Evaluating health system barriers to sexual and reproductive health service delivery during the COVID-19 pandemic in China: a mixed-methods study

The COVID-19 pandemic negatively impacted SRH service provision and utilization in China. Our findings highlight the challenges of SRH service delivery during the COVID-19 pandemic and can be used to guide policy development and enhance service provision in alignment with societal needs. These findings underscore the importance of strengthening health systems by supporting telehealth expansion, tailoring provider-client communication, addressing the gender-specific needs of female providers, and leveraging community engagement to sustain essential SRH services during future crises.