Chipako Isaac, Singhal Saurabh, Hollingsworth Bruce
Health Economics and Policy Department, Division of Health Research Graduate College, Lancaster University, Lancaster, United Kingdom.
Economics Department, Lancaster University, Lancaster, United Kingdom.
Front Glob Womens Health. 2024 Apr 18;5:1344135. doi: 10.3389/fgwh.2024.1344135. eCollection 2024.
OBJECTIVES: The aim of this scoping review was to identify and provide an overview of the impact of sexual and reproductive health (SRH) interventions on reproductive health outcomes among young people in sub-Saharan Africa. METHODS: Searches were carried out in five data bases. The databases were searched using variations and combinations of the following keywords: contraception, family planning, birth control, young people and adolescents. The Cochrane risk-of-bias 2 and Risk of Bias in Non-Randomized Studies-of-Interventions tools were used to assess risk of bias for articles included. RESULTS: Community-based programs, mHealth, SRH education, counselling, community health workers, youth friendly health services, economic support and mass media interventions generally had a positive effect on childbirth spacing, modern contraceptive knowledge, modern contraceptive use/uptake, adolescent sexual abstinence, pregnancy and myths and misperceptions about modern contraception. CONCLUSION: Sexual and reproductive health interventions have a positive impact on sexual and reproductive health outcomes. With the increasing popularity of mHealth coupled with the effectiveness of youth friendly health services, future youth SRH interventions could integrate both strategies to improve SRH services access and utilization.
目标:本范围综述的目的是确定并概述性与生殖健康(SRH)干预措施对撒哈拉以南非洲地区年轻人生殖健康结果的影响。 方法:在五个数据库中进行检索。使用以下关键词的变体和组合对数据库进行检索:避孕、计划生育、节育、年轻人和青少年。采用Cochrane偏倚风险2工具和非随机干预研究中的偏倚风险工具来评估纳入文章的偏倚风险。 结果:基于社区的项目、移动健康、性与生殖健康教育、咨询、社区卫生工作者、青年友好型卫生服务、经济支持和大众媒体干预通常对生育间隔、现代避孕知识、现代避孕方法的使用/采用、青少年性禁欲、怀孕以及对现代避孕的误解和错误认知产生积极影响。 结论:性与生殖健康干预对性与生殖健康结果有积极影响。随着移动健康的日益普及以及青年友好型卫生服务的有效性,未来的青年性与生殖健康干预措施可以整合这两种策略,以改善性与生殖健康服务的可及性和利用率。
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