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Table 2 Factors related to continuing services versus preventing COVID-19 in FP policy guidance

From: Keeping essential reproductive, maternal and child health services available during COVID-19 in Kenya, Mozambique, Uganda and Zimbabwe: analysis of early-pandemic policy guidelines

  Continuation of Services Prevention of COVID-19 Transmission
  Multimonth dispensing Telemedicine Outreach FP events or services Community-based distribution of FP Changes to facility-based services Selected methods discouraged / temporarily suspended Removal of long-acting and reversible contraceptives (LARCs)
Kenya RMNFP Guidelines 3-month supply of oral contraceptives (OCs), contraceptive skin patches Tele-consults recommended for low-risk clients for condoms, OCs, and contraceptive skin patches Outreach events suspended Community-based distribution continues but limited to condoms and pills Group counseling suspended immediately Bi-tubal ligation and vasectomy services suspended or postponed Removal of LARCs can be postponed as long as method within a safe period of expiration
Kenya Community Health Services Not mentioned Refills, counseling, SMS reminders to be provided by phone Not mentioned Not mentioned Not mentioned Not mentioned Not mentioned
Mozambique Mitigation Circular 3-month supply for new users; 6-month supply for subsequent consultations Telephone calls to be used for “as many services as possible” Not mentioned Home visits suspended Not mentioned No suspension of methods; all long-term methods to be offered at all times Not mentioned
Uganda Continuity of Essential Health Services 3-month supply of OCs, DMPA-SC Contacting client whose methods are expiring or village health workers (VHWs) to support them by phone Outreach activities should be discontinued if evidence of community transmission Community-based distribution should be maintained Not mentioned Provision of all modern contraceptives should be maintained Not mentioned
Zimbabwe RMNCAH-N Guidelines 3-month supply of OCs Not mentioned Outreach services temporarily suspended, targeted outreach activities may be held at discretion of MOH Outreach and related activities are suspended – Community based distributors or community health workers are to stay home and provide condoms only Not mentioned No methods are discouraged. Use of fertility awareness methods like standard days method or lactational amenorrhea method encouraged Removal of LARCs conducted at facilities as possible; women who select unavailable methods to be contacted when these methods become available