Understanding sexual and reproductive health needs of immigrant adolescents in Canada: A scoping review

Despite the large number of immigrant adolescents in Canada, research on their knowledge of sexual and reproductive health and rights (SRHR) and information needs is nearly nonexistent. A scoping review was undertaken following the PRISMA-ScR statement to identify and assess the existing literature regarding SRHR needs of immigrant adolescents in Canada. Of the 1514 articles retrieved from our search strategy, 15 studies met our inclusion criteria. The results from our review identifies three unique themes related to immigrant adolescents’ SRHR needs: knowledge needs, access to SRHR education and services, and approaches to SRHR education and services. Immigrant adolescents’ knowledge needs includes needs on HIV/STI transmission and protection, unintended pregnancy, sexual activity, family planning, pubertal education, navigating the health care system, and confidentiality legislations. Our results revealed that immigrant adolescents’ access SRHR education and services through both school-based and community-based settings. Lastly, approaches to SRHR education and services for immigrant adolescents should include cultural sensitivity, an intersectional approach, interactive learning, a strength-based approach, and reassuring confidentiality rights. The multi-faceted SRHR needs of immigrant adolescents in Canada demonstrates that future research, program development, and policymaking requires careful consideration of these intersecting forces. Inclusive SRHR education and services can be achieved through the employment of a critical cultural approach and intersectional strategies.

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Sexual and reproductive health services provided by community pharmacists: a scoping review

BMJ Open ◽

10.1136/bmjopen-2020-047034 ◽

2021 ◽

Vol 11 (7) ◽

pp. e047034

Author(s):

Javiera Navarrete ◽

Nese Yuksel ◽

Theresa J Schindel ◽

Christine A Hughes

Keyword(s):

Reproductive Health ◽

Scoping Review ◽

Sexual And Reproductive Health ◽

Community Pharmacists ◽

Cochrane Library ◽

Future Research ◽

Chlamydia Screening ◽

Community Pharmacies ◽

Pharmacy Services ◽

Reproductive Health Services

ObjectivesPharmacists are increasingly providing patient-focused services in community pharmacies, including in the area of sexual and reproductive health (SRH). Specific SRH areas have been the focus of research, but a broader perspective is needed to position pharmacists as SRH providers. This review explored research that described and evaluated professional pharmacy services across a broad range of SRH areas.DesignScoping reviewData sourcesMedline, EMBASE, CINAHL, Web of Science, Scopus and Cochrane Library (January 2007–July 2020).Study selectionStudies reporting on the description and evaluation of professional pharmacy SRH services provided by community pharmacists.Data extractionTwo investigators screened studies for eligibility, and one investigator extracted the data. Data were analysed to primarily describe professional pharmacy services and intervention outcomes.ResultsForty-one studies were included. The main SRH areas and professional pharmacy services reported were sexually transmitted and bloodborne infections (63%) and screening (39%), respectively. Findings showed that pharmacists’ delivery of SRH services was feasible, able to reach vulnerable and high-risk groups, and interventions were highly accepted and valued by users. However, integration into daily workflow, pharmacist remuneration, cost and reimbursement for patients, and policy regulations were some of the barriers identified to implementing SRH services. Studies were primarily in specific areas such as chlamydia screening or hormonal contraception prescribing, while studies in other areas (ie, medical abortion provision, long-acting reversible contraception prescribing and vaccine delivery in pregnant women) were lacking.ConclusionThis scoping review highlights the expansion of pharmacists’ roles beyond traditional product-focused services in a number of SRH areas. Given the potential feasibility, users’ acceptability and reach, pharmacists are ideally situated to enhance SRH care access. Future research describing implementation and evaluation of professional pharmacy services in all SRH areas is needed to promote access to these services through community pharmacies and position pharmacists as SRH providers worldwide.

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

BMJ Open ◽

10.1136/bmjopen-2019-035335 ◽

2020 ◽

Vol 10 (7) ◽

pp. e035335

Author(s):

Anthony Idowu Ajayi ◽

Boniface Ayanbekongshie Ushie ◽

Meggie Mwoka ◽

Emmy Kageha Igonya ◽

Ramatou Ouedraogo ◽

...

