Scoping Review on the Impact of Outbreaks on Sexual and Reproductive Health Services: Proposed Frameworks for Pre-, Intra-, and Postoutbreak Situations

Table 1

Key definitions used in this scoping review for key concepts.

Sexual and reproductive health	Good sexual and reproductive health is a state of complete physical, mental, and social well-being in all matters relating to the reproductive system. It implies that people can have a satisfying and safe sex life, the capability to reproduce, and the freedom to decide if, when, and how often to do so. ^#Support a life course approach to providing rights-based, accessible, quality, and integrated SRH and HIV services.; As each stage in a person’s life influences the next, a life course approach to SRH and HIV linkages coordinated across all stages and providers can improve delivery efficiency, uptake of services, and long-term health outcomes^^
Source:	^#United Nations Population Fund. Sexual & reproductive health (available from URL: https://www.unfpa.org/sexual-reproductive-health#, last accessed: Sep 09, 2018); ^^WHO meeting on ethical, legal, and human rights and social accountability implications of self-care interventions for sexual and reproductive health: 12–14 March 2018, Brocher Foundation, Hermance, Switzerland: summary report. Geneva: World Health Organization; 2018. License: CC BY-NC-SA 3.0 IGO (available at: http://apps.who.int/iris/bitstream/handle/10665/273989/WHO-FWC-18.30-eng.pdf?ua=1); Call to action to attain universal health coverage through linked sexual and reproductive health and rights and HIV interventions: 2018, Department of Reproductive Health and Research, World Health Organization and UNFPA (available at: http://apps.who.int/iris/bitstream/handle/10665/273148/WHO-RHR-18.13-eng.pdf)
Quality of service	For this review, we have used the WHO definition of quality of care, which is “the extent to which healthcare services provided to individuals and patient populations improve desired health outcomes. To achieve this, healthcare must be safe, effective, timely, efficient, equitable, and people-centered [18, 19].”; (i) Safe. It delivers healthcare that minimizes risks and harm to service users, including avoiding preventable injuries and reducing medical errors; (ii) Effective. We are providing services based on scientific knowledge and evidence-based guidelines; (iii) Timely. We are reducing delays in providing and receiving healthcare; (iv) Efficient. We are delivering healthcare in a manner that maximizes resource use and avoids waste; (v) Equitable. It delivers healthcare that does not differ in quality according to personal characteristics such as gender, race, ethnicity, geographical location, or socioeconomic status; (vi) People-centered. It is providing care that considers the preferences and aspirations of individual service users and the culture of their community
Access	The availability of good health services within reasonable reach of those who need them and opening hours, appointment systems, and other aspects of service organization and delivery allow people to obtain the services when they need them [20]
	As defined in the human rights context, “health facilities, goods, and services must be within safe physical reach for all sections of the population, especially vulnerable or marginalized groups, such as ethnic minorities and indigenous populations, women, children, adolescents, older persons, persons with disabilities and persons with HIV/AIDS, including in rural areas”
Health-seeking behavior	Health-seeking behavior is any action carried out by a person who perceives a need for health services to address a given health problem. This includes seeking help from allopathic and alternative health services, and both sex and gender influence health-seeking behavior [21]
Pregnancy outcomes	A pregnancy outcome is the result of a fertilization event. Types of pregnancy outcomes include miscarriage, live birth (full-term or preterm birth), stillbirth, spontaneous abortion, and induced abortion [22]
Definitions of pregnancy outcomes
Miscarriage	Miscarriage is defined as the spontaneous loss of pregnancy before the fetus reaches viability. The term, therefore, includes all pregnancy losses from the time of conception until 24 weeks of gestation (RCOG Green-top Guideline No. 17. https://www.rcog.org.uk/globalassets/documents/guidelines/gtg_17.pdf)
Stillbirth	A baby born with no signs of life at or after 28 weeks’ gestation
Low birthweight	A baby born weighing <2500 g regardless of gestation
Neonatal death	A baby born alive but who dies within the first 28 days of life