Mapping adolescent sexual and reproductive health research in sub-Saharan Africa: protocol for a scoping review

IntroductionPrevious studies have attempted to review the vast body of evidence on adolescent sexual and reproductive health (ASRH), but none has focused on a complete mapping and synthesis of the body of inquiry and evidence on ASRH in sub-Saharan Africa (SSA). Such a comprehensive scoping is needed, however, to offer direction to policy, programming and future research. We aim to undertake a scoping review of studies on ASRH in SSA to capture the landscape of extant research and findings and identify gaps for future research.Methods and analysisThis protocol is designed using the framework for scoping reviews developed by the Joanna Briggs Institute. We will include English and French language peer-reviewed publications and grey literature on ASRH (aged 10–19) in SSA published between January 2010 and June 2019. A three-step search strategy involving an initial search of three databases to refine the keywords, a full search of all databases and screening of references of previous review studies for relevant articles missing from our full search will be employed. We will search AJOL, JSTOR, HINARI, Scopus, Science Direct, Google Scholar and the websites for the WHO, UNICEF, UNFPA, UNESCO and Guttmacher Institute. Two reviewers will screen the titles, abstracts and full texts of publications for eligibility and inclusion—using Covidence (an online software). We will then extract relevant information from studies that meet the inclusion criteria using a tailored extraction frame and template. Extracted data will be analysed using descriptive statistics and thematic analysis. Results will be presented using tables and charts and summaries of key themes arising from available research findings.Ethics and disseminationEthical approval is not required for a scoping review as it synthesises publicly available publications. Dissemination will be through publication in a peer-review journal and presentation at relevant conferences and convening of policymakers and civil society organisations working on ASRH in SSA.

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Adolescent sexual and reproductive health research in sub-Saharan Africa: a scoping review of substantive focus, research volume, geographic distribution and Africa-led inquiry

BMJ Global Health ◽

10.1136/bmjgh-2020-004129 ◽

2021 ◽

Vol 6 (2) ◽

pp. e004129

Author(s):

Anthony Idowu Ajayi ◽

Emmanuel Oloche Otukpa ◽

Meggie Mwoka ◽

Caroline W. Kabiru ◽

Boniface Ayanbekongshie Ushie

Keyword(s):

Reproductive Health ◽

Scoping Review ◽

Sexual And Reproductive Health ◽

Grey Literature ◽

The Body ◽

Sub Saharan Africa ◽

Ethical Review ◽

Future Research ◽

Sub Saharan ◽

Ssa Countries

BackgroundPrevious review studies have not systematically mapped the existing body of knowledge on adolescent sexual and reproductive health (ASRH) in sub-Saharan Africa (SSA). Our scoping review addresses this gap by examining how the body of research on ASRH in SSA has evolved over the past decade, and its present profile, in terms of trends in volume, geographic and substantive focus, and Africa-led inquiry.MethodsWe used a three-step search strategy to identify English and French peer-reviewed publications and relevant grey literature on ASRH in SSA published between January 2010 and December 2019. Two reviewers screened the titles, abstracts and full texts of publications for eligibility and inclusion.ResultsA total of 1302 articles were published over the period, rising from 91 in 2010 to 183 in 2015. However, the bulk of the studies (63.9%) focused on six (South Africa, Kenya, Nigeria, Tanzania, Uganda and Ethiopia) of the 46 SSA countries. Ten countries had no ASRH papers, while five others each had only one publication. While issues like HIV (17.2%), sexual behaviours (17.4%) and access to sexual and reproductive health services (13.0%) received substantial attention, only a few studies focused on early adolescence (10–14 years), programme interventions, scaling up of interventions and policy evaluation. Just over half of publications had authors with African institutional affiliations as first authors (51.1%) or last author (53.0%). Sixteen per cent of papers did not include any authors from institutions in Africa.ConclusionsOur review demonstrated that research on ASRH is limited in focus and is unevenly distributed across SSA countries. The identified gaps can guide future research and funding to advance ASRH policies and programmes. It is also vital for stakeholders in the research enterprise, including researchers, donors, ethical review boards, and journal editors and reviewers, to implement measures that foster national investigators’ inclusion.

