Method, Use and Problems Encountered of Family Planning Services in the COVID-19 Pandemic Process

Yıl 2022, Cilt: 5 Sayı: 3, 485 - 494, 05.12.2022

Deniz Eren , Burcu Küçükkaya

https://doi.org/10.38108/ouhcd.986296

Öz

Family planning is essential to reducing poverty and ensuring a healthy, productive future for millions of women and girls around the world. With the COVID-19 pandemic negatively affecting health systems, supply chains of health products and lifestyles in many countries, some problems have been encountered in accessing family planning services and using methods. At the beginning of these problems, it comes first that individuals cannot access the family planning information, methods and services they need. Especially with the COVID-19 pandemic, minimizing home visits in line with the recommendation of the Ministry of Health, reducing face-to-face contact with practices such as social distance and quarantine, brings less use of contraceptive methods that require one-to-one application. In this process, women's needs not only for methods but also for accurate information and communication resources should be taken into account, and the risks specific to each country should be evaluated in the decision-making process by establishing the right policies in reshaping family planning services. In line with this, it is aimed to examine family planning services, method use and problems encountered during the COVID-19 pandemic process in this review.

Anahtar Kelimeler

Pandemic, Contraceptive Methods, COVID-19, Family Planning

COVID-19 Pandemi Sürecinde Aile Planlaması Hizmetleri, Yöntem Kullanımı ve Karşılaşılan Sorunlar

Öz

Aile planlaması, yoksulluğu azaltmak ve dünya çapında milyonlarca kadın ve kız çocuğu için sağlıklı, üretken bir gelecek sağlamak için çok önemlidir. COVID-19 pandemisinin birçok ülkede sağlık sistemlerini, sağlık ürünlerinin tedarik zincirlerini ve yaşam biçimlerini olumsuz etkilemesiyle birlikte, aile planlaması hizmetlerine ulaşımında yetersizlik ve yöntem kullanmada bazı sorunlarla karşılaşılmıştır. Bu sorunların başında, bireylerin ihtiyaç duydukları aile planlaması bilgilerine, yöntemlerine ve hizmetlerine erişememe yer almaktadır. Özellikle COVID 19 pandemisi ile Sağlık Bakanlığı’nın önerisi doğrultusunda ev ziyaretlerinin minimal düzeye indirilmesi, sosyal mesafe ve karantina gibi uygulamaların yapılmasıyla birlikte yüz yüze temasın azalması, birebir uygulamayı gerektiren kontraseptif yöntemlerin daha az kullanılmasını beraberinde getirmiştir. Bu süreçte, kadınların sadece yöntemlere değil aynı zamanda doğru bilgiye ve iletişim kaynaklarına gereksinimleri de göz önüne alınmalı, aile planlaması hizmetlerini yeniden şekillendirmede doğru politikalar oluşturularak, karar verme aşamasında her ülkeye özgü riskler değerlendirilmelidir. Bu doğrultuda, derlemede COVID-19 pandemi sürecinde aile planlaması hizmetleri, yöntem kullanımı ve karşılaşılan sorunları incelemek amaçlanmıştır.

