Reflections about Reproductive Planning in Brazil During the Covid-19 Pandemic
DOI:
https://doi.org/10.25071/1929-8471.110Keywords:
Nurses, Women's Health, Reproductive Rights, Contraceptive Agents, Pandemics, COVID-19Abstract
Background: Reproductive planning in Brazil has historically been the responsibility of individual women, with limited availability of health services. During the health crisis caused by the COVID-19 pandemic, the shortcomings of this system became even more evident. Methods: An integrative review was conducted using LILACS, MEDLINE, and SCOPUS databases, including publications in Portuguese, English, or Spanish, from March 2020 to April 2022, using the descriptors: family planning and COVID-19. A total of 1,030 publications were found, 69 of which were selected after reading the title and summary. After a review of abstracts, 4 were included in the final analysis. Results: Studies about the topic included a reflection article, a narrative review, a letter to the editor, and an orientation guide for healthcare professionals. Three analytical categories appeared: (1) Reproductive planning: recognition as an essential service; (2) Weaknesses in the provision of sexual and reproductive health services; and (3) Women as a vulnerable group. Discussion and Conclusion: With the advent of the COVID-19 pandemic, there were setbacks in Brazilian reproductive health care, such as a reduction in reproductive health services and a decrease in the supply of contraceptive and conception methods. These issues may explain the increase in the number of unplanned pregnancies, unsafe abortions, and the increase in maternal mortality rates that compromise the reproductive rights of Brazilian women.
References
Aquino, E. M. L., Silveira, I. H., Pescarini, J. M., Aquino, R, Souza-Filho, J. A. Rocha, A. S., Ferreira, A., Victor, A., Teixeira, C., Machado, D. B., Paixão, E.,Alves, F. J. O., Pilecco, F., Menezes, G., Gabrielli, L., Leite, L., de Almeida, M. C. C., Ortelan, N., Fernandes, Q. H. R. F., Ortiz, R. J. F. Lima, R. T. R. S. (2020). Social distancing measures to control the COVID-19 pandemic: potential impacts and challenges in Brazil. Ciência & Saúde Coletiva, 25(suppl1), 2423-2446. https://doi.org/10.1590/1413-81232020256.1.10502020 DOI: https://doi.org/10.1590/1413-81232020256.1.10502020
Bahamondes, L. & Makuch, M. Y. (2020). Family planning: an essential health activity in the pandemic of SARS-CoV-2. The European Journal of Contraception & Reproductive Health Care, 25(4), 319-320. https://doi.org/10.1080/13625187.2020.1768368 DOI: https://doi.org/10.1080/13625187.2020.1768368
Carmo, M. E. do., & Guizardi, F. L. (2018). The concept of vulnerability and its meanings for public policies in health and social welfare. Cadernos de Saúde Pública, 34(3), e00101417. https://doi.org/10.1590/0102-311X00101417 DOI: https://doi.org/10.1590/0102-311x00101417
Cleland, J., Conde-Agudelo, A., Peterson, H., Ross, J., & Tsui A. (2012). Contraception and health. Lancet, 380 (9837),149-56. https://doi.org/10.1016/S0140-6736(12)60609-6 DOI: https://doi.org/10.1016/S0140-6736(12)60609-6
Coutinho, R. Z, Lima, L. C., Leocádio, V. A., & Bernardes, T. (2020). Considerations about the COVID-19 pandemic and its effects on fertility and sexual and reproductive health of Brazilian women. Revista Brasileira de Estudos de População, 37,1-21. https://doi.org/10.20947/S0102-3098a013 DOI: https://doi.org/10.20947/S0102-3098a0130
