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A long way to go: a systematic review to assess the utilisation of sexual and reproductive health services during humanitarian crises

INTRODUCTION: Women and girls are affected significantly in both sudden and slow-onset emergencies, and face multiple sexual and reproductive health (SRH) challenges in humanitarian crises contexts. There are an estimated 26 million women and girls of reproductive age living in humanitarian crises s...

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Autores principales: Singh, Neha S, Aryasinghe, Sarindi, Smith, James, Khosla, Rajat, Say, Lale, Blanchet, Karl
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5935157/
https://www.ncbi.nlm.nih.gov/pubmed/29736272
http://dx.doi.org/10.1136/bmjgh-2017-000682
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author Singh, Neha S
Aryasinghe, Sarindi
Smith, James
Khosla, Rajat
Say, Lale
Blanchet, Karl
author_facet Singh, Neha S
Aryasinghe, Sarindi
Smith, James
Khosla, Rajat
Say, Lale
Blanchet, Karl
author_sort Singh, Neha S
collection PubMed
description INTRODUCTION: Women and girls are affected significantly in both sudden and slow-onset emergencies, and face multiple sexual and reproductive health (SRH) challenges in humanitarian crises contexts. There are an estimated 26 million women and girls of reproductive age living in humanitarian crises settings, all of whom need access to SRH information and services. This systematic review aimed to assess the utilisation of services of SRH interventions from the onset of emergencies in low- and middle-income countries. METHODS: We searched for both quantitative and qualitative studies in peer-reviewed journals across the following four databases: EMBASE, Global Health, MEDLINE and PsychINFO from 1 January 1980 to 10 April 2017. Primary outcomes of interest included self-reported use and/or confirmed use of the Minimum Initial Service Package services and abortion services. Two authors independently extracted and analysed data from published papers on the effect of SRH interventions on a range of SRH care utilisation outcomes from the onset of emergencies, and used a narrative synthesis approach. RESULTS: Of the 2404 identified citations, 23 studies met the inclusion criteria. 52.1% of the studies (n=12) used quasi-experimental study designs, which provided some statistical measure of difference between intervention and outcome. 39.1% of the studies (n=9) selected were graded as high quality, 39.1% moderate quality (n=9) and 17.4% low quality (n=4). Evidence of effectiveness in increasing service utilisation was available for the following interventions: peer-led and interpersonal education and mass media campaigns, community-based programming and three-tiered network of community-based reproductive and maternal health providers. CONCLUSIONS: Despite increased attention to SRH service provision in humanitarian crises settings, the evidence base is still very limited. More implementation research is required to identify interventions to increase utilisation of SRH services in diverse humanitarian crises settings and populations.
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spelling pubmed-59351572018-05-07 A long way to go: a systematic review to assess the utilisation of sexual and reproductive health services during humanitarian crises Singh, Neha S Aryasinghe, Sarindi Smith, James Khosla, Rajat Say, Lale Blanchet, Karl BMJ Glob Health Research INTRODUCTION: Women and girls are affected significantly in both sudden and slow-onset emergencies, and face multiple sexual and reproductive health (SRH) challenges in humanitarian crises contexts. There are an estimated 26 million women and girls of reproductive age living in humanitarian crises settings, all of whom need access to SRH information and services. This systematic review aimed to assess the utilisation of services of SRH interventions from the onset of emergencies in low- and middle-income countries. METHODS: We searched for both quantitative and qualitative studies in peer-reviewed journals across the following four databases: EMBASE, Global Health, MEDLINE and PsychINFO from 1 January 1980 to 10 April 2017. Primary outcomes of interest included self-reported use and/or confirmed use of the Minimum Initial Service Package services and abortion services. Two authors independently extracted and analysed data from published papers on the effect of SRH interventions on a range of SRH care utilisation outcomes from the onset of emergencies, and used a narrative synthesis approach. RESULTS: Of the 2404 identified citations, 23 studies met the inclusion criteria. 52.1% of the studies (n=12) used quasi-experimental study designs, which provided some statistical measure of difference between intervention and outcome. 39.1% of the studies (n=9) selected were graded as high quality, 39.1% moderate quality (n=9) and 17.4% low quality (n=4). Evidence of effectiveness in increasing service utilisation was available for the following interventions: peer-led and interpersonal education and mass media campaigns, community-based programming and three-tiered network of community-based reproductive and maternal health providers. CONCLUSIONS: Despite increased attention to SRH service provision in humanitarian crises settings, the evidence base is still very limited. More implementation research is required to identify interventions to increase utilisation of SRH services in diverse humanitarian crises settings and populations. BMJ Publishing Group 2018-05-03 /pmc/articles/PMC5935157/ /pubmed/29736272 http://dx.doi.org/10.1136/bmjgh-2017-000682 Text en © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted. This is an Open Access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) license, which permits others to distribute, remix, adapt and build upon this work, for commercial use, provided the original work is properly cited. See: http://creativecommons.org/licenses/by/4.0/
spellingShingle Research
Singh, Neha S
Aryasinghe, Sarindi
Smith, James
Khosla, Rajat
Say, Lale
Blanchet, Karl
A long way to go: a systematic review to assess the utilisation of sexual and reproductive health services during humanitarian crises
title A long way to go: a systematic review to assess the utilisation of sexual and reproductive health services during humanitarian crises
title_full A long way to go: a systematic review to assess the utilisation of sexual and reproductive health services during humanitarian crises
title_fullStr A long way to go: a systematic review to assess the utilisation of sexual and reproductive health services during humanitarian crises
title_full_unstemmed A long way to go: a systematic review to assess the utilisation of sexual and reproductive health services during humanitarian crises
title_short A long way to go: a systematic review to assess the utilisation of sexual and reproductive health services during humanitarian crises
title_sort long way to go: a systematic review to assess the utilisation of sexual and reproductive health services during humanitarian crises
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5935157/
https://www.ncbi.nlm.nih.gov/pubmed/29736272
http://dx.doi.org/10.1136/bmjgh-2017-000682
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