AccScience Publishing / IJPS / Volume 10 / Issue 1 / DOI: 10.36922/ijps.366
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REVIEW

Demand and supply of adolescent and young adult’s sexual and reproductive health services during COVID-19 in sub-Saharan Africa: A scoping review

Olutoyin O. Ikuteyijo1* Taofeek K. Aliyu2,3 Akanni I. Akinyemi2 Lanre O. Ikuteyijo2 ladimeji R. Ogunoye2 Oluwaseun I. Obasola4 John O. Abe2 Jacob W. Mobolaji2 Opeyemi O. Ekundayo2 Ojo M. Agunbiade2 Sonja Merten1
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1 Swiss Tropical and Public Health Institute, University of Basel, Basel, Switzerland
2 Department of Sociology and Anthropology, Faculty of Social Sciences, Obafemi Awolowo University, Ile Ife, Osun, Nigeria
3 Department of Sociology, and Center for Demography and Aging Research (CEDAR), Umea University, Umea, Sweden
4 Kenneth-Dike Library, University of Ibadan, Ibadan, Nigeria
IJPS 2024, 10(1), 21–33; https://doi.org/10.36922/ijps.366
Submitted: 19 September 2022 | Accepted: 1 December 2023 | Published: 29 December 2023
© 2023 by the Author(s). This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution -Noncommercial 4.0 International License (CC-by the license) ( https://creativecommons.org/licenses/by-nc/4.0/ )
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.

Keywords
COVID-19
Adolescents and young adults
Sexual and reproductive health service
Demand and supply
sub-Saharan Africa
Funding
None.
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Conflict of interest
The authors report no conflict of interest.
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