Ferreira-Filho, E. S., Melo, N. R. de, Sorpreso, I. C. E., Bahamondes, L., Simões, R. S., Soares-Júnior, J. M. & Baracat, E. C. (2020). Contraception and reproductive planning during the COVID-19 pandemic. Expert Review of Clinical Pharmacology, 13(6), 615-622. https://doi.org/10.1080/17512433.2020.1782738 DOI: https://doi.org/10.1080/17512433.2020.1782738
Ferreira- Filho, E. S., & Machado, R. B. (2021). Contraceptive counseling during the pandemic: practical guidelines. Revista Brasileira De Ginecologia E Obstetrícia, 43(7), 579–584. https://doi.org/10.1055/s-0041-1735185 DOI: https://doi.org/10.1055/s-0041-1735185
Ferreira, A. L. C. G., & Souza, A. I. (2021). The role of telehealth in sexual and reproductive health services in the response to COVID-19. Revista Brasileira De Saúde Materno Infantil, 21, 319–322. https://doi.org/10.1590/1806-9304202100S100019 DOI: https://doi.org/10.1590/1806-9304202100s100019
Ferreira, V. C., Silva, M. R. F. da., Montovani, E. H., Colares, L. G., Ribeiro, A. A., & Stofel, N. S. (2020). Women’s Health, Gender, Public Policies and Medical Education: Issues in the Context of the Pandemic. Revista Brasileira De Educação Médica, 44, e147. https://doi.org/10.1590/1981-5271v44.supl.1-20200402 DOI: https://doi.org/10.1590/1981-5271v44.supl.1-20200402
Guedes, K. F., Raimundo, V. K., & Bastos, S. H. (2021). Reproductive health and access to contraceptives in the context of the COVID-19 pandemic. BIS. Boletim Do Instituto De Saúde, 22(2), 96–105. https://doi.org/10.52753/bis.v22i2.38643 DOI: https://doi.org/10.52753/bis.v22i2.38643
Kumar, N. (2020). COVID 19 era: A beginning of upsurge in unwanted pregnancies, unmet need for contraception and other women related issues. The European Journal of Contraception & Reproductive Health Care, 25(), 323-325.Lima, F. F. de., Ferigato, S. H., Silva, C. R., & Oliveira, A. L. de O. e. (2022). Perceptions and experiences of women active in the health field on gender violence. Saúde Em Debate, 46(132), 76–92. https://doi.org/10.1590/0103-1104202213205 DOI: https://doi.org/10.1080/13625187.2020.1777398
Lima, S. D. L. M. (2014). Os direitos reprodutivos das mulheres e a comissão interamericana de direitos humanos: uma análise dos casos admitidos entre 2000 e 2013. Revista do Instituto Brasileiro de Direitos Humanos,14(14),335-350. https://revista.ibdh.org.br/index.php/ibdh/article/view/280/279
Lippi, G., Henry, B. M., Bovo, C., Sanchis-Gomar, F. (2020). Health risks and potential remedies during prolonged lockdowns for coronavirus disease 2019 (COVID-19). Diagnosis (Berlin, Germany), 7(2), 85–90. https://doi.org/10.1515/dx-2020-0041 DOI: https://doi.org/10.1515/dx-2020-0041
Mendes, K. D. S., Silveira, R. C. de C. P., & Galvão, C. M. (2019). Use of the bibliographic reference manager in the selection of primary studies in integrative reviews. Texto & Contexto - Enfermagem, 28, e20170204. https://doi.org/10.1590/1980-265X-TCE-2017-0204 DOI: https://doi.org/10.1590/1980-265x-tce-2017-0204
Munn, Z., Stern, C., & Aromataris, E. (2018). What kind of systematic review should I conduct? A proposed typology and guidance for systematic reviewers in the medical and health sciences. BMC Medical Research Methodology, 18, 5. https://doi.org/10.1186/s12874-017-0468-4 DOI: https://doi.org/10.1186/s12874-017-0468-4
