scholarly journals A systematic review of monitoring and evaluation indicators for sexual and reproductive health in humanitarian settings

2019 ◽  
Vol 13 (1) ◽  
Author(s):  
Elena T. Broaddus-Shea ◽  
Loulou Kobeissi ◽  
Osama Ummer ◽  
Lale Say
Keyword(s):  
Reproductive Health ◽  
Data Collection ◽  
Sexual And Reproductive Health ◽  
Grey Literature ◽  
Monitoring And Evaluation ◽  
Population Based ◽  
Gender Based Violence ◽  
Humanitarian Settings ◽  
Gender Based ◽  
Indicator Sets

Abstract Objective To conduct a comprehensive mapping of published indicators for monitoring and evaluation (M&E) of sexual and reproductive health (SRH) services and outcomes in humanitarian settings. Methods A systematic search of the peer-reviewed and grey literature published between January 2008 and May 2018 was conducted to identify all references describing indicator sets for M&E of SRH services and outcomes in humanitarian settings. The databases MEDLINE, Web of Science, and Global Health, as well as 85 websites of relevant organizations involved in humanitarian response were searched. Characteristics of identified indicator sets and data from individual indicators was extracted. Findings Of 3278 records identified, 20 met the review’s inclusion criteria and 9 existing indicator sets were identified. A total of 179 relevant indicators were included in the mapping, and removal of duplicates yielded 132 unique indicators. Twenty-seven percent fell within the maternal health domain, followed by the HIV/AIDS domain (26%) and the gender-based violence domain (23%). The distribution of indicators by type (process/output, outcome, impact) was balanced overall but varied substantially across domains. The most commonly used data collection platforms were facility-based systems or population-based surveys. Domains covered and indicator definitions were inconsistent across indicator sets. Conclusion Results demonstrate the need to standardize data collection efforts for M&E of SRH services and outcomes in humanitarian settings and to critically appraise the extent to which different domains should be covered. A core list of indicators is essential for assessing response status over time as well as across countries.

Sexual and Reproductive Health in China

2021 ◽  
Author(s):  
Qianling Zhou ◽  
Chu-Yao Jin ◽  
Hai-Jun Wang
Keyword(s):  
Reproductive Health ◽  
Sexual Intercourse ◽  
Sexual And Reproductive Health ◽  
Sexual Transmission ◽  
Induced Abortion ◽  
Gender Based Violence ◽  
The Disabled ◽  
Gender Based ◽  
Contraceptive Practice ◽  
Hiv Aids

Databases of PubMed, Scopus, and China National Knowledge Infrastructure (CNKI) were used to search relevant articles on sexual and reproductive health (SRH) in China published from 2005 to the present (2021), based on the World Health Organization’s (WHO) Operational Framework on Sexual Health and Its Linkages to Reproductive Health. The following results were found. (a) SRH education and information among the Chinese were insufficient, in particular regarding contraception, pregnancy, and sexually transmitted diseases (STDs). Adolescents, migrants, and the rural population had insufficient knowledge of SRH. (b) Fertility care services were mainly available in large cities, in urban areas, and for married couples. Services targeted for rural-to-urban migrants, rural residents, and the disabled and elderly are needed. (c) A total of 22.4% of youths aged 15–24 had premarital sexual intercourse, and the age of first sexual intercourse was decreasing. Risky sexual behaviors included multiple partners, casual and commercial sex, and having sex after drinking alcohol. (d) The contraceptive practice rate of women aged 15–49 in China was higher than the world’s corresponding figure. However, contraceptive use among young people was low (only 32.3% among unmarried women). (e) Unmarried pregnancy induced by low contraceptive practice is a critical issue in China. (f) Induced abortion was the major consequence of unmarried pregnancy. The rate of induced abortion among the general population in 2016 was 28.13‰, and the rate among unmarried women was increasing annually. (g) There were 958,000 HIV-infected cases in China as of October 2019. Sexual transmission was the major transmission route of HIV-AIDS. More men than women were infected. Men having sex with men comprised the high-risk group of sexual transmission of HIV-AIDS. (h) Gender-based violence including intimate partner violence (IPV), sexual violence, sexual coercion, and child sexual abuse (CSA) might be underreported in China, since many victims were afraid to seek help as well as due to limited services. Legal and regulatory measures should therefore be taken to prevent and reduce gender-based violence. For future perspectives of SRH in China, it is important to pay attention to SRH education and services. An up-to-date national survey on SRH is needed to reflect the current situation and to capture changes over the past decade. Most of the current research has been conducted among adolescents, and more studies are needed among other groups, such as the disabled, the elderly, and homosexual populations.

