scholarly journals Community based reproductive health interventions for young married couples in resource-constrained settings: a systematic review

2015 ◽  
Vol 15 (1) ◽  
Author(s):  
Archana Sarkar ◽  
Venkatraman Chandra-Mouli ◽  
Kushal Jain ◽  
Jagannath Behera ◽  
Surendra Kumar Mishra ◽  
...  
Keyword(s):  
Systematic Review ◽  
Reproductive Health ◽  
Married Couples ◽  
Health Interventions ◽  
Resource Constrained ◽  
Community Based

scholarly journals Can sexual health interventions make community-based health systems more responsive to adolescents? A realist informed study in rural Zambia

2020 ◽  
Vol 17 (1) ◽  
Author(s):  
Chama Mulubwa ◽  
Anna-Karin Hurtig ◽  
Joseph Mumba Zulu ◽  
Charles Michelo ◽  
Ingvild Fossgard Sandøy ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Health Systems ◽  
Contextual Factors ◽  
Realist Evaluation ◽  
Health Interventions ◽  
Alternative Theory ◽  
Health Coverage ◽  
Programme Theory ◽  
Community Based ◽  
Sexual Reproductive Health

Abstract Introduction Community-based sexual reproductive interventions are key in attaining universal health coverage for all by 2030, yet adolescents in many countries still lack health services that are responsive to their sexual reproductive health and rights’ needs. As the first step of realist evaluation, this study provides a programme theory that explains how, why and under what circumstances community-based sexual reproductive health interventions can transform (or not) ‘ordinary’ community-based health systems (CBHSs) into systems that are responsive to the sexual reproductive health of adolescents. Methods This realist approach adopted a case study design. We nested the study in the full intervention arm of the Research Initiative to Support the Empowerment of Girls trial in Zambia. Sixteen in-depth interviews were conducted with stakeholders involved in the development and/or implementation of the trial. All the interviews were recorded and analysed using NVIVO version 12.0. Thematic analysis was used guided by realist evaluation concepts. The findings were later synthesized using the Intervention−Context−Actors−Mechanism−Outcomes conceptualization tool. Using the retroduction approach, we summarized the findings into two programme theories. Results We identified two initial testable programme theories. The first theory presumes that adolescent sexual reproductive health and rights (SRHR) interventions that are supported by contextual factors, such as existing policies and guidelines related to SRHR, socio-cultural norms and CBHS structures are more likely to trigger mechanisms among the different actors that can encourage uptake of the interventions, and thus contribute to making the CBHS responsive to the SRHR needs of adolescents. The second and alternative theory suggests that SRHR interventions, if not supported by contextual factors, are less likely to transform the CBHSs in which they are implemented. At individual level the mechanisms, awareness and knowledge were expected to lead to value clarification’, which was also expected would lead to individuals developing a ‘supportive attitude towards adolescent SRHR. It was anticipated that these individual mechanisms would in turn trigger the collective mechanisms, communication, cohesion, social connection and linkages. Conclusion The two alternative programme theories describe how, why and under what circumstances SRHR interventions that target adolescents can transform ‘ordinary’ community-based health systems into systems that are responsive to adolescents.

scholarly journals Systematic review of the evidence on the effectiveness of sexual and reproductive health interventions in humanitarian crises

BMJ Open ◽  
2015 ◽  
Vol 5 (12) ◽  
pp. e008226 ◽  
Author(s):  
Emily Warren ◽  
Nathan Post ◽  
Mazeda Hossain ◽  
Karl Blanchet ◽  
Bayard Roberts
Keyword(s):  
Systematic Review ◽  
Reproductive Health ◽  
Sexual And Reproductive Health ◽  
Health Interventions ◽  
Humanitarian Crises

scholarly journals Developing Reproductive Health Communication in Early Marriage

