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Disruption in accessing sexual and reproductive health services among border populations during COVID-19 lockdown in Uganda.
Bukuluki, Paul; Kisaakye, Peter; Mulekya, Francis; Mushomi, John; Mayora, Chrispus; Palattiyil, George; Sidhva, Dina; Nair, Harish.
  • Bukuluki P; Department of Social Work and Social Administration, School of Social Sciences, Makerere University, Kampala, Uganda.
  • Kisaakye P; Department of Population Studies, School of Statistics and Planning, Makerere University, Kampala, Uganda.
  • Mulekya F; Department of Social Work and Social Administration, School of Social Sciences, Makerere University, Kampala, Uganda.
  • Mushomi J; Department of Population Studies, School of Statistics and Planning, Makerere University, Kampala, Uganda.
  • Mayora C; Department of Health Policy, Planning and Management, School of Public Health, Makerere University, Kampala, Uganda.
  • Palattiyil G; Department of Social Work, School of Social and Political Science, The University of Edinburgh, Edinburgh, UK.
  • Sidhva D; Department of Social Work, School of Education and Social Sciences, University of the West of Scotland, Paisley, UK.
  • Nair H; Centre for Global Health, Usher Institute, The University of Edinburgh, Edinburgh, UK.
J Glob Health ; 12: 04065, 2022 Aug 17.
Article in English | MEDLINE | ID: covidwho-1994425
ABSTRACT

Background:

The spread of COVID-19 exposed the inadequacies inherent in the health care systems of many countries. COVID-19 and the attendant demands for emergency treatment and management put a significant strain on countries' health care systems, including hitherto strong health systems. In Uganda, as the government strived to contain COVID-19, other essential health care services were either disrupted or completely crowded out. Balancing the provision of COVID-19 treatment and management services and at the same time offering sexual and reproductive health and rights services (SRHR) proved to be a considerable challenge in these circumstances. COVID-19 prevention-related travel restrictions and border closures had far-reaching negative consequences on the mobility of individuals to access essential health services in Uganda. The situation may have been worse for cross-border communities that sometimes access services across the borders.

Methods:

Using quantitative data from 1521 respondents and qualitative data (20 key informant interviews and 12 focus group discussions), we investigate the disruption in accessing SRHR services for border communities in Uganda during COVID-19.

Results:

Results indicate that females (adjusted odds ratio (aOR) = 1.3; 95% confidence interval CI = 1.08-1.79), those with primary education (aOR = 1.47; 95% CI = 1.61-2.57), currently employed (aOR = 2.03; 95% CI = 1.61-2.57) and those with the intention to leave current residence (aOR = 2.09; 95% CI = 1.23-3.55) were more likely to have experienced a disruption in accessing SRHR services. However, respondents aged 35 years, or more were less likely to have experienced a disruption compared to their younger counterparts.

Conclusions:

Results shed light on the disruption of access toSRHR services during pandemics such as COVID-19 among a highly mobile population. There is a need to invest in building strong and resilient health care systems that can guarantee continuous access to essential health services including SRHR provisions among mobile populations during pandemics.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Reproductive Health Services / COVID-19 / COVID-19 Drug Treatment Type of study: Observational study / Prognostic study / Qualitative research / Randomized controlled trials Limits: Female / Humans Country/Region as subject: Africa Language: English Journal: J Glob Health Year: 2022 Document Type: Article Affiliation country: Jogh.12.04065

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Reproductive Health Services / COVID-19 / COVID-19 Drug Treatment Type of study: Observational study / Prognostic study / Qualitative research / Randomized controlled trials Limits: Female / Humans Country/Region as subject: Africa Language: English Journal: J Glob Health Year: 2022 Document Type: Article Affiliation country: Jogh.12.04065