Ireland Hannah, Tran Nguyen Toan, Drysdale Robyn, Dawson Angela
Australian Centre for Public and Population Health Research, Faculty of Health, University of Technology Sydney, PO Box 123, Sydney, NSW, 2007, Australia.
Faculty of Medicine, University of Geneva, Rue Michel-Servet 1, Geneva, 1206, Switzerland.
BMC Health Serv Res. 2025 May 15;25(1):704. doi: 10.1186/s12913-025-12836-0.
Social capital, the resources embedded in social networks, has been identified as a key determinant of sexual and reproductive health outcomes, yet its role in crisis contexts, particularly in shaping access to sexual and reproductive services and influencing policy and planning, remains underexplored.
We undertook a scoping review to examine the incorporation of social capital into policy and guidance documents related to women's sexual and reproductive health services in humanitarian crises, specifically focusing on Fiji and the Pacific region.
The review identifies eight interconnected dimensions of social capital in two groups. The first group outlines approaches that service providers can take to harness and build social capital (community involvement, linking to existing services, and identifying community resources). The second group includes existing social capital mechanisms (trust, social norms and values, social power, social support, and the integration of traditional knowledge) that have the potential to both improve, and hinder access to information and services.
Findings indicate that while these dimensions are referenced in policy documents, there is often a lack of detailed implementation guidance. The findings underscore the importance of detailed guidance on leveraging existing social networks and understanding the nuanced nature of social capital and how it can impact sexual and reproductive health outcomes. Research is required to provide a deeper understanding of social capital and how such capital can be brought to bear to optimise sexual and reproductive health service preparedness and delivery in disaster recovery, particularly in Fiji and the broader Pacific region.
社会资本，即嵌入社会网络中的资源，已被确定为性与生殖健康结果的关键决定因素，但其在危机背景下的作用，特别是在塑造获得性与生殖服务的机会以及影响政策和规划方面，仍未得到充分探索。
我们进行了一项范围审查，以研究社会资本如何纳入与人道主义危机中妇女的性与生殖健康服务相关的政策和指导文件，特别关注斐济和太平洋地区。
该审查确定了社会资本在两组中的八个相互关联的维度。第一组概述了服务提供者可以采取的利用和建立社会资本的方法（社区参与、与现有服务建立联系以及确定社区资源）。第二组包括现有的社会资本机制（信任、社会规范和价值观、社会权力、社会支持以及传统知识的整合），这些机制有可能改善或阻碍获取信息和服务的机会。
研究结果表明，虽然这些维度在政策文件中有所提及，但往往缺乏详细的实施指导。研究结果强调了关于利用现有社会网络以及理解社会资本的细微性质及其如何影响性与生殖健康结果的详细指导的重要性。需要开展研究，以更深入地了解社会资本以及如何利用这种资本来优化灾害恢复中的性与生殖健康服务准备和提供，特别是在斐济和更广泛的太平洋地区。