2020 ◽  
Vol 15 (3) ◽  
pp. 441-449
Author(s):  
Najib Najib ◽  
Alfiana Ainun Nisa ◽  
Efa Nugroho ◽  
Evi Widowati ◽  
Chia En Yang
Keyword(s):  
Reproductive Health ◽  
Health Communication ◽  
Intervention Group ◽  
Married Couples ◽  
Early Marriage ◽  
Control Group ◽  
Communication Model ◽  
Access To Information ◽  
Community Based ◽  
Quasi Experimental

Adolescent fertility is an important health and social problem because it is related to the level of morbidity and mortality of mothers and children. The results of the 2017 IDHS show that 7% of women aged 15-19 are already mothers, 5% have given birth, and 2% are pregnant with their first child. The data shows that adolescents are already sexually active, but still have an understanding of low reproductive health. The purpose of this study was to determine the effectiveness of community-based health communication models that developed to improve access to information and public knowledge related to contraceptive methods in young married couples in Rembang Regency in 2019. This research  used Research and Development design with a quasi-experimental data collection method. The population in this study were adolescents who married at a young age in Rembang District, while the sample was adolescents who married young in Sedan and Kragan villages (intervention group), Menoro and Ngasinan (control group). Quantitative data analysis uses univariate, bivariate, and multivariate, while for qualitative data use grounded theory. The effectiveness test showed significant data for knowledge (p = 0,000), attitudes (p = 0.003), access to information (0.012), preferences (p = 0.001), and access to contraception (p = 0,000). It can be concluded that the community-based health communication model can improve knowledge, attitudes, access to information, preferences, and access related to contraception in early married couples

Sexual Health Interventions for Racial/Ethnic Minorities Using Community-Based Participatory Research: A Systematic Review

2021 ◽  
pp. 109019812110083
Author(s):  
Caravella McCuistian ◽  
Bridgette Peteet ◽  
Kathy Burlew ◽  
Farrah Jacquez
Keyword(s):  
Systematic Review ◽  
Health Disparities ◽  
Sexual Health ◽  
Participatory Research ◽  
Community Based Participatory Research ◽  
Target Group ◽  
Health Interventions ◽  
Community Based ◽  
Group Members ◽  
Racial Ethnic

Background Racial/ethnic minorities (REMs) continue to carry the burden of sexual health disparities in the United States, including increased health risks and lower proportions of preventative care. Community-based participatory research (CBPR) has been useful in developing interventions aimed at reducing these disparities. Specifically, partnership with the target group members has resulted in more culturally relevant intervention strategies. Aim The purpose of this systematic review was to analyze the existing research on sexual health interventions targeting U.S. REMs that were developed using CBPR, to highlight the role target group members played in the development of these interventions, and to explore the benefits and outcomes of these partnerships. Method Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) guided the search of 46 thesauri terms for CBPR, sexual health, and REMs across six databases. Results The initial search yielded 805 identified studies. After applying limiters, reviewing abstracts, and doing a full-text review, 24 appropriate studies were retained. The key findings indicated significant intervention outcomes such as increased health knowledge, attitude change, and behavioral intention that could reduce sexual risk-taking behaviors. Twelve studies detailed the methods for partnering with target group members to formulate interventions, highlighting the benefits related to recruitment, retention, and cultural relevance. Discussion CBPR is well-positioned to address sexual health disparities among REMs. While community partnership strategies vary, the findings yield evidence that CBPR addressing sexual health disparities is achievable, can influence the effectiveness of interventions, and should be considered as an orientation in future sexual health research.

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

2018 ◽  
Vol 3 (2) ◽  
pp. e000682 ◽  
Author(s):  
Neha S Singh ◽  
Sarindi Aryasinghe ◽  
James Smith ◽  
Rajat Khosla ◽  
Lale Say ◽  
...  
Keyword(s):  
Systematic Review ◽  
Reproductive Health ◽  
Sexual And Reproductive Health ◽  
Reproductive Age ◽  
Service Utilisation ◽  
Health Providers ◽  
Reproductive Health Services ◽  
Community Based ◽  
Humanitarian Crises ◽  
Women And Girls

IntroductionWomen 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.MethodsWe 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.ResultsOf 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.ConclusionsDespite 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.

Sign in / Sign up

Export Citation Format

Share Document