scholarly journals Measuring gender-based violence risk mitigation in humanitarian settings: results from a comprehensive desk review and systematic mapping

BMJ Open ◽  
2021 ◽  
Vol 11 (9) ◽  
pp. e050887
Author(s):  
Jocelyn TD Kelly ◽  
Emily Ausubel ◽  
Emma Kenny ◽  
Meredith Blake ◽  
Christine Heckman ◽  
...  
Keyword(s):  
Risk Mitigation ◽  
Grey Literature ◽  
Monitoring And Evaluation ◽  
Sufficient Information ◽  
Gender Based Violence ◽  
Systematic Mapping ◽  
Eligibility Criteria ◽  
Humanitarian Response ◽  
Gender Based ◽  
The Impact

ObjectivesTo systematically document measurement approaches used in the monitoring and evaluation of gender-based violence (GBV) risk mitigation activities, categorise the types of available literature produced by sector, identify existing tools and measures and identify knowledge gaps within the humanitarian sector.DesignSystematic mapping and in-depth review.Data sources: Pubmed, Global Health, PsychInfo, ReliefWeb, OpenGrey (grey literature), Google Scholar, Web of Science (Social Science Index)Eligibility criteria: a structured search strategy was systematically applied to 17 databases as well as registers, websites and other resources to identify materials published between 1 January 2005 and 15 May 2019.Data extraction and synthesis: Those resources that met the inclusion criteria underwent a comprehensive full-text review. A detailed matrix was developed and key data from each resource were extracted to allow for the assessment of patterns in thematic areas.ResultsA total of 2108 documents were screened. Overall, 145 documents and 112 tools were reviewed, representing 10 different humanitarian sectors. While numerous resources exist, many lack sufficient information on how to monitor outputs or outcomes of GBV risk mitigation activities. There is also limited guidance on how to integrate the measurement of GBV risk mitigation into existing monitoring and evaluation frameworks. Those reports that aimed to measure GBV risk mitigation activities mostly employed qualitative methods and few measured the impact of a GBV risk mitigation with robust research designs.ConclusionsRecent efforts to adapt humanitarian response to COVID-19 have highlighted new and existing challenges for GBV risk mitigation. There is a significant gap in the evidence base around the effectiveness of GBV risk mitigation across all sectors. Understanding and strengthening measurement approaches in GBV risk mitigation remains a critical task for humanitarian response.

scholarly journals An overview of the sexual and reproductive health status and service delivery among Syrian refugees in Jordan, nine years since the crisis: a systematic literature review

2020 ◽  
Vol 17 (1) ◽  
Author(s):  
Mirwais Amiri ◽  
Ieman M. El-Mowafi ◽  
Tala Chahien ◽  
Hind Yousef ◽  
Loulou Hassan Kobeissi
Keyword(s):  
Reproductive Health ◽  
Sexual And Reproductive Health ◽  
Grey Literature ◽  
Free Text ◽  
Syrian Refugees ◽  
Humanitarian Crisis ◽  
Service Package ◽  
Syrian Refugee ◽  
Services Delivery ◽  
Gender Based

