The Impact of COVID-19 on the Provision of Sexual and Reproductive Health Care During Disasters in Louisiana

Disasters and climate-related disasters are increasing worldwide, and particularly impact the health outcomes of vulnerable groups. Although a robust body of research on coronavirus disease-2019 (COVID-19) is emerging, less research has explored how COVID-19 has intersected with other disasters, such as hurricanes and floods, and how this in turn impacts the provision of sexual and reproductive health (SRH) care services. Louisiana is a state that experiences SRH inequities, in addition to a disproportionate number of weather-related disasters, and there is a need for research exploring the provision of SRH services during these disaster events. A qualitative descriptive methodology was used to conduct semistructured virtual interviews with SRH, and disaster, service providers in Louisiana during 2021–2022. Key themes that emerged included: (a) The COVID-19 pandemic as a unique disaster; (b) the impact of the pandemic on the quality and quantity of SRH care; (c) providers also affected; (d) increased use of technology for SRH care; and (e) disasters detract from justice and infrastructure efforts. Across all themes, providers highlighted the compounding impacts of multiple disasters experienced by the Gulf Coast region. Policy and practice recommendations are offered.