Keyword(s):

Reproductive Health ◽

Scoping Review ◽

Sexual And Reproductive Health ◽

Grey Literature ◽

The Body ◽

Sub Saharan Africa ◽

Future Research ◽

Scoping Reviews ◽

Sub Saharan ◽

Full Search

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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Are rhetorical commitments to adolescents reflected in planning documents? An exploratory content analysis of adolescent sexual and reproductive health in Global Financing Facility country plans

Reproductive Health ◽

10.1186/s12978-021-01121-y ◽

2021 ◽

Vol 18 (S1) ◽

Author(s):

Asha S. George ◽

Tanya Jacobs ◽

Mary V. Kinney ◽

Annie Haakenstad ◽

Neha S. Singh ◽

...

Keyword(s):

Content Analysis ◽

Reproductive Health ◽

Health Services ◽

Adolescent Health ◽

Teenage Pregnancy ◽

Sexual And Reproductive Health ◽

Democratic Republic Of Congo ◽

Social Determinant ◽

Project Appraisal ◽

School Based

Abstract Background The Global Financing Facility (GFF) offers an opportunity to close the financing gap that holds back gains in women, children’s and adolescent health. However, very little work exists examining GFF practice, particularly for adolescent health. As momentum builds for the GFF, we examine initial GFF planning documents to inform future national and multi-lateral efforts to advance adolescent sexual and reproductive health. Methods We undertook a content analysis of the first 11 GFF Investment Cases and Project Appraisal Documents available on the GFF website. The countries involved include Bangladesh, Cameroon, Democratic Republic of Congo, Ethiopia, Guatemala, Kenya, Liberia, Mozambique, Nigeria, Tanzania and Uganda. Results While several country documents signal understanding and investment in adolescents as a strategic area, this is not consistent across all countries, nor between Investment Cases and Project Appraisal Documents. In both types of documents commitments weaken as one moves from programming content to indicators to investment. Important contributions include how teenage pregnancy is a universal concern, how adolescent and youth friendly health services and school-based programs are supported in several country documents, how gender is noted as a key social determinant critical for mainstreaming across the health system, alongside the importance of multi-sectoral collaboration, and the acknowledgement of adolescent rights. Weaknesses include the lack of comprehensive analysis of adolescent health needs, inconsistent investments in adolescent friendly health services and school based programs, missed opportunities in not supporting multi-component and multi-level initiatives to change gender norms involving adolescent boys in addition to adolescent girls, and neglect of governance approaches to broker effective multi-sectoral collaboration, community engagement and adolescent involvement. Conclusion There are important examples of how the GFF supports adolescents and their sexual and reproductive health. However, more can be done. While building on service delivery approaches more consistently, it must also fund initiatives that address the main social and systems drivers of adolescent health. This requires capacity building for the technical aspects of adolescent health, but also engaging politically to ensure that the right actors are convened to prioritize adolescent health in country plans and to ensure accountability in the GFF process itself.

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Sexual behavior among Brazilian adolescents, National Adolescent School-based Health Survey (PeNSE 2012)

Revista Brasileira de Epidemiologia ◽

10.1590/1809-4503201400050010 ◽

2014 ◽

Vol 17 (suppl 1) ◽

pp. 116-130 ◽

Cited By ~ 15

Author(s):

Maryane Oliveira-Campos ◽

Marília Lavocart Nunes ◽

Fátima de Carvalho Madeira ◽

Maria Goreth Santos ◽

Silvia Reise Bregmann ◽

...

