Jen Sothornwit, Pisake Lumbiganon, Nampet Jampathong, Somporn Rungreangkulkij, Netchanok Kaewjanta, Caron Kim, Moazzam Ali
{"title":"2019冠状病毒病大流行对泰国计划生育和性传播感染服务的影响:世卫组织调查结果","authors":"Jen Sothornwit, Pisake Lumbiganon, Nampet Jampathong, Somporn Rungreangkulkij, Netchanok Kaewjanta, Caron Kim, Moazzam Ali","doi":"10.1186/s12978-025-02092-0","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>COVID-19 pandemic has put tremendous burden on health services. Only limited evidence, however, is available to identify the impact of COVID-19 on sexual and reproductive health (SRH). This world health organization (WHO)-led research sought to evaluate health systems focusing on SRH in Brazil, Burkina Faso, China, Ghana, Italy, Pakistan, Thailand, and the United Kingdom.</p><p><strong>Methods: </strong>The study was conducted in Thailand on two levels using a mixed-methods design: 1) Individual level included in-depth interviews and focus group discussions with clients (and their partners, where applicable) and healthcare providers (HCPs) to investigate service perceptions and obstacles to SRH service utilization; 2) health facility level, a quantitative evaluation of health facility preparedness for SRH service provision was performed using an adapted version of the WHO Service Availability and Readiness Assessment (SARA) tool. The data was collected at two timepoints, baseline and endline, at time intervals of 9 months.</p><p><strong>Results: </strong>Almost all SRH services were maintained with some shortage of supply such as medications for safe abortion during the first few months. Both providers and clients perceived that all SRH services should be maintained. Some clients were concerned about fear of getting COVID-19 infection while visiting the facility. Some clients switched from short-acting to long-acting contraceptive methods. At the endline, this affect was less obvious since a large proportion of clients were familiar with the pandemic and already received vaccination. The Centre for COVID-19 Situation Administration (CCSA) was established to update COVID-19 pandemic situation, new government policy and intervention to reduce fake news. Telemedicine was used to reduce avoidable appointments. For postpartum women, appointment tended to be more individualized. For those who required pregnancy protection, contraceptive methods were offered to clients before discharge from the hospital. A follow-up visit was performed using both telemedicine and in-person visit at the hospital. For those required medications such as antibiotics for STI, home delivery to clients was provided.</p><p><strong>Conclusions: </strong>This study demonstrated that COVID-19 pandemic had some but non-significant effect on SRH services. The two major referral hospitals in Northeast, Thailand had service readiness to provide SRH services during the COVID-19 pandemic and pandemic recovery.</p>","PeriodicalId":20899,"journal":{"name":"Reproductive Health","volume":"22 Suppl 3","pages":"165"},"PeriodicalIF":3.4000,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12482536/pdf/","citationCount":"0","resultStr":"{\"title\":\"Impact of COVID-19 pandemic on family planning and sexual transmitted infection services in Thailand: results from WHO survey.\",\"authors\":\"Jen Sothornwit, Pisake Lumbiganon, Nampet Jampathong, Somporn Rungreangkulkij, Netchanok Kaewjanta, Caron Kim, Moazzam Ali\",\"doi\":\"10.1186/s12978-025-02092-0\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>COVID-19 pandemic has put tremendous burden on health services. Only limited evidence, however, is available to identify the impact of COVID-19 on sexual and reproductive health (SRH). This world health organization (WHO)-led research sought to evaluate health systems focusing on SRH in Brazil, Burkina Faso, China, Ghana, Italy, Pakistan, Thailand, and the United Kingdom.</p><p><strong>Methods: </strong>The study was conducted in Thailand on two levels using a mixed-methods design: 1) Individual level included in-depth interviews and focus group discussions with clients (and their partners, where applicable) and healthcare providers (HCPs) to investigate service perceptions and obstacles to SRH service utilization; 2) health facility level, a quantitative evaluation of health facility preparedness for SRH service provision was performed using an adapted version of the WHO Service Availability and Readiness Assessment (SARA) tool. The data was collected at two timepoints, baseline and endline, at time intervals of 9 months.