Guttmacher Institute experts have been assessing the impact of the evolving COVID-19 pandemic on sexual and reproductive health and rights at multiple levels: the challenges posed by the virus itself, as well as by longstanding gaps in policies and programs that have left society struggling to respond to the crisis. 

This page highlights Guttmacher’s growing body of research and policy resources in this area.

Background and Overview

The COVID-19 Outbreak: Potential Fallout for Sexual and Reproductive Health and Rights

What is the potential impact of the pandemic around the globe and in the United States? Our analysis looks at factors such as the effect on health care systems, economic barriers to care, changes in reproductive behavior and ideological attacks against sexual and reproductive health and rights.
Read the analysis (March 2020)

In Low- and Middle-Income Countries

Estimates of the Potential Impact of the COVID-19 Pandemic on Sexual and Reproductive Health in Low- and Middle-Income Countries

Our researchers estimate that even a relatively modest decline of 10% in the provision of essential reproductive health services as a result of the pandemic would have devastating effects on the health of women and families, including an increase of 49 million in the number of women with an unmet need for modern contraception and an additional 15 million unintended pregnancies per year. The article includes full findings and the research methodology.
Read the report (April 2020)

Crisis on the Horizon: Devastating Losses for Global Reproductive Health Are Possible Due to COVID-19

Virus outbreaks may be inevitable, but catastrophic losses for sexual and reproductive health are not. By learning from prior epidemics, putting in place critical resources and systems and promoting sexual and reproductive health and rights, we can prevent health system disruptions that would have devastating, lasting impacts. This document presents our policy recommendations on how to avert this disaster.
Read the analysis (April 2020)

COVID-19 Could Have Devastating Effects on Adolescents’ Sexual and Reproductive Health and Rights

This op-ed looks at the challenges adolescents in low- and middle-income countries may face as a result of COVID-19. The pandemic’s ripple effects are more likely to affect adolescents—a population that already has higher rates of unmet need for health services and that faces increased barriers to confidential sexual and reproductive health care and high-quality and accurate information about sex.  
Read the op-ed (June 2020)

In the United States

Impact on Sexual and Reproductive Health and Rights

Early Impacts of the COVID-19 Pandemic: Findings from the 2020 Guttmacher Survey of Reproductive Health Experiences

Our study finds that one-third of U.S. women want to put pregnancy on hold or have fewer children due to COVID-19 and the ensuing financial, job and social insecurity. Among other key findings, we also document that the pandemic is heightening the severe barriers to health care that many people already face based on their race, ethnicity, sexual orientation or income level—making it harder for them to get contraception and other reproductive health care. 
Read the report (June 2020)

COVID-19 and Immigrants’ Access to Sexual and Reproductive Health Services in the United States

Guttmacher and Columbia University research experts examine how the pandemic has affected immigrants’ ability to obtain sexual and reproductive health care. Many immigrants have been intentionally excluded from COVID-19 relief support, in addition to having long faced barriers designed to exclude them from public insurance programs—further exacerbating challenges in obtaining health coverage and care.
Read the report (June 2020)
Read the related op-ed (June 2020

The Sexual and Reproductive Health of Adolescents and Young Adults During the COVID-19 Pandemic

Guttmacher and Rutgers University research experts review potential immediate and long-term impacts of the pandemic on young people’s sexual and reproductive health. Widespread social and economic shifts have disrupted young people’s social and intimate relationships in numerous ways and have also interfered with their ability to get affordable and confidential sexual and reproductive health care.
Read the report (June 2020)

Pandemic-Related Restrictions on Care

Anti-abortion Groups Are Making COVID-19 an Even Greater Public Health Threat 

An op-ed by Guttmacher President and CEO Dr. Herminia Palacio makes the case that abortion is essential and time-sensitive health care, countering attempts by antiabortion politicians to callously exploit the pandemic to shut down access to abortion services.
Read the op-ed (March 2020)

COVID-19 Abortion Bans Would Greatly Increase Driving Distances for Those Seeking Care

Some states threaten to enact policies that would greatly increase the distance women will need to travel to access abortion care. This analysis details the increases in driving distances should abortion care be shut down in any given state, as well as the impact should an entire cluster of adjoining states in the South and Midwest shut down care. A spreadsheet with data for all 50 states is included.
Read the analysis (April 2020)

COVID‐19 Abortion Bans and Their Implications for Public Health

Our research experts examine the scientific literature around the harmful impact of abortion bans imposed using COVID-19 as a pretext, discussing the implications both for people seeking abortions and for the clinics that provide them.
Read the report (May 2020)

Policy Recommendations

Ten Things State Policymakers Can Do to Protect Access to Reproductive Health Care During the COVID-19 Pandemic

As states implement policies to keep people safe from the coronavirus, they must ensure that people can receive high-quality sexual and reproductive health services. Our state policy experts have a full menu of recommendations for them to consider.
Read the analysis (May 2020)

Nine Things Congress Must Do to Safeguard Sexual and Reproductive Health in the Age of COVID-19

As U.S. policymakers at the national level respond to the COVID-19 crisis, our federal policy experts offer nine concrete actions that Congress needs to prioritize in relief efforts to safeguard sexual and reproductive health and rights.
Read the analysis (April 2020)