Lockdowns imposed to curb the coronavirus’ spread have put millions of women in Africa, Asia and elsewhere out of reach of birth control and other sexual and reproductive health needs.

Confined to their homes with their husbands and others, they face unwanted pregnancies and little idea of when they can reach the outside world again.

In these uncertain times, women “have to lock down their uterus,” Abebe Shibru, Zimbabwe country director for Marie Stopes International, told The Associated Press. “But there is no way in a rural area.”

Eighteen countries in Africa have imposed national lockdowns, according to the Africa Centers for Disease Control and Prevention.