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  2. Vol 26, No 12s (2022)
  3. Haidara

Provision and uptake of sexual and reproductive health services during the COVID-19 pandemic: The case of Mali

Fadima C. Haidara(1), Adama M. Keita(2), Camilla Ducker(3), Kounandji Diarra(4), Mahamane Djiteye(5), Heather Marlow(6), Emily Goodwin(7), Owen Martell(8), Chimaraoke Izugbara(9), Samba Sow(10),


(1) Center for Vaccine Development, Mali (CVD-Mali)
(2) Center for Vaccine Development, Mali (CVD-Mali)
(3) Center for Vaccine Development, Mali (CVD-Mali)
(4) Center for Vaccine Development, Mali (CVD-Mali)
(5) Center for Vaccine Development, Mali (CVD-Mali)
(6) International Center for Research on Women, USA (ICRW)
(7) Tro Da Ltd, UK
(8) Tro Da Ltd, UK
(9) International Center for Research on Women, USA (ICRW)
(10) Center for Vaccine Development, Mali (CVD-Mali)
Corresponding Author

Abstract


A qualitative study assessed the effects of the COVID-19 epidemic on Malian sexual and reproductive health services. Sexual and reproductive health (SRHR) providers in 25 purposively selected public health facilities in urban Bamako, rural Kita (western Mali) and Koutiala (southeast Mali) were interviewed. Disruptions within SRH supply, staffing, the prioritization of SRHR services, and patients’ ability to seek, obtain and pay for services were reported across urban and rural settings at all levels of public health care, and by all cadres of SRHR providers. Most facilities in the study areas sustained some SRHR services at the height of the COVID19 epidemic through innovative outreach and phone-based consultations. This study offers critical lessons for SRHR service provision during future waves of the pandemic or during periods of comparable emergency. (Afr J Reprod Health 2022; 26[12s]: 169-179).

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