Since the onset of the COVID-19 pandemic, direct and indirect effects of COVID-19 on health systems have been documented globally. We identified barriers to accessing SRH care across the globe related to the pandemic including transportation disruptions, financial hardships, reduced medical supplies and human resources and legal restrictions to abortion care barriers were more pronounced in countries where restrictions (eg, legal restrictions on abortion) or economic disadvantages existed prepandemic.

This scoping review showed that the impact of the COVID-19 pandemic on access to and utilisation of SRH services was global and distributed across several service areas including contraception, in-clinic safe abortion and postabortion care, in-person gender-based and intimate partner violence services and sexually transmitted infection/HIV testing, treatment and prevention.Ĭritical geographic and demographic research gaps on the impact of the pandemic on SRH remain, especially in East Asia and the Pacific, Latin America and the Caribbean, South Asia, the Middle East and North Africa and among marginalised populations with distinct SRH needs. 9 Department of Disease Control, London School of Hygiene & Tropical Medicine Faculty of Infectious and Tropical Diseases, London, UK.8 Department of Global Public Health, Karolinska Institute, Stockholm, Sweden.7 Department of Sexual and Reproductive Health and Research, WHO, Geneve, Switzerland.6 Department of Obsetrics and Gynecology, Stockholm South General Hospital, Stockholm, Sweden.5 Department of Women and Children’s Health, Karolinska Institutet, Stockholm, Sweden.4 WHO Collaborating Center for Human Reproduction, Karolinska University Hospital, Stockholm, Sweden.3 Department of Women's and Children's Health, Karolinska Institute, Stockholm, Sweden.2 Department of Sexual and Reproductive Health, WHO, Geneve, Switzerland.1 Department of Bioengineering, University of Washington, Seattle, Washington, USA.

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