</p><p><strong>Results: </strong>Almost all SRH services were maintained with some shortage of supply such as medications for safe abortion during the first few months. Both providers and clients perceived that all SRH services should be maintained. Some clients were concerned about fear of getting COVID-19 infection while visiting the facility. Some clients switched from short-acting to long-acting contraceptive methods. At the endline, this affect was less obvious since a large proportion of clients were familiar with the pandemic and already received vaccination. The Centre for COVID-19 Situation Administration (CCSA) was established to update COVID-19 pandemic situation, new government policy and intervention to reduce fake news. Telemedicine was used to reduce avoidable appointments. For postpartum women, appointment tended to be more individualized. For those who required pregnancy protection, contraceptive methods were offered to clients before discharge from the hospital. A follow-up visit was performed using both telemedicine and in-person visit at the hospital. For those required medications such as antibiotics for STI, home delivery to clients was provided.</p><p><strong>Conclusions: </strong>This study demonstrated that COVID-19 pandemic had some but non-significant effect on SRH services. The two major referral hospitals in Northeast, Thailand had service readiness to provide SRH services during the COVID-19 pandemic and pandemic recovery.</p>\",\"PeriodicalId\":20899,\"journal\":{\"name\":\"Reproductive Health\",\"volume\":\"22 Suppl 3\",\"pages\":\"165\"},\"PeriodicalIF\":3.4000,\"publicationDate\":\"2025-09-30\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12482536/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Reproductive Health\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1186/s12978-025-02092-0\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Reproductive Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1186/s12978-025-02092-0","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
Impact of COVID-19 pandemic on family planning and sexual transmitted infection services in Thailand: results from WHO survey.
Background: COVID-19 pandemic has put tremendous burden on health services. Only limited evidence, however, is available to identify the impact of COVID-19 on sexual and reproductive health (SRH). This world health organization (WHO)-led research sought to evaluate health systems focusing on SRH in Brazil, Burkina Faso, China, Ghana, Italy, Pakistan, Thailand, and the United Kingdom.
Methods: The study was conducted in Thailand on two levels using a mixed-methods design: 1) Individual level included in-depth interviews and focus group discussions with clients (and their partners, where applicable) and healthcare providers (HCPs) to investigate service perceptions and obstacles to SRH service utilization; 2) health facility level, a quantitative evaluation of health facility preparedness for SRH service provision was performed using an adapted version of the WHO Service Availability and Readiness Assessment (SARA) tool. The data was collected at two timepoints, baseline and endline, at time intervals of 9 months.
Results: Almost all SRH services were maintained with some shortage of supply such as medications for safe abortion during the first few months. Both providers and clients perceived that all SRH services should be maintained. Some clients were concerned about fear of getting COVID-19 infection while visiting the facility. Some clients switched from short-acting to long-acting contraceptive methods. At the endline, this affect was less obvious since a large proportion of clients were familiar with the pandemic and already received vaccination. The Centre for COVID-19 Situation Administration (CCSA) was established to update COVID-19 pandemic situation, new government policy and intervention to reduce fake news. Telemedicine was used to reduce avoidable appointments. For postpartum women, appointment tended to be more individualized. For those who required pregnancy protection, contraceptive methods were offered to clients before discharge from the hospital. A follow-up visit was performed using both telemedicine and in-person visit at the hospital. For those required medications such as antibiotics for STI, home delivery to clients was provided.
Conclusions: This study demonstrated that COVID-19 pandemic had some but non-significant effect on SRH services. The two major referral hospitals in Northeast, Thailand had service readiness to provide SRH services during the COVID-19 pandemic and pandemic recovery.
期刊介绍:
Reproductive Health focuses on all aspects of human reproduction. The journal includes sections dedicated to adolescent health, female fertility and midwifery and all content is open access.
Reproductive health is defined as a state of physical, mental, and social well-being in all matters relating to the reproductive system, at all stages of life. Good reproductive health implies that people are able to have a satisfying and safe sex life, the capability to reproduce and the freedom to decide if, when, and how often to do so. Men and women should be informed about and have access to safe, effective, affordable, and acceptable methods of family planning of their choice, and the right to appropriate health-care services that enable women to safely go through pregnancy and childbirth.