Rights based approaches to sexual and reproductive health in low and middle-income countries: A systematic review.
Rights based approaches to sexual and reproductive health in low and middle-income countries: A systematic review.
复制标题
DOI：
10.1371/journal.pone.0250976
复制
发表时间：
2021
期刊：
影响因子：
3.7
通讯作者：
Oyebode O
中科院分区：
文献类型：
--
作者：
McGranahan M;Nakyeyune J;Baguma C;Musisi NN;Nsibirwa D;Sekalala S;Oyebode O
以人权为基础的可持续发展目标涉及增强妇女和女孩权能，并确保每个人都能获得性健康和生殖健康及权利（目标5）。这是第一次系统审查报告干预措施，涉及在低收入和中等收入国家采取基于权利的方法处理性健康和生殖健康问题，包括基于性别的暴力、孕产、艾滋病毒和性传播感染。描述低收入和中等收入国家基于权利的性健康和生殖健康方法的证据。研究设计：任何介入性研究。人口：生活在低收入和中等收入国家的15岁以上女性。干预措施：“基于权利的方法”（由提交人定义）和/或提交人明确指出的与“权利”相关的干预措施。比较者：没有干预措施或干预措施成分较少的群体，或未接触干预措施或接触干预措施成分较少的个体。结果：与性健康和生殖健康有关的结果。检索EMBASE、MEDLINE和Web of Science至2020年9月1日。纳入标准为：对纳入的研究进行叙述性综合，并绘制结果图以确定证据差距。系统评价方案已在PROSPERO注册（CRD42019158950）。数据库检索确定了17,212条记录，重复删除后保留了13,404项研究。由两位作者独立筛选题目、摘要、全文和参考文献后纳入24项研究。基于权利的干预措施对某些纳入的结果是有效的，但证据质量较差。干预措施改善了对艾滋病毒和/或其他性传播感染、避孕套使用和权利意识的检测接受情况，但所有相关研究都存在高度、严重或严重的偏见风险。没有研究包括基于性别的暴力结果。所有研究都存在相当大的偏倚风险，这意味着必须谨慎解释结果。这一领域迫切需要高质量的对照研究。
The Sustainable Development Goals, which are grounded in human rights, involve empowering women and girls and ensuring that everyone can access sexual and reproductive health and rights (Goal 5). This is the first systematic review reporting interventions involving rights-based approaches for sexual and reproductive health issues including gender-based violence, maternity, HIV and sexually transmitted infections in low and middle-income countries. To describe the evidence on rights-based approaches to sexual and reproductive health in low and middle-income countries. Study design: any interventional study. Population: females aged over 15 living in low and middle-income countries. Intervention: a “rights-based approach” (defined by the author) and/or interventions that the author explicitly stated related to "rights". Comparator: clusters in which no intervention or fewer components of an intervention were in place, or individuals not exposed to interventions, or exposed to fewer intervention components. Outcome: Sexual and reproductive health related outcomes. EMBASE, MEDLINE and Web of Science were searched until 9/1/2020. Inclusion criteria were: A narrative synthesis of included studies was undertaken, and outcomes mapped to identify evidence gaps. The systematic review protocol was registered on PROSPERO (CRD42019158950). Database searching identified 17,212 records, and 13,404 studies remained after de-duplication. Twenty-four studies were included after title and abstract, full-text and reference-list screening by two authors independently. Rights-based interventions were effective for some included outcomes, but evidence was of poor quality. Testing uptake for HIV and/or other sexually transmitted infections, condom use, and awareness of rights improved with intervention, but all relevant studies were at high, critical or serious risk of bias. No study included gender-based violence outcomes. Considerable risk of bias in all studies means results must be interpreted with caution. High-quality controlled studies are needed urgently in this area.
登录
查看更多内容
影响因子：
4.5
作者：
Beattie TS;Bhattacharjee P;Ramesh BM;Gurnani V;Anthony J;Isac S;Mohan HL;Ramakrishnan A;Wheeler T;Bradley J;Blanchard JF;Moses S
通讯作者：
Moses S
DOI：
10.1080/09540120500466937
发表时间：
2006-10-01
影响因子：
1.7
作者：
Halli, S. S.;Ramesh, B. M.;Blanchard, J. F.
通讯作者：
Blanchard, J. F.
影响因子：
4.5
作者：
Deering KN;Boily MC;Lowndes CM;Shoveller J;Tyndall MW;Vickerman P;Bradley J;Gurav K;Pickles M;Moses S;Ramesh BM;Washington R;Rajaram S;Alary M
通讯作者：
Alary M
影响因子：
4.5
作者：
Gurnani V;Beattie TS;Bhattacharjee P;CFAR Team;Mohan HL;Maddur S;Washington R;Isac S;Ramesh BM;Moses S;Blanchard JF
通讯作者：
Blanchard JF
影响因子：
3.7
作者：
George AS;Branchini C;Portela A
通讯作者：
Portela A