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Need for and use of contraception by women before and during COVID-19 in four sub-Saharan African geographies: Results from population-based national or regional cohort surveys

The Lancet Global Health May 28, 2021

Wood SN, Karp C, OlaOlorun F, et al. - This study was attempted to evaluate population-level changes in the need for and use of contraception by women during the COVID-19 pandemic, determine whether these changes differed by sociodemographic characteristics, and compare observed changes during the COVID-19 pandemic with trends in the 2 preceding years. Researchers applied four rounds of Performance Monitoring for Action population-based survey data collected in four geographies: two at the country level (Burkina Faso and Kenya) and two at the subnational level (Kinshasa, the Democratic Republic of the Congo, and Lagos, Nigeria). In this study, the analyses were restricted to 7,245 women in union (married or living with a partner, as if married) who were interviewed at baseline and COVID-19 follow-up. The observations do not support the anticipated deleterious effect of COVID-19 on access to and use of contraceptive services by women in the earliest stages of the pandemic. They warn that these trends might not be sustainable throughout prolonged economic hardship and service disruptions, although these results are largely encouraging.

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