Considerations for the Provision of Fertility Regulation Services for Women During the Covid-19 Pandemic

Abstract

Introduction. The sexual and reproductive health (SRH) constitutes a universal human right. Due the consequences generated by the pandemic Virus SARS-COV-2 sexual and reproductive health benefits have been deprioritized in different countries. In Chile, a loss in access and continuity of benefits has been observed due to the reorientation of primary health care resources. The consequences of these decisions affected the preventive benefits in SRH and the discontinuation of contraceptive controls. The latter becomes more serious if it is observed that this level solves 95 % of the contraceptive benefits of the entire public network. Objectives. Describe the main international recommendations available regarding the management of contraception in pandemic times and generate proposals for our country. Material and Methods. It was done a literature review in Pubmed, the Cochrane Library and the websites of the main international Spanish and English-speaking scientific societies. Results. 6 documents were identified that systematize the recent and updated information so that the countries can face better the problems in contraception. The results were organized into the following categories: implementation of a non-face-to-face consultation system, suggestions for access to information / services and management of different types of contraception. Conclusions. The adoption of all or some of the proposed measures implies that the health system can prevent the consequences derived from the loss of access and continuity in contraceptive and SRH services.