Rosalyn Schroeder's research while affiliated with UCSF University of California, San Francisco and other places

... Diverting resources to the acute crisis and restricting other services were necessary, but prioritizing the SRH needs of individuals was also important as the pandemic did not halt those needs. In fact, those needs increased due to the additional barriers (e.g., reduced clinic hours and limited in-person patient intake, transportation, lack of affordable SRH products etc.) introduced in the existing system [22,23]. We used Levesque's conceptual framework of access to health care to understand and categorize the barriers that adolescents encountered while accessing SRH care during the pandemic, both from the healthcare system's perspective and individual perspective. ...

... In relation to abortion services provided by abortion clinics, an overall decrease of 5% in abortion services provided in the early months of the COVID-19 pandemic was identified in South Africa [23]. In the state of Louisiana, South America in the first months of the quarantine, the number of monthly abortions in clinics whose services were disrupted decreased by 46% [49]. Whilst the method of conducting these studies is different from the current research, these disruptions to abortion as healthcare are notable and may be applicable worldwide. ...

... Scholarly work has identified intersecting, complex needs presented by pandemic vulnerabilities, which could serve as a starting point. The need to slow disease transmission must be weighed against, for example, the time-sensitive need to access abortion (Joffe and Schroeder 2021), which is already more challenging for marginalised communities and intersected with the increase of domestic abuse during lockdown. In some ways, as a response to considerable distress the pandemic restrictions catalysed sociotechnical innovation among groups long regarded as vulnerable (including people seeking abortions, as access to at-home medical abortions increased in some places; Reynolds-Wright et al. 2022). ...

... The most reported complications of mothers were bleeding [24,34], pain [24,34], and need to blood transfusions (0.4%) [26]. The COVID-19 pandemic had created many challenges in abortion clinics, including changes in the work style of healthcare providers, increased costs, and reduced revenue, but care activities continued [37,38]. Using medication abortion and present telemedicine services without ultrasound has also been reported [20,23,33]. ...

... However, even in states with more expansive health coverage policies for both the insured and uninsured, young adults, including students, may still have cost concerns. A study of community college students aged 18-25 in California and Oregon found that nearly half of students were concerned about the cost of contraception, and that the uninsured had the highest cost concerns [25]. ...

... The most reported complications of mothers were bleeding [24,34], pain [24,34], and need to blood transfusions (0.4%) [26]. The COVID-19 pandemic had created many challenges in abortion clinics, including changes in the work style of healthcare providers, increased costs, and reduced revenue, but care activities continued [37,38]. Using medication abortion and present telemedicine services without ultrasound has also been reported [20,23,33]. ...

... The characteristics of the included studies are shown in Table 1. Of the studies included in the final review, 11 were qualitative studies 11,12,15,22-29 , 6 were cross-sectional studies [30][31][32][33][34][35] , and 13 were cohort (prospective, retrospective, or follow-up) studies 8,10,16,18,[36][37][38][39][40][41][42][43][44] . One study used mixed methods approach 45 , one used a multicenter single-arm clinical trial 46 , and one used an investigational new drug application (INDA) approach 13 . ...

... Yet, despite the wide availability of condoms and other contraceptives in the U.S., data from the National Survey of Family Growth (NSFG) show that 38% of all pregnancies are unintended (MacCallum-Bridges & Margerison, 2020). In recent years, U.S. adolescents and adults have had greater access to more highly effective contraceptive options, including long-acting reversible contraceptive (LARC) methods (e.g., intrauterine devices (IUDs), implants); this access has been attributed both to the implementation of the Affordable Care Act as well as to dedicated contraceptive programs and healthcare provider training (Comfort et al., 2021;El Ayadi et al., 2017;MacCallum-Bridges & Margerison, 2020). Accordingly, U.S. women report increased use of LARCs (Daniels et al., 2015;Finer et al., 2012;Kavanaugh et al., 2015;Mosher et al., 2016), similar to patterns observed in some other countries, such as Australia, the Netherlands, Sweden, and some parts of rural Ethiopia (Grzeskowiak et al., 2021;Hellstr€ om et al., 2019;Marra et al., 2020;Zerfu et al., 2018). ...

... However, they equally report experiencing harassment, abuse, or threats. Notably, most women report experiencing both-some report positive outcomes only, but fewer report negative outcomes only (Sherman n.d., p. 4;Woodruff et al. 2020). It is, therefore, without question that women can experience individual level benefits from sharing their abortion stories. ...

... The present study's findings concur with [54], a Ugandan study that confirmed that contraceptive use was lower among women who believed the methods affected future fertility. Similar conclusions were reached in studies conducted in California and Kenya [55]; [39], which confirmed that participants' concerns about infertility are significant barriers to their use. ...