Evaluating the effectiveness of sexual and reproductive health services during humanitarian crises: A systematic review

An estimated 32 million women and girls of reproductive age living in emergency situations, all of whom require sexual and reproductive health (SRH) information and services. This systematic review assessed the effect of SRH interventions, including the Minimum Initial Service Package (MISP) on a ra...

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Vydáno v:	PloS one Ročník 13; číslo 7; s. e0199300
Hlavní autoři:	Singh, Neha S., Smith, James, Aryasinghe, Sarindi, Khosla, Rajat, Say, Lale, Blanchet, Karl
Médium:	Journal Article
Jazyk:	angličtina
Vydáno:	United States Public Library of Science 06.07.2018 Public Library of Science (PLoS)
Témata:	Aggression Analysis Biology and Life Sciences Childrens health Communities Community Health Workers Contraceptive Agents Contraceptives Crises Delivery of Health Care Displaced persons Domestic violence Emergencies Emergency vehicles Family planning Female Fistulae Girls Global Health Gynecology Health aspects Health care Health care industry Health services Humanitarian aid Humans Hygiene Information systems Maternal & child health Maternal Health Services Medical personnel Medicine Medicine and Health Sciences Mortality Obstetrics Oral contraceptives Pregnancy Public health Refugees Relief Work Reproductive Health Reproductive Health Services Research and Analysis Methods Reviews Services Sexual Behavior - physiology Sexual health Sexually transmitted diseases STD Systematic review Violence Womens health South Sudan Sierra Leone Pakistan United Kingdom > UK Switzerland
ISSN:	1932-6203, 1932-6203
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Shrnutí:	An estimated 32 million women and girls of reproductive age living in emergency situations, all of whom require sexual and reproductive health (SRH) information and services. This systematic review assessed the effect of SRH interventions, including the Minimum Initial Service Package (MISP) on a range of health outcomes from the onset of emergencies. We searched EMBASE, Global Health, MEDLINE and PsychINFO databases from January 1, 1980 to April 10, 2017. This review was registered with the PROSPERO database with identifier number CRD42017082102. We found 29 studies meet the inclusion criteria. We found high quality evidence to support the effectiveness of specific SRH interventions, such as home visits and peer-led educational and counselling, training of lower-level health care providers, community health workers (CHWs) to promote SRH services, a three-tiered network of health workers providing reproductive and maternal health services, integration of HIV and SRH services, and men's discussion groups for reducing intimate partner violence. We found moderate quality evidence to support transport-based referral systems, community-based SRH education, CHW delivery of injectable contraceptives, wider literacy programmes, and birth preparedness interventions. No studies reported interventions related to fistulae, and only one study focused on abortion services. Despite increased attention to SRH in humanitarian crises, the sector has made little progress in advancing the evidence base for the effectiveness of SRH interventions, including the MISP, in crisis settings. A greater quantity and quality of more timely research is needed to ascertain the effectiveness of delivering SRH interventions in a variety of humanitarian crises.
Bibliografie:	ObjectType-Article-2 SourceType-Scholarly Journals-1 content type line 14 ObjectType-Feature-3 ObjectType-Evidence Based Healthcare-1 ObjectType-Article-1 ObjectType-Feature-2 ObjectType-Review-3 content type line 23 ObjectType-Undefined-4 Competing Interests: The authors have declared that no competing interests exist.
ISSN:	1932-6203 1932-6203
DOI:	10.1371/journal.pone.0199300