首页|Sexual and Reproductive Service Interventions for Menstrual Regulation,Safe Abortion,and Post-abortion Care and Their Effectiveness During Disaster Response:A Global Systematic Review

Sexual and Reproductive Service Interventions for Menstrual Regulation,Safe Abortion,and Post-abortion Care and Their Effectiveness During Disaster Response:A Global Systematic Review

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Sexual and reproductive health(SRH)services are crucial for women especially during disasters,to reduce maternal mor-tality and morbidity from miscarriages,unsafe abortions,and post-abortion complications.This study explored the SRH interventions provided during disaster response.A systematic review was conducted to identify what menstrual regulation(MR),safe abortion(SA),and post-abortion care(PAC)approaches/interventions exist to promote resilience in the health system in disaster settings;what intervention components were most effective;and challenges and opportunities to meet-ing SRH rights.Five electronic databases were searched,resulting in 4194 records.Following the screening process,seven publications were included.The intervention-related information in each publication was assessed based on availability,accessibility,acceptability,and quality.Two SRH approaches/interventions were found.The effectiveness of intervention components could not be conducted due to the limited number of relevant studies.Challenges were found at facility and community levels,and opportunities included overcoming them,making MR,SA,and PAC integral to the mitigation phase,and policy change to overcome barriers related to unaffordability and inaccessibility.Recommendations are provided to encourage research and policy towards improving neglected SRH in disaster settings to realize Sustainable Development Goal 3 and the Global Strategy and Sendai Framework's priority to promote disaster-resilient health systems.

AbortionDisastersSendai frameworkSexual and reproductive healthSustainable development goal

Nibedita S.Ray-Bennett、Winifred Ekezie、Isha Biswas、Nimra Iqbal Choudhary、David Cowie、Lasith Dissanayake、Lauren Macleod、Azukaeogo Nnaji、Madhulika Sahoo

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School of Business,University of Leicester,Leicester LE1 7RH,UK

Avoidable Deaths Network,University of Leicester,Leicester LE1 7RH,UK

Diabetes Research Centre,Leicester General Hospital,University of Leicester,Leicester LE5 4PW,UK

School of Social Sciences and Humanities,Aston University,Birmingham B4 7ET,UK

Lifespan and Population Health,School of Medicine,University of Nottingham,Nottingham NG5 1PB,UK

School of Public Health and Interdisciplinary Studies,Auckland University of Technology,Auckland 0627,New Zealand

Faculty of Life Sciences and Education,University of South Wales,Pontypridd CF37 1DL,UK

West African Regional ECHO(WARE),APIN Public Health Initiatives,Abuja 900104,Nigeria

Department of Anthropology,Kalahandi University,Kalahandi,Odisha 766001,India

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2024

10.1007/s13753-024-00565-7

国际灾害风险科学学报(英文版)

国际灾害风险科学学报(英文版)

ISSN：
年,卷(期)：2024.15(3)