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Nature of, and responses to key sexual and reproductive health challenges for adolescents in urban slums in sub-Saharan Africa: a scoping review

Reproductive Health ◽

10.1186/s12978-020-00998-5 ◽

2020 ◽

Vol 17 (1) ◽

Author(s):

Yohannes Dibaba Wado ◽

Martin Bangha ◽

Caroline W. Kabiru ◽

Garumma T. Feyissa

Keyword(s):

Young People ◽

Reproductive Health ◽

Urban Space ◽

Scoping Review ◽

Sexual And Reproductive Health ◽

Urban Slums ◽

Sub Saharan Africa ◽

Gender Based Violence ◽

Scoping Reviews ◽

Sub Saharan

Abstract Background Addressing adolescents’ sexual and reproductive health and rights (SRHR) requires an understanding of the socio-cultural and spatial settings within which they live. One setting of particular importance is the informal settlements or ‘slums’ that are gradually dominating the urban space. We undertook a scoping review and synthesis of existing evidence on adolescent SRHR in slums in sub-Saharan Africa (SSA) focusing on the characteristics and nature of existing evidence. Methods The scoping review was conducted based on Arksey and O’Malley framework and in accordance with the guidance on scoping reviews from the Joanna Briggs Institute (JBI) and using PRISMA reporting guidelines for scoping reviews. A comprehensive search was undertaken in PubMed, POPLINE, African Journals Online (AJOL), Bioline International and Google Scholar. The search was confined to studies published in peer reviewed journals and reports published online between January 2000 and May 2019. Studies were included in the review if they addressed SRHR issues among adolescents living in urban slums in SSA. Results The review included a total of 54 studies. The majority (79.5%) of studies were quantitative. The bulk of studies (85.2%) were observational studies with only eight intervention studies. While half (27) of the studies focused exclusively on adolescents (10–19 years), 12 studies combined adolescents with other young people (10–24 years). The studies were skewed towards sexual behavior (44%) and HIV/AIDS (43%) with very few studies focusing on other SRHR issues such as contraception, abortion, gender-based violence and sexually transmitted infections (STIs) other than HIV. Most of the studies highlighted the significantly higher risks for poor SRHR outcomes among adolescents in slums as compared to their peers in other settlements. Conclusion Young people growing up in slums face tremendous challenges in relation to their SRHR needs resulting in poor outcomes such as early and unintended pregnancy, STIs, and sexual violence. The results of this review point to several potential target areas for programming, policy, and research aimed at improved adolescent SRHR in slums in SSA.

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Mapping Evidence of the Power Relations Between Domestic Workers and Their Employers in Sub-Saharan Africa: a Scoping Review Protocol

10.21203/rs.3.rs-1130557/v1 ◽

2021 ◽

Author(s):

Thobeka Ntini ◽

Delarise Mulqueeny ◽

Vishanthie Sewpaul

Keyword(s):

