Table 1.

Characteristics of included studies (n = 9).

Author/s and Year of Publication	Setting and Country	Aim of Study	Study Design	Target Population	Intervention	Outcomes of Study
[14]	Settings: Urban, rural, and refugee camps. Multinational: Ethiopia, Cote d’Ivoire, and Lebanon	To mitigate the psycho-emotional toll of the pandemic and promote resilience among adolescents in some of the most difficult places in the world to be a young person.	Qualitative studies	Adolescents Age: 10–19 n = 568	No intervention	Exposure to early/child marriages (age 15) among some cultural groups, where the cost of marriage is cheaper. Pressure from parents on girls to marry because they were not in school due to the lockdown. Increase in intimate partner violence. Limited access to youth-friendly SRH care services. Negative coping strategies during the COVID-19 restrictions amongst some adolescents (suicidal thoughts, drinking of alcohol, smoking). Positive coping strategies during the restrictions (volunteering, gaming, sports, meditating, hobbies).
[15]	Settings: Urban Country: Kenya	To assess the psychosocial effects of COVID-19 within an ongoing cohort study of Adolescents Living with HIV.	Qualitative study	Adolescents and youth Age: 10–24 10–14 (n = 152), 15–19 (n = 188), 20–24 (n = 146)	No intervention	Some participants complained of not being able to go to their healthcare appointments. Some also reported not being able to have access to medication refills.
[16]	Country: Kenya	Three objectives: a. To document the likely challenges that can impede the implementation of a new media strategies model to disseminate SRHR messages to young people in media campaigns. b. To understand how media managers would mitigate the challenges that may interfere with using new media strategies model to disseminate SRHR messages in media campaigns to young people. c. To probe stakeholder perspectives on the possibility and acceptability of adapting a new media strategies model to pass SRHR messages to young people in media campaigns.	Qualitative study	Stakeholders (media managers, policymakers, healthcare professionals, teachers, parents, and youth) Age of youth = 15–24 Age of other participants = NR Total n = 54	The use of new media platform for sex education. Example Twitter, Facebook, WhatsApp. NGO created platforms for the youth.	Policymakers and decision-makers sometimes prevent the successful dissemination of SRHR messages. Churches and parents were opposition groups to media campaigns. Ignorance in the use of technology. Variation in the youth’s preference for media platforms could also interfere with the message.
[17]	Country: Jordan	To evaluate the impact of the lockdown circumstances in Jordan on antenatal care services and health circumstances of pregnant women during this period.	Qualitative study (cross-sectional study)	Pregnant women (15 years and above) Total n = 944 15–19 years (n = 4) 20–24 years (n = 146) 25 years and above (n = 794)	No intervention	Change in access to antenatal services since the beginning of the COVID-19 lockdown. Communication with care providers over the phone without actual antenatal visits; some had permits that allowed them to move freely during the curfew, and others used emergency medical services as an alternative to attending antenatal clinics. Some also reported no change in antenatal care schedule during the lockdown. Some pregnant women reported not being able to have access to antenatal visits during the lockdown. The majority of pregnant women who were not receiving antenatal services during the lockdown experienced pregnancy complications. These included gestational hypertensive disease, placenta previa, gestational diabetes, and vaginal bleeding.
[18]	Settings: Urban and rural Country: Kenya	To explore the pre-pandemic characteristics that may either protect girls from negative outcomes during the pandemic response or put them at higher risk.	Quantitative study	Adolescent girls Age: 10–14 years (n = 206) Age: 15–19 (n = 650)	No intervention	Sexual violence at the beginning of the COVID-19 pandemic. Some reported difficulty obtaining menstrual hygiene products. Most adolescent girls who were sexually active were 16 years and above.
[19]	Setting: Health center (urban) Country: South Africa	To assess the impact of the lockdown orders in response to the COVID-19 epidemic in South Africa on access to basic healthcare services.	Quantitative: Interrupted time series analysis	Adolescents 6–19 years of age (n = 4460) 20–45 years accounted for 48% (n = 22 231)	No intervention	Visits for perinatal care and family planning remained reasonably constant or modestly increased. Increased clinic visits for HIV immediately after the lockdown. This might have reflected an urgency to collect medications prior to an anticipated interruption in-clinic access or medication availability and/or national programmatic efforts to accelerate transitions to a new first-line regimen.
[20]	Country: Ecuador	To evaluate and learn from prior health policy in strategizing more effective adolescent pregnancy prevention legislation.	Descriptive paper (Policy analysis/discussion	Adolescents Age: 15–19 years n = NR	No intervention	Prevention of adolescent pregnancy. The new Model of Comprehensive Family, Community and Intercultural Health Care (MAIS-FCI) emphasized the equal level of care throughout each stage of an individual’s life cycle while also emphasizing that the adolescent population, in particular, continues to be intensely equipped with medical information. Promotion of health information as the main strategy, Intersectoral Policy for the Prevention of Pregnancy in Girls and Adolescents, which offers a plan that can serve as a starting point in the nation’s development of solutions that do not simply fault adolescents for adolescent pregnancy, but rather aim to lessen the social/cultural dynamics that act as an impetus.
[21]	Setting: UrbanCountry: Brazil	To describe the strategies adopted by PrEP1519 sites of Salvador and São Paulo to continue to provide HIV and SRH services during quarantine periods to contain the COVID-19 pandemic.	Follow-up program	Adolescent men sleeping with men (MSM) and transgender women (TGW) Age: 15–19. n = 484	Pre-exposure prophylaxis for 15–19 (PrEP1519) Program was being offered in the clinic and outreach. Social media and telemonitoring was set up to reach adolescent key population to continue the program and ensure access to SRH care and prevention needs.	The strategies intensified during the lockdown, as adolescents were eager to have a conversation and ask questions on how to persist with their PrEP use under quarantine. Adolescent key population used the platform to socialize and look for partners. Demand for the PrEP program services continued. Changes to online services were well received by participants and likely to continue after the quarantine.
[22]	Global	To continue responding to the sexual and reproductive health needs of adolescents in the context of the COVID-19 crisis.	Technical brief (grey literature)	Adolescents 10–19 years n = NR	SRHR policy and delivery improvement for adolescents’ access to SRH care services in LMICs	Policy implementation for: Provision of comprehensive sexuality education, contraceptive counselling and services, and comprehensive abortion care. Provision of antenatal, intrapartum, and postnatal care. Prevention and treatment of HIV and other STIs. Prevention, care, and response to sexual and gender-based violence. Counselling and services for sexual health and well-being, including the provision of menstrual health information and services.