Individual Consultant, Sexual and Reproductive Health, United Nations Population Fund (UNFPA), Dhaka, Bangladesh.
Programme Specialist, Sexual and Reproductive Health, United Nations Population Fund (UNFPA), Dhaka, Bangladesh.
Sex Reprod Health Matters. 2021;29(2):2083813. doi: 10.1080/26410397.2022.2083813.
Across low- and middle-income countries, investment in adolescent sexual and reproductive health (ASRH) is growing. However, the lack of comprehensive ASRH data hinders programmes. This mapping review examines the available evidence on ASRH in Bangladesh and points out the areas where critical information gaps exist. National surveys, research studies, grey literature, and reports on ASRH in Bangladesh published between 2011 and 2021 were reviewed. Data were extracted into categories, and topical summaries were presented. Research gaps were identified using an analytical framework informed by the Guttmacher Institute's global summary of ASRH research gaps. The gaps identified were synthesised according to relevance against three of the framework's categories: coverage, under-reporting and substantive. We also explored the extent to which human rights dimensions of ASRH have been addressed in the literature. While some of the issues covered, such as access to ASRH information, bodily autonomy and self-determination regarding marriage and childbearing choices, clearly address dimensions of human rights, very few studies were found that explored ASRH through a human rights lens. Furthermore, many of the same research gaps identified globally were also evident in the Bangladesh-specific literature. We assert that an expanded ASRH research agenda in Bangladesh that aims to fill the identified evidence gaps would inform more robust, targeted ASRH programming.
在中低收入国家,对青少年性与生殖健康(ASRH)的投资正在增加。然而,缺乏全面的 ASRH 数据阻碍了项目的开展。本映射综述审查了孟加拉国关于 ASRH 的现有证据,并指出了存在关键信息差距的领域。审查了 2011 年至 2021 年间在孟加拉国发表的关于 ASRH 的国家调查、研究报告、灰色文献和报告。将数据提取到类别中,并呈现主题摘要。使用生殖健康研究所全球 ASRH 研究差距摘要提供的分析框架确定了研究差距,并根据对框架三个类别的相关性对差距进行了综合:覆盖范围、漏报和实质性。我们还探讨了文献中解决 ASRH 人权层面问题的程度。虽然所涵盖的一些问题,如获得 ASRH 信息、身体自主权以及对婚姻和生育选择的自我决定,明确涉及人权方面,但很少有研究从人权角度探讨 ASRH。此外,全球范围内发现的许多相同的研究差距也在孟加拉国特有的文献中显现出来。我们断言,孟加拉国扩大 ASRH 研究议程,旨在填补已确定的证据差距,将为更有力、有针对性的 ASRH 规划提供信息。