Abstract Background The Syrian refugee crisis has led to massive displacement into neighboring countries including Jordan. This crisis has caused a significant strain on the sexual and reproductive health (SRH) services to the host communities and Syrian refugees. The Minimum Initial Service Package (MISP) is a standard package of services that should be implemented at the onset of an emergency. Due to their importance in protracted humanitarian crisis, this systematic review aimed to assess the utilization of SRH and MISP after 9 years of the crisis. Methods We searched PubMed, Medline/Ovid and Scopus for both quantitative and qualitative studies from 1 January 2011 to 30 November 2019. Our search included both free text key words and Medical Subject Headings (MeSH) for various forms and acronmym of the following terms: (Sexual and) Reproductive Health, Sexual/Gender-based/Family/Intimate partner violence, Minimum Initial Service Package, MISP, Women, Girls, Adolescents, Syrian, Refugee, Jordan, Humanitarian crisis, War, (armed) conflict, and Disaster. Boolean operators and star truncation (*) were used as needed. We further conducted an in-depth review of the available grey literature published during the same timeframe. Using a narrative synthesis approach, two authors independently extracted and analyzed data from published papers. After removal of duplicates, screening, and assessing for eligibility of 161 initially identified citations, 19 papers were selected for review. Results Findings from this review indicated a number of barriers to access, utilization, and implementation of SRH services, including lack of reliable information on sexual and gender-based violence (SGBV), aggravation of early marriages by crisis setting, gaps in the knowledge and use of family planning services, inadequate STIs and HIV coverage, and some issues around the provision of maternal health services. Conclusion The findings from this review are suggestive of a number of barriers pertaining to access, utilization, and implementation of SRH services. This is especially true for transitioning from MISP to comprehensive SRH services, and particularly for refugees outside camps. Following are needed to address identified barriers: improved inter-agency coordination, better inclusion/engagement of local initiatives and civil societies in SRH services delivery, improved quality of SRH services, adequate and regular training of healthcare providers, and increased awareness of Syrian women and adolescent girls. Also, more implementing research is required to identify ways to transition SRH provision from the MISP to comprehensive care for the Syrian refugee population in Jordan.

15 Feasibility of gender based violence screening and counselling in a sexual and reproductive health facility in Sri Lanka

2015 ◽  
Vol 21 (Suppl 2) ◽  
pp. A5.3-A6
Author(s):  
Achini Jayatilleke ◽  
Sumithra Tissera ◽  
Asanka Pathirathne ◽  
Badra Udawatta ◽  
Prasanna Jayathilaka ◽  
...  
Keyword(s):  
Sri Lanka ◽  
Reproductive Health ◽  
Health Facility ◽  
Sexual And Reproductive Health ◽  
Gender Based Violence ◽  
Gender Based

scholarly journals Gender-Based Violence as A Driver of HIV Infections Among Adolescent Girls and Young Women in Kisumu, Kenya

2019 ◽  
pp. 665-678
Author(s):  
Anthony Wainaina Ndungu
Keyword(s):  
Hiv Prevention ◽  
Data Collection ◽  
Violence Prevention ◽  
Adolescent Girls ◽  
Young Women ◽  
Group Discussion ◽  
Sampling Technique ◽  
Monitoring And Evaluation ◽  
Gender Based Violence ◽  
Gender Based

Gender Based Violence is a universal catastrophe affecting global health, and thus development and is a major human rights concern. This study’s major objective was to establish what extent gender-based violence prevention influence performance of HIV prevention projects for young women and teenagers in Kisumu County. The study population constituted of teenage girls, and young women enrolled in HIV prevention projects implemented in Kisumu County for at least two years. Interviews were also conducted with key project implementers including project managers and monitoring and evaluation managers. Data collection for the study was done by utilizing data collection tools which included focused group discussion, structured questionnaires and an interview guide. 364 respondents were taken from 89,611 adolescents enrolled in HIV prevention projects using stratified random sampling technique. For descriptive data the study employed percentages, frequencies Arithmetic Mean as analytical tools of analysis. The Pearson’s value and Linear Regression were manipulated as statistical tools for inferential statistics. To test the hypotheses, the Fisher (F) test utilized. Descriptive statistics showed that gender-based violence prevention has a noteworthy effect on the production of HIV prevention projects for young women and adolescent girls in Kisumu County. The value of r2 was 0.452, indicating that gender-based violence prevention explained 45.2% of the change in the effectiveness of HIV prevention projects in Kisumu. The beta coefficient was 0.623, implying that gender-based violence had a noteworthy statistical impact on the performance of HIV prevention projects (β=0.623, t=10.928, p=0.000<0.05).

