide a better understanding of the impa...
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BMC
2025-08-01
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| Series: | Reproductive Health |
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| Online Access: | https://doi.org/10.1186/s12978-025-02088-w |
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| author | Luis Bahamondes Jose G. Cecatti Aline Munezero Rachel E. Soeiro Karayna G. Fernandes Samira M. Haddad Silvana Ferreira Bento Karla S. Padua Vilma Zotareli Charles M. Charles Montas Laporte Caron Kim Vanessa Brizuela Moazzam Ali for the WHO HRP Social Science Research Team |
| author_facet | Luis Bahamondes Jose G. Cecatti Aline Munezero Rachel E. Soeiro Karayna G. Fernandes Samira M. Haddad Silvana Ferreira Bento Karla S. Padua Vilma Zotareli Charles M. Charles Montas Laporte Caron Kim Vanessa Brizuela Moazzam Ali for the WHO HRP Social Science Research Team |
| author_sort | Luis Bahamondes |
| collection | DOAJ |
| description | Abstract Background Limited scientific evidence is available on the impact of COVID-19 on Sexual and Reproductive Health (SRH). Some data shows that severe disruptions in SRH services expose women to preventable health risks. This study has the objective to provide a better understanding of the impact of COVID-19 on family planning and contraception among other SRH services and strengthen policies and services to be more responsive to community needs. Methods A mixed quantitative and qualitative methods were used to assess SRH service availability and readiness, and clients’ and providers’ perceptions in some Brazilian COVID-19-affected areas. Interviews were performed at baseline and 6–9 months later. It was conducted in three cities from the São Paulo state, Campinas, Jundiai, and Santos. The health facility level involved five questionnaires for assessment of infrastructure availability and readiness to provide SRH services and a qualitative survey to elicit health services providers´ perspectives. The qualitative in-depth interviews (IDI) with the participants and Focus Group Discussion (FGD) with women and partners were conducted using a semi-structured interview, recorded and transcribed. A thematic content analysis was then performed. Results The settings studied had different characteristics of geographic size, population, and organisation of health services that influenced the way they faced COVID-19. During the baseline interview, the population mentioned fear of seeking health support in the PHU; however, this situation was still observed in Santos in the end-line interview. Antenatal and post-partum care was offered to the population; however, other demands, such as contraception were not. In the interviews, contraception services were considered a priority. The different speeches and behaviours of the government leaders caused discredit to the health measures recommended by the WHO. There is a need for alignment among health managers at municipal, state, and federal levels. Conclusions The municipal administration played a key role in the fight against COVID-19 together with the coordinators of the health services. Contraception was not considered a priority during the pandemic. However, participants reported they should be considered essential services in future pandemics. The PHU readiness offered antenatal and post-partum care, while other population needs were not prioritized. |
| format | Article |
| id | doaj-art-23fbf807519345c0bccc757ed1fde827 |
| institution | Kabale University |
| issn | 1742-4755 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | BMC |
| record_format | Article |
| series | Reproductive Health |
| spelling | doaj-art-23fbf807519345c0bccc757ed1fde8272025-08-20T03:45:49ZengBMCReproductive Health1742-47552025-08-0122S31110.1186/s12978-025-02088-wDisruption and recovery of family planning, contraception and other sexual and reproductive health services in Brazil with COVID-19 pandemic: a mixed methods approachLuis Bahamondes0Jose G. Cecatti1Aline Munezero2Rachel E. Soeiro3Karayna G. Fernandes4Samira M. Haddad5Silvana Ferreira Bento6Karla S. Padua7Vilma Zotareli8Charles M. Charles9Montas Laporte10Caron Kim11Vanessa Brizuela12Moazzam Ali13for the WHO HRP Social Science Research TeamDepartment of Obstetrics and Gynaecology, School of Medical Sciences, the University of Campinas, and CemicampDepartment of Obstetrics and Gynaecology, School of Medical Sciences, the University of Campinas, and CemicampDepartment of Obstetrics and Gynaecology, School of Medical Sciences, the University of Campinas, and CemicampDepartment of Obstetrics and Gynaecology, School of Medical Sciences, the University of Campinas, and CemicampDepartment of Obstetrics and Gynaecology, Jundiai School of MedicineSchool of Medicine, University UnoesteDepartment of Obstetrics and Gynaecology, School of Medical Sciences, the University of Campinas, and CemicampDepartment of Obstetrics and