Demand and supply of adolescent and young adult’s sexual and reproductive health services during COVID-19 in sub-Saharan Africa: A scoping review
Bibliographic record
Abstract
The COVID-19 pandemic and its associated containment strategies have significantly impacted the logistics of supplying sexual and reproductive health (SRH) services to adolescents and young adults (AYA) in sub-Saharan Africa (SSA). Studies conducted in the region indicate an increase in sexual activity, particularly among young people, during the pandemic. However, the impact of these changes on their utilization of SRH services remains unclear. This scoping review aims to synthesize the available evidence on the impact of COVID-19 on the SRH behavior and service utilization of AYA. This review focuses on examining the demand and supply of SRH for AYA during the COVID-19 lockdown period (January 2020 – December 2021). Following the Arksey & O’Malley (2005) procedure and the Joanna Briggs Institute (JBI) Reviewer’s Manual (2020), the review encompasses comprehensive search strategies, analysis, and reporting of results. The search for relevant articles was conducted across various databases, including Medline Complete, Africa-Wide, SocINDEX, Academic Search Complete (all through EBSCOhost), Public Health, Social Science & Sociology databases, the Middle East & Africa Database (all through ProQuest), and Web of Science. Articles published between January 2020 and December 2021 were included in this review. The studies discussed in this review shed light on the discrepancies in the demand for and supply of SRH services during the COVID-19 pandemic, exposing a substantial gap in addressing the specific SRH needs of AYA. This review also examines the strategies adopted by countries in SSA to mitigate these effects. Several countries in SSA demonstrated resilience as health providers fulfilled their role, while AYA sought alternatives to mitigate the shortage in the supply chain for SRH services and commodities, often resorting to alternative medicine. The findings underscore the urgency of further research to address the risks imposed by COVID-19 on the utilization of SRH services by AYA in SSA. The evidence presented in this review can inform strategic efforts to ensure the availability and accessibility of SRH services for AYA during any unforeseen emergency or future pandemic.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.003 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.002 | 0.000 |
| Bibliometrics | 0.001 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".