Abstract
<h3>Key Messages</h3> In the face of facility service disruptions due to COVID-19, health care providers, particularly in low- and middle-income countries, should strive to maintain continuity of reproductive health care to women and girls as an essential service. When in-person encounters are limited, health care providers should adapt the way contraceptive services are provided by using telehealth whenever possible for counseling, shared decision making, and side effect management, and should make adjustments to provision of contraceptive methods to ensure access.
Highlights
Key Messages n In the face of facility service disruptions due to COVID-19, health care providers, in low- and middle-income countries, should strive to maintain continuity of reproductive health care to women and girls as an essential service
N When in-person encounters are limited, health care providers should adapt the way contraceptive services are provided by using telehealth whenever possible for counseling, shared decision making, and side effect management, and should make adjustments to provision of contraceptive methods to ensure access
Even while annual exams and nonurgent appointments are canceled, maintaining access to reproductive health services, including provision of contraception, is key to a comprehensive COVID-19 mitigation strategy and to sustaining the successes of high-quality family planning services that contribute to lowering maternal mortality and improving newborn and child health
Summary
Use various communication methods that do not require in-person contact (SMS, WhatsApp, video calls, or telephone calls) to: Counsel new clients requesting contraception and to screen for medical eligibility.[4,5,6]. Issue new prescriptions and refills for clients who desire user-controlled contraceptives (e.g., combined oral contraceptives, progestin-only pills, contraceptive patches, or vaginal contraceptive rings) if no contraindications are evident. Send all prescriptions directly to the pharmacy or clinic to limit contacts. Inform clients who desire long-acting reversible contraceptives (LARCs) of service locations where LARCs are being provided. Manage and treat contraceptive side effects, if possible
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