Scoping Review ◽

Search Engines ◽

Power Relations ◽

Grey Literature ◽

Domestic Work ◽

Domestic Workers ◽

Sub Saharan Africa ◽

Future Research ◽

International Labour Organization ◽

Sub Saharan

Abstract Background Across various intersectional lines, including race, class and gender, domestic work is profoundly exploitative than other comparable occupations. The private household, within which domestic workers (DWs) work and function, provides for a space of complex and nuanced dynamics of power. According to the International Labour Organization there are more than 65 million DWs in the world, and Africa is the third largest employer of DWs, with more than 5.2 million DWs reported. The inception of the Domestic Workers Convention (No. 189) (C189) in 2011 sought to protect DWs from all forms of exploitation and discrimination in the workplace, the convention brought global attention to the violation of their human rights and inequalities within the domestic work sector. Although there are more than 5.2 million DWs in Africa, 39/46 countries in sub-Saharan Africa (SSA) have not ratified this convention. Due to the extremely low ratification of the C189 and scanty evidence on the power relations between DWs and their employers in SSA, this scoping review is relevant to detect the extent and characteristics of domestic work in SSA since the introduction of C189 in September 2011. Methods The literature that will be included in this scoping review are published peer-reviewed articles, grey literature from relevant departmental websites, humanitarian organisations and theses. Electronic searches of databases and search engines such as Google, Google Scholar, EBSCOhost, EBSCO Discovery Service, Scopus, World Bank and International Labour Organization (ILO) for literature published between September 2011-2021. Other search engines will include screening citations and references of appearing literature within the stipulated time period. All retrieved literature will be exported to an Endnote X9 library. Duplicate documents will be deleted prior to commencement of title screening. An adapted Mixed Method Appraisal Tool (MMAT), developed in a Google form, will be used by two reviewers to quality assess and describe all included studies (qualitative, mixed methods and quantitative). Discussion We anticipate mapping relevant literature on the power relations between domestic workers and their employers in sub-Saharan Africa. Once analysis and summary is finalised, the data will be useful to guide future research.

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Protocol for a scoping review of research on abortion in sub-Saharan Africa

PLoS ONE ◽

10.1371/journal.pone.0254818 ◽

2021 ◽

Vol 16 (7) ◽

pp. e0254818

Author(s):

Kenneth Juma ◽

Ramatou Ouedraogo ◽

Meggie Mwoka ◽

Anthony Idowu Ajayi ◽

Emmy Igonya ◽

...

Keyword(s):

Scoping Review ◽

Relevant Information ◽

Sub Saharan Africa ◽

Primary Data ◽

Future Research ◽

Safe Abortion ◽

Scoping Reviews ◽

Ethical Approval ◽

Sub Saharan ◽

Research Investments

Introduction Unsafe abortion is a leading cause of maternal mortality, and access to safe abortion services remains a public health priority in sub-Saharan Africa (SSA). A considerable amount of abortion research exists in the region; however, the spread of existing evidence is uneven such that some countries have an acute shortage of data with others over-researched. The imbalance reflects the complexities in prioritization among researchers, academics, and funders, and undeniably impedes effective policy and advocacy efforts. This scoping review aims to identify and map the landscape of abortion research in SSA, summarize existing knowledge, and pinpoint significant gaps, both substantive and geographic, requiring further investigation. This review will provide direction for future research, investments, and offer guidance for policy and programming on safe abortion. Materials and methods We utilize the Joanna Briggs Institute’s methodology for conducting scoping reviews. We will perform the search for articles in 8 electronic databases (i.e., PubMed, AJOL, Science Direct, SCOPUS, HINARI, Web of Knowledge, CINAHL, and WHO Regional Databases). We will include studies written in English or French language, produced or published between January 1, 2011, and July 31, 2021, and pertain directly to the subject of abortion in SSA. Using a tailored extraction frame, we will extract relevant information from publications that meet the inclusion criteria. Data will be analyzed using descriptive statistics and thematic analysis in response to key review questions. Ethics and dissemination Formal ethical approval is not required, as no primary data will be collected. The findings of this study will be disseminated through peer-reviewed publications and conference presentations.

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Knowledge, Attitude, Perception and Preventive Practice Towards Novel Coronavirus 2019 in Sub-Saharan Africa: A Scoping Review Protocol

10.21203/rs.3.rs-104159/v1 ◽

2020 ◽

Author(s):

Ugochinyere Ijeoma Nwagbara ◽

Emmanuella Chinonso Osuala ◽

Rumbidzai Chireshe ◽

Obasanjo Afolabi Bolarinwa

Keyword(s):