Anahtar Kelimeler

Pandemi, Aile planlaması, Kontraseptif yöntemler, COVID-19

Kaynakça

• Aly J, Haeger KO, Christy AY, Johnson AM. (2020). Contraception access during the COVID-19 pandemic. Contraception and Reproductive Medicine. 5(17), 1-9.
• Amerikan Jinekoloji ve Obstetrik Derneği (The American College of Obstetricians and Gynecologists-ACOG). COVID-19 FAQs for Obstetrician–Gynecologists, Gynecology [Internet]. 2021 [cited 2021 May 09]. Erişim adresi: https://www.acog.org Erişim tarihi: 12.08.2021
• Avustralya Aile Planlaması Derneği (Family Planning Alliance Australia). Extended use of and ongoing access to LARCs during the COVID-19 pandemic. Erişim adresi: https://www.familyplanningallianceaustralia.org.au/, April 2020. Erişim tarihi: 10.08.2021.
• Bahk J, Yun SC, Kim YM, Khang YH. (2015). Impact of unintended pregnancy on maternal mental health: a causal analysis using follow up data of the Panel Study on Korean Children (PSKC). BMC pregnancy and childbirth. 15(1), 1-12.
• Bietsch K, Williamson J, Reeves M. (2020). Family planning during and after the West African Ebola Crisis. Stud Fam Plann. 51, 71–86.
• Birleşmiş Milletler Nüfus Fonu. Impact of COVID-19 on Family Planning: What we know one year into the pandemic. United Nations Population Fund, 2021. Available from: https://www.unfpa.org/sites/default/ files/resource-pdf/COVID_Impact_FP_V5.pdf
• Birleşmiş Milletler Çocuklara Yardım Fonu (UNFPA). Impact of the COVID-19 Pandemic on Family Planning and Ending Gender-based Violence, Female Genital Mutilation and Child Marriage. Erişim adresi: https://www.unfpa.org/sites/default/files/resource-pdf/COVID-19, 27 April 2020 Erişim tarihi: 25.08.2021
• Cohen MA, Powell AM, Coleman JS, Keller JM, Livingston A, Anderson JR. (2020). Special ambulatory gynecologic considerations in the era of coronavirus disease 2019 (COVID-19) and implications for future practice. American Journal of Obstetrics and Gynecology, 223(3), 372-378.
• COVID-19 Reproductive Health Care Resources. Reproductive Health Access Project. Erişim adresi: https://www.reproductiveaccess.org/covid19/. Erişim tarihi: 15.08.2021
• Dünya Sağlık Örgütü (DSÖ-World Health Organization). COVID-19: operational guidance for maintaining essential health services during an outbreak: interim guidance, 25 March 2020.
• Edinburgh Cinsel Sağlık ve Üreme Sağlığı Fakültesi Klinik Etkinlik Birimi (FSRH CEU). Clinical advice to support provision of effective contraception during the COVID-19 outbreak. 20 March 2020. Erişim adresi: https://www.fsrh.org/documents /fsrh-ceu-clinical-advice-to-support-provision-of-effective/ Erişim tarihi: 20.08.2021
• Ferreira-Filho ES, de Melo NR, Sorpreso ICE, Bahamondes L, Simões RDS, Soares-Júnior JM, Baracat EC (2020). Contraception and reproductive planning during the COVID-19 pandemic. Expert Review of Clinical Pharmacology. 13(6), 615-622.
• Gavin L, Moskosky S, Carter M, Curtis K, Glass E, Godfrey E, Zapata L. (2014). Providing quality family planning services: recommendations of CDC and the US Office of Population Affairs. Morbidity and Mortality Weekly Report: Recommendations and Reports. 63(4), 1-54.
• Haddad C, Bou Malhab S, Sacre H, Salameh P. (2021). Smoking and COVID-19: A Scoping Review. Tob Use Insights. 14, 1179173x21994612. doi:10.1177/1179173x21994612.
• ICPD25. Nairobi Statement of ICPD25: accelerating the promise. Nairobi: Ministry of Foreign Affairs, Republic of Kenya; Ministry of Foreign Affairs of Denmark; UNFPA; 2019. Erişim adresi: http://www.nairobisummiticpd.org/content/icpd25-commitments [cited 2021 July 12].
• İngiltere Kadın Doğum ve Jinekologlar Derneği (The Faculty of Sexual & Reproductive Healthcare of Royal College of Obstetricians &Gynaecologists). Provision of contraception by maternity services after childbirth during the Covid-19 pandemic, 08 April 2020. Erişim adresi: http://Users/90541/Downloads/ 1fsrh-rcog-rcm-post-partum-contraception-during-covid-19-statement-april-2020.pdf Erişim tarihi: 20.08.2021.