Keyword(s):

Substance Use ◽

Sexual Behavior ◽

Reproductive Health ◽

Sexual Intercourse ◽

Risky Sexual Behavior ◽

Sexual And Reproductive Health ◽

Social Inequalities ◽

Unprotected Sex ◽

Psychoactive Substances ◽

School Based

OBJECTIVE: This study describes the sexual behavior among students who participated in the National Adolescent School-based Health Survey (PeNSE) 2012 and investigates whether social inequalities, the use of psychoactive substances and the dissemination of information on sexual and reproductive health in school are associated with differences in behavior. METHODOLOGY: The response variable was the sexual behavior described in three categories (never had sexual intercourse, had protected sexual intercourse, had unprotected sexual intercourse). The explanatory variables were grouped into socio- demographic characteristics, substance use and information on sexual and reproductive health in school. Variables associated with the conduct and unprotected sex were identified through multinomial logistic regression, using "never had sexual intercourse" as a reference. RESULTS: Over nearly a quarter of the adolescents have had sexual intercourse in life, being more frequent among boys. About 25% did not use a condom in the last intercourse. Low maternal education and work increased the chance of risky sexual behavior. Any chance of protected and unprotected sex increased with the number of psychoactive substances used. Among those who don't receive guidance on the prevention of pregnancy in school, the chance to have sexual intercourse increased, with the largest magnitude for unprotected sex (OR = 1.41 and OR = 1.87 ). CONCLUSION: The information on preventing pregnancy and STD/AIDS need to be disseminated before the 9th grade. Social inequalities negatively affect risky sexual behavior. Substance use is strongly associated with unprotected sex. Information on the prevention of pregnancy and STD/AIDS need to be disseminated early.

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School-Based Health Clinics: Improving Adolescent Sexual and Reproductive Health in British Columbia – An Integrative Literature Review

10.24124/2020/59115 ◽

2020 ◽

Author(s):

◽

Carmen Schalles

Keyword(s):

British Columbia ◽

Reproductive Health ◽

Health Services ◽

Literature Review ◽

Sexual Health ◽

Sexual And Reproductive Health ◽

Societal Implications ◽

Health Clinics ◽

School Based ◽

Reproductive And Sexual Health

This integrative literature review strives to determine if the delivery of reproductive and sexual health services provided through high school-based primary care clinics can improve BC adolescent sexual and reproductive health. Adolescent sexual and reproductive health not only impacts life-long health; it also has significant societal implications. Although BC has begun to focus on adolescent health, innovative health service solutions are needed to improve adolescents’ health. Systematic search through the University of Northern British Columbia online library databases and Google scholar and the evaluation of the literature using CASP analysis tools resulted in the inclusion of 10 articles. Findings suggest school-based health clinics (SBHCs) decrease barriers that adolescents experience when accessing health services as well as public health system costs. Moreover, SBHCs are an effective mechanism to support adolescent reproductive and sexual health needs, especially in those populations with elevated levels of sexual and reproductive risk factors. However, for SBHCs to be effective, sustainable funding needs to be sourced, and barriers adolescents experience when accessing services need to be evaluated and addressed. SBHCs can complement current adolescent-friendly services to meet this unique population’s needs; however, further research is needed. More robust research on various demographics, health outcomes, and Canadian-based examination is required to strengthen SBHC implementation recommendations.

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Working with Restrictions: A Scoping Review of Social Work and Human Service Practice with People Seeking Asylum in the Global North

The British Journal of Social Work ◽

10.1093/bjsw/bcaa006 ◽

2020 ◽

Author(s):

Rebecca Soraya Field ◽

Donna Chung ◽

Caroline Fleay

Keyword(s):

Qualitative Research ◽

Social Work ◽

Scoping Review ◽

Human Service ◽

Human Services ◽

Future Research ◽

Refugee Status ◽

Strength Based ◽

Global North ◽

Restrictive Policy

Abstract With a record number of people reported to be forcibly displaced worldwide and an increasingly anti-asylum policy environment in Global North host nations, it is critical to examine social work and human services with people seeking asylum and people with refugee status. This scoping review sought to identify and review the existing qualitative research on such practice from the perspectives of social work and human service practitioners, people seeking asylum and people with refugee status and clients in Global North host nations. The review presents the key findings and trends emerging from twenty publications and identifies areas for future research to further develop knowledge of this field of practice as there is a dearth of research on this topic. Through thematic analysis of very different publications, it was found that Global North host nations have varying forms of restrictive policy and dominant anti-asylum discourses. This and other factors result in many potential areas for improvement of social work and human services. The findings include recommendations for more inclusive and compassionate policy, person-centred and strength-based practice approaches, and further qualitative research with people seeking asylum.

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