Assessing Sexual and Reproductive Health Care Provision in Ukraine: A Scoping Review Through the Lens of the “Minimum Initial Service Package Framework”

This essay highlights the significant gaps in the provision of sexual and reproductive health (SRH) services in Ukraine, despite the implementation of the Minimum Initial Service Package by government and nongovernment organizations. Key barriers, including supply chain disruptions and discrimination, hinder access to SRH services, particularly in conflict-affected areas. While sufficient supplies and response mechanisms exist, persistent challenges in funding, logistics, and equitable access remain. The ongoing conflict in Ukraine has exacerbated these issues, underscoring the urgent need for sustained international support and effective resource allocation; not the least in light of recent international politically induced changes affecting Ukraine. These findings highlight the importance of addressing both structural and social determinants of health and call for comprehensive strategies to improve SRH services in crisis settings. The findings of this essay, derived from a scoping review, can guide global health policies to ensure equitable and dependable access to sexual and reproductive health services for vulnerable populations during humanitarian emergencies