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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GBD Universal Health Coverage Collaborators. Measuring

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universal health coverage based on an index of

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effective coverage of health services in 204 countries

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and territories, 1990–2019: a systematic analysis for

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the Global Burden of Disease Study 2019. Lancet,

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, Volume 396, pp. 1250-84.

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UNICEF. Warehouse Data Mali. 2021, UNICEF.

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Mali Country Profile, Institute for Health Metrics.

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Measuring What Matters, University of Washington,

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; http://www.healthdata.org/mali.

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Cone D and Lamarche A. A Crisis of Care: Sexual and

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Reproductive Health Competes for Attention Amid

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Conflict and Displacement in Mali, 2021, Refugee

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International. Issue Brief.

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John Hopkins University and Medicine. Coronavirus

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Resource Center, 2021,

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https://coronavirus.jhu.edu/region/mali.

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World Health Organization. Coronavirus Dashboard, 2021,

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https://covid19.who.int/region/afro/country/ml

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Disruptions in maternal and child health service utilization

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during COVID-19: analysis from eight sub-Saharan

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African countries.

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Shapira G, Ahmed T, Drouard SHP, Amor Fernandez P,

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Kandpal E, Nzelu C, Wesseh CS, Mohamud NA,

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Smart F, Mwansambo C, Baye ML, Diabate M,

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Yuma S, Ogunlayi M, Rusatira RJD, Hashemi T,

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Vergeer P and Friedman J. Disruptions in maternal

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and child health service utilization during COVID19: analysis from eight sub-Saharan African. Health

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Policy and Planning, 2021, Volume 36, p. 1140–

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Adelekan B, Goldson E, Abubakar Z, Mueller U, Alayande

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A, Ojogun T, Ntoimo L, Williams B, Muhammed I

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and Okonofua F. Effect of COVID 19 pandemic on

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provision of sexual and reproductive health services

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in primary health facilities in Nigeria: A cross

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sectional study. Reproductive Health, 2021, Volume

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, p. 166.

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QSR International Pty Ltd. (2020) NVivo (released in

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March 2020),

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https://www.qsrinternational.com/nvivo-qualitativedata-analysis-software/home

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USAID Global Health Supply Chain Program Procurement

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and Supply Management. Assessment of the

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Availability of Quality Newborn and Child Health

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Commodities in Mali, CHEMONICS Report, 2020.

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M’Bo M, Tessougue J, Togora D et al. Decentralizing

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Mali’s health workforce, 2020, Human Resources

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Directorate, Health and Social Development Sector,

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Mali.

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World Bank. Mali Economic Update, Spring 2021:

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Protecting the Vulnerable during the Recovery.

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World Bank, Washington, DC. 2021.

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World Bank. World Bank in Mali Portfolio, World Bank,

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Washington, DC. 2021. http

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https://www.worldbank.org/en/country/mali/overvie

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w#3.

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World Health Organization. Regional Office for Africa.

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State of health financing in the African Region.

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World Health Organization, 2013, Regional Office

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for Africa.

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https://apps.who.int/iris/handle/10665/101282

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Okuonzi Sam Agatre. Financing Universal Health

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Coverage in Africa. Africa Health. April 2021,

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Volume 43, No 2, pp. 23-25.

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The World Bank Group. Universal Health Coverage in

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Africa: A Framework for Action, 2016.

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http://documents.worldbank.org/curated/en/735071

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/Main-report.

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Department of Sexual and Reproductive Health and

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Research WHO. Universal health coverage for

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Sexual Reproductive Health, Evidence Brief

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Financing sexual and reproductive health services

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under universal health coverage, 2020.

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https://www.who.int/publications/i/item/WHOSRH-20.1.

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Sidibe AM, Kadetz PI and Hesketh T. Factors Impacting

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Family Planning Use in Mali. International Journal

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of Environmental Research and Public Health. 2020,

Volume 17, 4399