Access to sexual and reproductive health services among South African young people living with and without HIV during the COVID-19 pandemic

Contraception. 2023 Oct:126:110119. doi: 10.1016/j.contraception.2023.110119. Epub 2023 Jul 17.


Objective: To examine sexual and reproductive health (SRH) service access among South African young people during the COVID-19 pandemic.

Study design: We utilized cross-sectional data collected from February to October 2021 in Cape Town among young people 13-24 years of age living with and without HIV.

Results: Two hundred and fifteen young people living with HIV (YPLWH) and 320 young people living without HIV were included. Young people reported an unmet need for SRH services during COVID-19, and 28% of YPLWH reported missing an HIV care appointment during the COVID-19 lockdowns.

Conclusions: Expanding access to SRH services for young people during disruptive events is critical to reduce disparities in HIV and other SRH outcomes.

Keywords: Adolescent; COVID-19; HIV; Sexual and reproductive health; Young people living with HIV; Young women.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • COVID-19*
  • Communicable Disease Control
  • Cross-Sectional Studies
  • HIV Infections* / epidemiology
  • Humans
  • Pandemics
  • Reproductive Health
  • Reproductive Health Services*
  • Sexual Behavior
  • South Africa / epidemiology