Scoping Review ◽

Keyword Search ◽

Grey Literature ◽

Relevant Literature ◽

Sub Saharan Africa ◽

World Health ◽

Future Research ◽

Review Protocol ◽

Sub Saharan ◽

Novel Coronavirus

Abstract Background: Recent statistics and studies have shown the adverse effects of the novel coronavirus 2019 (COVID-19) on population health and how knowledge, attitude, perception and practice (KAP) towards the virus can be the main key to limiting its spread in the absence of a vaccine. Thus, this study aims at mapping evidence on the KAP towards COVID-19 in sub-Saharan Africa (SSA) using scoping review.Methods: The study will employ a systematic scoping review to identify, describe, and map literature on the KAP towards COVID-19 in SSA. The primary search will include peer-reviewed and grey literature. The search will be performed using the EBSCOhost platform and a keyword search from the following electronic databases will be conducted: PubMed/MEDLINE, Google Scholar, Science Direct, World Health Organization (WHO) library, and grey literature. The study selection will be guided by the inclusion and exclusion criteria. A data charting table will be used to extract information from the included studies. Data will be analysed using NVIVO version 10 and a thematic content analysis will be used to present narrative account of the review.Discussion: We anticipate finding relevant literature on the KAP towards COVID-19 in SSA. The results of this study will help reveal research gaps in KAP towards COVID-19 and this will guide future research and highlight the new concepts discovered. Systematic review protocol registration: Open Science Framework https://osf.io/sdm46/.

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Rehabilitation approaches for children living with HIV in sub-Saharan Africa: a protocol for scoping review

Systematic Reviews ◽

10.1186/s13643-019-1219-x ◽

2019 ◽

Vol 8 (1) ◽

Author(s):

Stacy Maddocks ◽

Saul Cobbing ◽

Jill Hanass-Hancock ◽

Verusia Chetty

Keyword(s):

Scoping Review ◽

Selection Process ◽

Grey Literature ◽

Boolean Logic ◽

Sub Saharan Africa ◽

Rehabilitation Intervention ◽

Paediatric Care ◽

Scoping Reviews ◽

Sub Saharan ◽

Living With Hiv

Abstract Background A large number of children living with chronic conditions such as HIV experience impairments and disabilities. Current sub-Saharan African healthcare systems are challenged with paediatric care that does not integrate rehabilitation into management of chronic diseases such as HIV. Furthermore, little attention is paid to societal inclusion, community engagement and educational needs of these children. Integration of paediatric care and rehabilitation in a holistic approach can help to overcome the challenges associated with living disabilities. This scoping review proposes a synthesis of existing evidence on rehabilitation intervention strategies to increase functioning and to address disability-related barriers in children living with HIV and disability in sub-Saharan Africa. Methods A scoping review will be conducted to systematically map evidence on rehabilitation intervention for children living with HIV in sub-Saharan Africa. Studies in sub-Saharan Africa from December 2012 to 2019 on rehabilitation interventions for children aged 5 to 10 years living with HIV will be included in the review. Peer-reviewed primary studies, as well as grey literature, will be identified from electronic databases including Google Scholar; PubMed; Medline; CINAHL and Cochrane. The search strings using keywords such as “HIV”, “impairment”, “disability”, “neurocognitive impairment”, “behavioural”, “rehabilitation” and “intervention” will be conducted using Boolean logic. Two groups of independent reviewers will conduct all title, abstract and full article screening. The study selection process will be mapped using Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews. A predesigned data-charting table will supplement the extraction of data. NVIVO software will aide in the thematic analysis of the data. Discussion The information from studies will be discussed in relation to the research questions using a critical narrative to explore the emergent themes. The quality of studies will be appraised using the mixed method appraisal tool. The scoping review will provide a baseline of evidence on rehabilitation interventions for children living with HIV in sub-Saharan Africa. The scoping review will inform healthcare providers, scholars and policy developers about the current use of rehabilitation interventions and what gaps need to be addressed with further research and intervention development. Systematic review registration OSF Center for Open Science: https://osf.io/ed7zb/

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Sexual and Reproductive Health Outcomes among Incarcerated Women in Canada: A Scoping Review

Canadian Journal of Nursing Research ◽

10.1177/0844562120985988 ◽

2021 ◽

pp. 084456212098598

Author(s):

Martha Paynter ◽

Clare Heggie ◽

Shelley McKibbon ◽

Ruth Martin-Misener ◽

Adelina Iftene ◽

...

