Potential of LARC to recover loss in satisfied demand for modern contraception after the COVID-19 pandemic: a case scenario analysis of Brazil and Mexico
Rev Panam Salud Publica
; 46, jun. 2022
Artigo
em Inglês
| PAHO-IRIS
| ID: phr-56017
Biblioteca responsável:
US1.1
ABSTRACT
[ABSTRACT]. Objectives. To estimate inequalities in demand for family planning satisfied with modern methods among women in Latin America and the Caribbean, with an emphasis on Brazil and Mexico, and to calculate the scenario for recovery of modern contraceptive coverage by expanding access to long-acting contraceptives (LARC) after the COVID-19 pandemic. Methods. National health surveys from 2006 to 2018 were used to estimate the demand for family planning satisfied with modern methods and how it was affected by the COVID-19 pandemic. The scenario included three variables coverage, health outcomes, and costs. Considering coverage, United Nations Population Fund data were used to estimate the impact of COVID-19 on access to contraception in Latin America and the Caribbean. Health outcomes were assessed with the Impact 2 tool. Direct investment was used to evaluate cost-effectiveness. Results. Substantial inequalities were found in the use of modern contraceptive methods before the pandemic. We showed the potential cost-effectiveness of avoiding maternal deaths by introducing LARCs. Conclusions. In the scenario predicted for Brazil and Mexico, the costs of modern family planning and averted disability-adjusted life years are modest. Governments in Latin America and the Caribbean should consider promoting LARCs as a highly efficient and cost-effective intervention.
Texto completo:
Disponível
Coleções:
Bases de dados de organismos internacionais
Contexto em Saúde:
ODS3 - Meta 3.7 Acesso universal aos serviços de saude reprodutiva
/
ODS3 - Saúde e Bem-Estar
/
ODS3 - Meta 3.3 Acabar com as doenças tropicais negligenciadas e combater as doenças transmissíveis
/
ODS3 - Meta 3.4 Reduzir as mortes prematuras devido doenças não transmissíveis
Problema de saúde:
Serviços de Planejamento Familiar e Infertilidade
/
Meta 3.8 Atingir a cobertura universal de saúde
/
Meta 3.1: Reduzir a mortalidade materna
/
Meta 3.7 Acesso universal aos serviços de saude reprodutiva
/
COVID-19
/
Pneumonía
/
Outras Doenças Respiratórias
Base de dados:
PAHO-IRIS
Assunto principal:
Brasil
/
Região do Caribe
/
Contracepção Reversível de Longo Prazo
/
COVID-19
/
Acesso aos Serviços de Saúde
/
América Latina
/
México
Tipo de estudo:
Estudo prognóstico
Aspecto:
Determinantes sociais da saúde
/
Preferência do paciente
País/Região como assunto:
América do Sul
/
Brasil
/
México
Idioma:
Inglês
Ano de publicação:
2022
Tipo de documento:
Artigo