• Marie Stopes International. Resilience, Adaptation and Action. MSI’s Response to the Covid-19 crisis. Erişim adresi: https://www.msichoices.org/media/3849/resilience-adaptation-and-action.pdf Erişim tarihi: 20.08.2021.
• Mermer G. (2021). Cinsel Sağlık ve Üreme Sağlığı Hakları Platformu (CİSÜ). Pandemi Döneminde Aile Planlaması. Pandemi Dönemlerinde Cinsel Sağlık ve Üreme Sağlığı (CSÜS) Hizmetleri: Toplum Temelli Hizmetler İçin Rehber (içinde), Şubat 2021. Erişim adresi: https://www.tapv.org.tr/ Erişim tarihi: 25.08.2021
• Nanda K, Lebetkin E, Steiner MJ, Yacobson I, Dorflinger LJ. (2020). Contraception in the Era of COVID-19. Global Health: Science and Practice. 8(2), 166-168.
• Provision of contraception by maternity services after childbirth during the Covid-19 pandemic. The Faculty of Sexual & Reproductive Healthcare of Royal College of Obstetricians & Gynaecologists; 08 April 2020.
• Sharma KA, Zangmo R, Kumari A, Roy KK, Bharti J. (2020). Family planning and abortion services in COVID 19 pandemic. Taiwan J Obstet Gynecol. 59(6), 808-811. doi:10.1016/j.tjog.2020.09.005
• Sarfraz A, Sarfraz Z, Tebha SS, Hange N, Agadi K, Barrios A, Patel G. (2021). COVID-19 and family planning in the Eastern Mediterranean Region. East Mediterr Health J. 27(9), 857-860. doi:10.26719/2021.27.9.857
• Serhatlıoğlu S, Göncü G. (2020). COVID-19 ve Aile Planlaması Hizmetlerine Yansımaları. Sağlık Bilimleri ve Araştırmaları Dergisi / Journal of Health Sciences and Research. 2(3), 184-191.
• Singh S, Sedgh G, Hussain R. (2010). Unintended pregnancy: worldwide levels, trends, and outcomes. Stud Fam Plan. 41(4), 241–50.
• Singh S, Darroch JE, Ashford LS, Vlassoff M. (2009). Adding It Up: The costs and Benefits of Investing in family Planning and maternal and new born health. New York: Guttmacher Institute and United Nations Population Fund.
• Stahel PF. (2020). How to risk-stratify elective surgery during the COVID-19 pandemic?. Patient Safety in Surgery. 14, 8.
• Stanton T, Bateson D. (2021). Effects of the COVID-19 pandemic on family planning services. Curr Opin Obstet Gynecol. 33(5), 425-430. doi:10.1097/gco.0000000000000746
• Uluslararası Jinekoloji ve Obstetrik Federasyonu (International Federation of Gynecology and Obstetrics). COVID-19 Contraception and Family Planning – April 2020 guidance. Available from: COVID-19 Contraception and Family Planning – April 2020 guidance | Figo [cited 2021 July 08].
• Wilkinson TA, Kottke MJ, Berlan ED. (2020). Providing Contraception for Young People During a Pandemic Is Essential Health Care. JAMA Pediatr. 174(9), 823-824. doi:10.1001/jamapediatrics.2020.1884
• Wood SN, Karp C, OlaOlorun F, Guiella G, Gichangi P, Moreau C, et al. (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, e793–801.
• Temmerman M. (2021). Family planning in COVID-19 times: access for all. The Lancet Global Health. 9(6), e728-e729.
• Ti AJ, Roe AH, Whitehouse KC, Smith RA, Gaffield ME, Curtis KM. (2020). Effectiveness and safety of extending intrauterine device duration: a systematic review. Am J Obstet Gynecol. 223(1), 24-35.
• Tolu LB, Feyissa GT, Jeldu WG. (2021). Guidelines and best practice recommendations on reproductive health services provision amid COVID-19 pandemic: Scoping review. BMC public health. 21(1), 1-10.
• Türkiye İstatistik Kurumu. (2021). https://www.tuik.gov.tr/ [cited 2021 July 14].
• Türkiye’de Üç Sıfıra Doğru, Hacettepe Nüfus Etütleri Enstitüsü. (2021). Available from: http://www.hips.hacettepe.edu.tr/TR_uc_sifira_dogru.pdf [cited 2021 July 11].
• Turok DK, Gero A, Simmons RG, Kaiser JE, Stoddard GJ, Sexsmith CD, Sanders J. (2021). N. Levonorgestrel vs. Copper Intrauterine Devices for Emergency Contraception. New England Journal of Medicine. 384(4), 335-44.