Intersecting Mental Health and Sexual and Reproductive Health

2018 ◽  
Vol 17 (1) ◽  
pp. 18-20 ◽  
Author(s):  
Amit Timilsina
Keyword(s):  
Mental Health ◽  
Reproductive Health ◽  
Life Course ◽  
Sexual And Reproductive Health ◽  
Mental Health Problems ◽  
Gender And Sexuality ◽  
Life Course Perspective ◽  
Health It ◽  
Gender Based Violence ◽  
Gender Based

Mental Health and Sexual and Reproductive Health are well-studied with accolades of literature on each topic; however, their interrelationships have been under-described. Mental Health problems can be result of concurrent or past Sexual and Reproductive Health ill event and vice versa. This article presents intersection between Mental Health and Sexual and Reproductive Health based on available literature. Intersections between Mental Health and Sexual and Reproductive Health and their impacts can be studied through life course perspective and needs prioritized attention in case of Gender Based Violence and for people living with disability. The article highlights the importance to explore other aspects such as emotions, gender and sexuality associated with Mental Health and to study and understand physiological and psychological context between Mental Health and Sexual and Reproductive Health. It also stresses the need of further research on intersection between Mental Health and Sexual and Reproductive Health.

scholarly journals A forgotten group during humanitarian crises: a systematic review of sexual and reproductive health interventions for young people including adolescents in humanitarian settings

2019 ◽  
Vol 13 (1) ◽  
Author(s):  
Lauren Jennings ◽  
Asha S. George ◽  
Tanya Jacobs ◽  
Karl Blanchet ◽  
Neha S. Singh
Keyword(s):  
Systematic Review ◽  
Young People ◽  
Reproductive Health ◽  
Sexual And Reproductive Health ◽  
Grey Literature ◽  
Safe Abortion ◽  
Humanitarian Settings ◽  
Abortion Care ◽  
Humanitarian Crises ◽  
Urogenital Fistulae

Abstract Background Young people including adolescents face barriers to healthcare and increased risk of poor sexual and reproductive health (SRH), which are exacerbated in humanitarian settings. Our systematic review assessed the evidence on SRH interventions for young people including adolescents in humanitarian settings, strategies to increase their utilisation and their effects on health outcomes. Methods We searched peer-reviewed and grey literature published between 1980 and 2018 using search terms for adolescents, young people, humanitarian crises in low- and middle- income countries and SRH in four databases and relevant websites. We analysed literature matching pre-defined inclusion criteria using narrative synthesis methodology, and appraised for study quality. Findings We found nine peer-reviewed and five grey literature articles, the majority published post-2012 and mostly high- or medium-quality, focusing on prevention of unintended pregnancies, HIV/STIs, maternal and newborn health, and prevention of sexual and gender-based violence. We found no studies on prevention of mother-to-child transmission (PMTCT), safe abortion, post-abortion care, urogenital fistulae or female genital mutilation (FGM). Thirteen studies reported positive effects on outcomes (majority were positive changes in knowledge and attitudes), seven studies reported no effects in some SRH outcomes measured, and one study reported a decrease in number of new and repeat FP clients. Strategies to increase intervention utilisation by young people include adolescent-friendly spaces, peer workers, school-based activities, and involving young people. Discussion Young people, including adolescents, continue to be a neglected group in humanitarian settings. While we found evidence that some SRH interventions for young people are being implemented, there are insufficient details of specific intervention components and outcome measurements to adequately map these interventions. Efforts to address this key population’s SRH needs and evaluate effective implementation modalities require urgent attention. Specifically, greater quantity and quality of evidence on programmatic implementation of these interventions are needed, especially for comprehensive abortion care, PMTCT, urogenital fistulae, FGM, and for LGBTQI populations and persons with disabilities. If embedded within a broader SRH programme, implementers and/or researchers should include young people-specific strategies, targeted at both girls/women and boys/men where appropriate, and collect age- and sex-disaggregated data to help ascertain if this population’s diverse needs are being addressed.

Sign in / Sign up

Export Citation Format

Share Document