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VIEWPOINT
Open Access

Doing Things Differently: What It Would Take to Ensure Continued Access to Contraception During COVID-19

Michelle Weinberger, Brendan Hayes, Julia White and John Skibiak
Global Health: Science and Practice June 2020, 8(2):169-175; https://doi.org/10.9745/GHSP-D-20-00171
Michelle Weinberger
aAvenir Health, Washington, DC, USA.
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  • For correspondence: mweinberger@avenirhealth.org
Brendan Hayes
bGlobal Financing Facility, Washington, DC, USA.
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Julia White
cReproductive Health Supplies Coalition, Brussels, Belgium.
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John Skibiak
cReproductive Health Supplies Coalition, Brussels, Belgium.
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  • FIGURE 1.
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    FIGURE 1.

    Potential Short-Term Changes in Contraceptive Method Mix During COVID-19 Disruptions in Kenya and Nigeria

    Abbreviations: IUD, intrauterine device; LAPM, long-acting and permanent method.

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    FIGURE 2.

    Cumulative Number of Pills Dispensed Over 6 months in Kenya and Nigeria Under Different COVID-19 Disruption Scenarios, April to September 2020

    Abbreviations: COC, combined oral contraceptive pill; POP, progesterone-only pill.

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    TABLE.

    Summary of Assumptions Used for COVID-19 Disruption Scenariosa

    Current Contraceptive Method UsedWhat We Assumed Would Happen With Minimal Disruption to ServicesWhat We Assumed Would Happen With High Disruption to Services
    LARC
    • Half of women due for removal would continue to use their method beyond the labeled duration.

    • For the remaining, half of replacement use would still be LARC, with the rest distributed across injectables and other self-care methods.

    • Nearly all women due for removal would continue to use their method beyond the labeled duration.

    • For the rest, replacement use would mostly consist of self-care methods.

    Injectable (not self-administered)
    • Half of women would continue to access their reinjections, with some women shifting to self-injection.

    • Remaining users would switch to other self-care methods.

    • Only a small share of women would continue to access reinjections, with some women switching to self-injection.

    • Remaining users would switch to other self-care methods.

    Pill
    • The vast majority of pill users would continue to use pills.

    • Users may be given advanced provision of 6 or 12 cycles to limit their need to return.

    • The vast majority of pill users would continue to use pills.

    • Users may be given advanced provision of 6 or 12 cycles to limit their need to return.

    Condom
    • The vast majority of condom users would continue to use condoms.

    • A small share would switch to other self-care methods.

    • The vast majority of condom users would continue to use condoms.

    • A small share would switch to other self-care methods.

    • Abbreviations: LARC, long-acting reversible contraception.

    • ↵a See Supplement for detailed assumptions.

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Global Health: Science and Practice: 8 (2)
Global Health: Science and Practice
Vol. 8, No. 2
June 30, 2020
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Doing Things Differently: What It Would Take to Ensure Continued Access to Contraception During COVID-19
Michelle Weinberger, Brendan Hayes, Julia White, John Skibiak
Global Health: Science and Practice Jun 2020, 8 (2) 169-175; DOI: 10.9745/GHSP-D-20-00171

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Doing Things Differently: What It Would Take to Ensure Continued Access to Contraception During COVID-19
Michelle Weinberger, Brendan Hayes, Julia White, John Skibiak
Global Health: Science and Practice Jun 2020, 8 (2) 169-175; DOI: 10.9745/GHSP-D-20-00171
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  • Article
    • WHAT MIGHT BE IN STORE FOR CONTRACEPTIVE USERS?
    • WHAT COULD THESE CHANGES MEAN FOR SUPPLY NEEDS?
    • HOW DO WE ENSURE THAT COMMODITIES ARE AVAILABLE AND ACCESSIBLE TO WOMEN?
    • THE WAY AHEAD
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  • Adapting High Impact Practices in Family Planning During the COVID-19 Pandemic: Experiences From Kenya, Nigeria, and Zimbabwe
  • Womens Experiences With Family Planning Under COVID-19: A Cross-Sectional, Interactive Voice Response Survey in Malawi, Nepal, Niger, and Uganda
  • Where Women Access Contraception in 36 Low- and Middle-Income Countries and Why It Matters
  • Competing Health Risks Associated with the COVID-19 Pandemic and Early Response: A Scoping Review
  • Opportunities and Challenges of Delivering Postabortion Care and Postpartum Family Planning During the COVID-19 Pandemic
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    • COVID-19
    • Family Planning and Reproductive Health
    • Infectious Diseases
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