Nielsson, J. G., Sturza, J. M., Andrade, E. P. de. (2020). Violation of the right to reproductive health through women’s body instrumentation: The case appeared janaine and feminine sterilization in Brazil. Revista da faculdade de direito da UFG, Goiânia, 44(1). doi: 10.5216/rfd.v44i1.61233 DOI: https://doi.org/10.5216/rfd.v44i1.61233
Riley, T., Sully, E., Ahmed, Z., Biddlecom, A. (2020). Riley, T., Sully, E., Ahmed, Z., & Biddlecom, A. (2020). Estimates of the Potential Impact of the COVID-19 Pandemic on Sexual and Reproductive Health in Low- and Middle-Income Countries. International Perspectives on Sexual and Reproductive Health, 46, 73–76. https://doi.org/10.1363/46e9020 DOI: https://doi.org/10.1363/46e9020
Saffioti, H. B. (2015). Gênero, Patriarcado e Violência. Expressão Popular: Fundação Perseu Abramo. https://fpabramo.org.br/publicacoes/wp-content/uploads/sites/5/2021/10/genero_web.pdf
Silva, V. R. da; Ferreira, L.; Lara, B. (2020). Coronavírus: serviços de saúde cortam contraceptivos quando mulheres mais precisam evitar gravidez. The Intercept_Brasil. https://theintercept.com/2020/04/20/coronavirus-evitar-gravidez-mas-cortam-contraceptivos/
Sousa, A. C. A. de., Costa, D. M., Pereira, S. R., & Lago, R. F. do. (2021). Gender and the COVID-19 pandemic: a review of the Brazilian scientific production in health sciences. Saúde em Debate, 45(spe2), 171–186. https://doi.org/10.1590/0103-11042021E212 DOI: https://doi.org/10.1590/0103-11042021e212i
Souza, M. N. & Guimarães, L. M. S. (2020). Vulnerabilidade social e exclusão digital em tempos de pandemia: uma análise da desigualdade de acesso à internet na periferia de Curitiba. Revista Interinstitucional Artes de Educar. Rio de Janeiro, 6(speII), 284-302. https://doi.org/10.12957/riae.2020.51097 DOI: https://doi.org/10.12957/riae.2020.51097
Telo, S. V., & Witt, R. R. (2018). Sexual and reproductive health: team competences in Primary Health Care services. Ciência & Saúde Coletiva, 23(11), 3481–3490. https://doi.org/10.1590/1413-812320182311.20962016 DOI: https://doi.org/10.1590/1413-812320182311.20962016
The Lancet Respiratory Medicine. (2020). COVID-19: Delay, mitigate, and communicate. The Lancet Respiratory Medicine, 8(4), 321. https://doi.org/10.1016/S2213-2600(20)30128-4 DOI: https://doi.org/10.1016/S2213-2600(20)30128-4
Tricco, A. C., Lillie, E., Zarin, W., O'Brien, K. K., Colquhoun, H., Levac, D., Moher, D., Peters, M. D. J., Horsley, T., Weeks, L., Hempel, S., Akl, E. A., Chang, C., McGowan, J., Stewart, L., Hartling, L., Aldcroft, A., Wilson, M. G., Garritty, C., Lewin, S., … Straus, S. E. (2018). PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation. Annals of Internal Medicine, 169(7), 467–473. https://doi.org/10.7326/M18-0850 DOI: https://doi.org/10.7326/M18-0850
United Nations Population Fund. (2020, April). New UNFPA projections predict calamitous impact on women’s health as COVID-19 pandemic continues. https://www.unfpa.org/press/new-unfpa-projections-predict-calamitous-impact-womens-health-covid-19-pandemic-continues
Downloads
Published
How to Cite
Issue
Section
Categories
License
Copyright (c) 2021 Julia Verli Rosa, Ana Beatriz Azevedo Queiroz, Ana Luiza de Oliveira Carvalho, Juliana da Fonsêca Bezerra, Andreza Pereira Rodrigues, Fernanda Martins Cardoso, Elen Petean Parmejiani, Gabriela Mello Silva, Isabelle Mangueira de Paula Gaspar
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright for all content belongs to the author(s). All materials are published with a CC BY 4.0 license.