Keyword(s):

Reproductive Health ◽

Health Services ◽

Scoping Review ◽

Sexual And Reproductive Health ◽

Grey Literature ◽

Reproductive Health Services ◽

Transmitted Infection ◽

Sexually Transmitted ◽

Federal Prisons ◽

Scoping Reviews

Background Women are the fastest growing population in Canadian prisons. Incarceration can limit access to essential health services, increase health risks and disrupt treatment and supports. Despite legal requirements to provide care at professionally accepted standards, evidence suggests imprisonment undermines sexual and reproductive health. This scoping review asks, “What is known about the sexual and reproductive health of people incarcerated in prisons for women in Canada?” Methods We use the Joanna Briggs Institute methodology for systematic scoping reviews. Databases searched include MEDLINE, CINAHL, PsycINFO, Gender Studies Abstracts, Google Scholar and Proquest Dissertations and grey literature. The search yielded 1424 titles and abstracts of which 15 met the criteria for inclusion. Results Conducted from 1994–2020, in provincial facilities in Ontario, British Columbia, Alberta and Quebec as well as federal prisons, the 15 studies included qualitative, quantitative and mixed methods. The most common outcomes of interest were related to HIV. Other outcomes studied included Papanicolaou (Pap) and sexually transmitted infection (STI) testing, contraception, pregnancy, birth/neonatal outcomes, and sexual assault. Conclusion Incarceration results in lack of access to basic services including contraception and prenatal care. Legal obligations to provide sexual and reproductive health services at professionally acceptable standards appear unmet. Incarceration impedes rights of incarcerated people to sexual and reproductive health.

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Mapping evidence on women’s knowledge and practice of breast self-examination in sub-Saharan Africa: a scoping review protocol

Systematic Reviews ◽

10.1186/s13643-019-1254-7 ◽

2020 ◽

Vol 9 (1) ◽

Cited By ~ 1

Author(s):

Roseline H. Udoh ◽

Monica Ansu-Mensah ◽

Mohammed Tahiru ◽

Vitalis Bawontuo ◽

Desmond Kuupiel

Keyword(s):

Scoping Review ◽

Grey Literature ◽

Sub Saharan Africa ◽

Future Research ◽

Breast Self Examination ◽

Knowledge And Practice ◽

Sub Saharan ◽

Self Examination ◽

Women's Knowledge ◽

Women’S Knowledge

Abstract Background Globally, breast cancer is the most common malignant condition in women. Breast self-examination practice following correct procedure potentially can lead to early detection of breast abnormalities. We propose to systematically chart literature and examine the scope of evidence on women’s knowledge and practice of breast self-examination in sub-Saharan Africa (SSA). Methods Our scoping review methods will be guided by the framework proposed by Arksey and O'Malley, Levac et al. and Joanna Briggs Institute guidelines. Literature searches will be conducted in the following electronic databases (from 2008 onwards): PubMed/MEDLINE, Scopus, Web of Science, CINAHL, PsycINFO and Health Sources. Grey literature will be identified through searching dissertation databases, Google Scholar and governmental databases. Two reviewers will screen all citations and full-text articles We will abstract data, organise them into themes and sub-themes, summarise them and report the results using a narrative synthesis. The study methodological quality (or bias) will be appraised using a mixed-method appraisal tool. Discussion The findings from the scoping review will contribute to obtain an understanding of the women’s knowledge and practice of breast self-examination in sub-Saharan Africa, and will likely reveal the depth of evidence helping to identify gaps for future research. Results will be published in a peer-reviewed journal. Implications for clinical practice and health policy will be discussed.

