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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Bibliographic Details
Published in:PloS one Vol. 13; no. 7; p. e0199300
Main Authors: Singh, Neha S., Smith, James, Aryasinghe, Sarindi, Khosla, Rajat, Say, Lale, Blanchet, Karl
Format: Journal Article
Language:English
Published: United States Public Library of Science 06.07.2018
Public Library of Science (PLoS)
Subjects:
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
Online Access:Get full text
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Description
Summary: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.
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Competing Interests: The authors have declared that no competing interests exist.
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0199300