Gynaecology, School of Medical Sciences, the University of Campinas, and CemicampDepartment of Obstetrics and Gynaecology, School of Medical Sciences, the University of Campinas, and CemicampDepartment of Obstetrics and Gynaecology, School of Medical Sciences, the University of Campinas, and CemicampDepartment of Obstetrics and Gynaecology, School of Medical Sciences, the University of Campinas, and CemicampDepartment of Sexual and Reproductive Health, World Health OrganizationDepartment of Sexual and Reproductive Health, World Health OrganizationDepartment of Sexual and Reproductive Health, World Health OrganizationAbstract Background Limited scientific evidence is available on the impact of COVID-19 on Sexual and Reproductive Health (SRH). Some data shows that severe disruptions in SRH services expose women to preventable health risks. This study has the objective to provide a better understanding of the impact of COVID-19 on family planning and contraception among other SRH services and strengthen policies and services to be more responsive to community needs. Methods A mixed quantitative and qualitative methods were used to assess SRH service availability and readiness, and clients’ and providers’ perceptions in some Brazilian COVID-19-affected areas. Interviews were performed at baseline and 6–9 months later. It was conducted in three cities from the São Paulo state, Campinas, Jundiai, and Santos. The health facility level involved five questionnaires for assessment of infrastructure availability and readiness to provide SRH services and a qualitative survey to elicit health services providers´ perspectives. The qualitative in-depth interviews (IDI) with the participants and Focus Group Discussion (FGD) with women and partners were conducted using a semi-structured interview, recorded and transcribed. A thematic content analysis was then performed. Results The settings studied had different characteristics of geographic size, population, and organisation of health services that influenced the way they faced COVID-19. During the baseline interview, the population mentioned fear of seeking health support in the PHU; however, this situation was still observed in Santos in the end-line interview. Antenatal and post-partum care was offered to the population; however, other demands, such as contraception were not. In the interviews, contraception services were considered a priority. The different speeches and behaviours of the government leaders caused discredit to the health measures recommended by the WHO. There is a need for alignment among health managers at municipal, state, and federal levels. Conclusions The municipal administration played a key role in the fight against COVID-19 together with the coordinators of the health services. Contraception was not considered a priority during the pandemic. However, participants reported they should be considered essential services in future pandemics. The PHU readiness offered antenatal and post-partum care, while other population needs were not prioritized.https://doi.org/10.1186/s12978-025-02088-wCOVID-19 pandemicContraceptionFamily planningMixed methods |
| spellingShingle | Luis Bahamondes Jose G. Cecatti Aline Munezero Rachel E. Soeiro Karayna G. Fernandes Samira M. Haddad Silvana Ferreira Bento Karla S. Padua Vilma Zotareli Charles M. Charles Montas Laporte Caron Kim Vanessa Brizuela Moazzam Ali for the WHO HRP Social Science Research Team Disruption and recovery of family planning, contraception and other sexual and reproductive health services in Brazil with COVID-19 pandemic: a mixed methods approach Reproductive Health COVID-19 pandemic Contraception Family planning Mixed methods |
| title | Disruption and recovery of family planning, contraception and other sexual and reproductive health services in Brazil with COVID-19 pandemic: a mixed methods approach |
| title_full | Disruption and recovery of family planning, contraception and other sexual and reproductive health services in Brazil with COVID-19 pandemic: a mixed methods approach |
| title_fullStr | Disruption and recovery of family planning, contraception and other sexual and reproductive health services in Brazil with COVID-19 pandemic: a mixed methods approach |
| title_full_unstemmed | Disruption and recovery of family planning, contraception and other sexual and reproductive health services in Brazil with COVID-19 pandemic: a mixed methods approach |
| title_short | Disruption and recovery of family planning, contraception and other sexual and reproductive health services in Brazil with COVID-19 pandemic: a mixed methods approach |
| title_sort | disruption and recovery of family planning contraception and other sexual and reproductive health services in brazil with covid 19 pandemic a mixed methods approach |
| topic | COVID-19 pandemic Contraception Family planning Mixed methods |
| url | https://doi.org/10.1186/s12978-025-02088-w |
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