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The Impacts of Coronavirus Disease 2019 Outbreak on Sexual and Reproductive Health Outcomes: Scoping Review Protocol

10.21203/rs.3.rs-130916/v1 ◽

2020 ◽

Author(s):

Obasanjo Afolabi Bolarinwa ◽

Bright Opoku Ahinkorah ◽

Abdul-Aziz Seidu ◽

Edward Kwabena Ameyaw

Keyword(s):

Reproductive Health ◽

Health Outcomes ◽

Scoping Review ◽

Sexual And Reproductive Health ◽

Grey Literature ◽

Targeted Interventions ◽

Scoping Reviews ◽

Review Form ◽

Meta Analyses ◽

The Impact

Abstract Background: The coronavirus disease 2019 (COVID-19) pandemic has rapidly altered the pre-existing landscape for sexual and reproductive health. Adverse sexual and reproductive health outcomes are therefore more likely to be affected due to reports of overwhelmed health systems. However, sexual and reproductive health wellbeing should be prioritized at all times to counteract adverse sexual and reproductive health outcomes. As a result, the proposed review aims at synthesizing evidence on the implications of COVID-19 on sexual and reproductive health outcomes.Methods: An electronic search for literature will be executed to identify peer reviewed and grey literature on the subject. After screening for studies to include in the synthesis, the checklist of the Joanna Briggs Institute, the McMaster Critical Review form and the Authority, Accuracy, Coverage, Objectivity, Date, and Significance (AACODS) will be used for assessment. The study will be conducted in line with the recommendations detailed by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) checklist and a narrative report will be developed.Discussion: Our proposed review aims at identifying the specific implications of COVID-19 on sexual and reproductive health. The review will highlight the systemic challenges and gaps that reinforce the intensity of the impact. It will also identify the aspects of sexual and reproductive health that are much affected among the wide array of components that constitute sexual and reproductive health such as family planning, antenatal care, childbirth, postnatal care among other factors. A better understanding of these issues will help global, regional and national stakeholders and policy makers to identify the specific sexual and reproductive health dimensions that need targeted interventions. Scoping review registration: https://osf.io/85fch

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Scoping review protocol: bladder cancer in Nigeria: what are the gaps in clinical care and research?

BMJ Open ◽

10.1136/bmjopen-2020-041894 ◽

2021 ◽

Vol 11 (1) ◽

pp. e041894

Author(s):

Joyce Kibaru ◽

Pinky Kotecha ◽

Abdulkarim Muhammad Iya ◽

Beth Russell ◽

Muzzammil Abdullahi ◽

...

Keyword(s):

Bladder Cancer ◽

Scoping Review ◽

Low Income ◽

Clinical Care ◽

Grey Literature ◽

Case Series ◽

Cochrane Library ◽

Future Research ◽

Scoping Reviews ◽

Local Risk

IntroductionBladder cancer (BC) is the 10th common cancer worldwide and ranks seventh in Nigeria. This scoping review aims to identify the gaps in clinical care and research of BC in Nigeria as part of the development of a larger national research programme aiming to improve outcomes and care of BC.Methods and analysisThis review will be conducted according to Arksey and O’Malley scoping review methodology framework. The following electronic databases will be searched: Medline (using the PubMed interface), Ovid Gateway (Embase and Ovid), Cochrane library and Open Grey literature. Two independent reviewers will screen titles and abstracts and subsequently screen full-text studies for inclusion, any lack of consensus will be discussed with a third reviewer. Any study providing insight into the epidemiology or treatment pathway of BC (RCTs, observations, case series, policy paper) will be included. A data chart will be used to extract relevant data from the included studies. Results will be reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews. A consultation process will be carried out with a multidisciplinary team of Nigerian healthcare professionals, patients and scientists.Ethics and disseminationThe results will be disseminated through peer-reviewed publications. By highlighting the key gaps in the literature, this review can provide direction for future research and clinical guidelines in Nigeria (and other low-income and middle-income countries), where BC is more prevalent due to local risk factors and healthcare settings.

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