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4 Results for Health Topics

4.4 Sexual and reproductive health (including gender-based violence)

4.4.1 Sexual and reproductive health (including gender-based violence)

  • Fifteen papers were included out of a total of 7149 papers searched. No papers were from grey literature.
  • Quality of evidence: the majority of studies provided low/moderate strength evidence, with four (40%) low, eight (53%) moderate, and three (20%) high quality.
  • Evidence categories: only seven (47%) of the studies reported a test of statistical significance between SRH intervention and health outcomes (category A). The remaining eight (53%) did not. Among the seven category A papers two were scored as high, five as moderate. Among the eight category B papers, one scored as high quality, three as moderate quality, and four as low quality.
  • Study types: seven cross-sectional (47%), six uncontrolled before/after (40%), one randomised controlled trial (RCT) (7%) and one economic analysis (7%).
  • Regions: nine (60%) studies based in Africa and six (40%) from the Asian region.
  • Setting and stages of crisis: the majority of studies (fourteen) took place in armed conflict settings (93%), and one in a natural disaster (7%). Two studies occurred in the acute stage of the crisis (13%), eight from stabilised settings (53%) and five from the early recovery stage (33%).
  • Interventions: most interventions (eight) were in the health systems strengthening and/or capacity building category. Of the remainder, three addressed maternal and newborn health improvement services, two were specifically HIV/AIDS and STI prevention treatment and care, one provided a literacy based intervention and one directly addressed family planning provision.
  • Health outcomes: a wide range of outcomes were addressed under three main categories with some overlap. Nine primarily considered improved maternal and newborn health including obstetric care, four addressed prevention, treatment and care for HIV/AIDS and STIs and only two addressed solely family planning outcomes.
  • Table 15 presents the details of the 15 papers, including a narrative analysis of the effectiveness of the interventions.
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