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

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

doi:10.1007/s13753-024-00565-7

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

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

Research output: Contribution to journal › Review article › peer-review

Abstract

Sexual and reproductive health (SRH) services are crucial for women especially during disasters, to reduce maternal mortality 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 meeting 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.

Original language	English
Pages (from-to)	359-373
Number of pages	15
Journal	International Journal of Disaster Risk Science
Volume	15
Issue number	3
Early online date	12 Jun 2024
DOIs	https://doi.org/10.1007/s13753-024-00565-7
Publication status	Published - 30 Jun 2024

Bibliographical note

Copyright © The Author(s) 2024. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit https://creativecommons.org/licenses/by/4.0/.

Keywords

Abortion
Disasters
Sendai framework
Sexual and reproductive health
Sustainable development goal

Access to Document

10.1007/s13753-024-00565-7Licence: CC BY 4.0

NS Ray-Bennett et al_SRH interventions for menstrual regulation safe abortion and post-abortion care_during disaster response_global systematic review
Copyright © The Author(s) 2024. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit https://creativecommons.org/licenses/by/4.0/.
Final published version, 1.59 MBLicence: CC BY 4.0

Cite this

Ray-Bennett, N. S., Ekezie, W., Biswas, I., Choudhary, N. I., Cowie, D., Dissanayake, L., Macleod, L., Nnaji, A., & Sahoo, M. (2024). Sexual and Reproductive Service Interventions for Menstrual Regulation, Safe Abortion, and Post-abortion Care and Their Effectiveness During Disaster Response: A Global Systematic Review. International Journal of Disaster Risk Science, 15(3), 359-373. https://doi.org/10.1007/s13753-024-00565-7

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abstract = "Sexual and reproductive health (SRH) services are crucial for women especially during disasters, to reduce maternal mortality 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 meeting 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{\textquoteright}s priority to promote disaster-resilient health systems.",

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Ray-Bennett, NS, Ekezie, W, Biswas, I, Choudhary, NI, Cowie, D, Dissanayake, L, Macleod, L, Nnaji, A & Sahoo, M 2024, 'Sexual and Reproductive Service Interventions for Menstrual Regulation, Safe Abortion, and Post-abortion Care and Their Effectiveness During Disaster Response: A Global Systematic Review', International Journal of Disaster Risk Science, vol. 15, no. 3, pp. 359-373. https://doi.org/10.1007/s13753-024-00565-7

Sexual and Reproductive Service Interventions for Menstrual Regulation, Safe Abortion, and Post-abortion Care and Their Effectiveness During Disaster Response: A Global Systematic Review. / Ray-Bennett, Nibedita S.; Ekezie, Winifred; Biswas, Isha et al.
In: International Journal of Disaster Risk Science, Vol. 15, No. 3, 30.06.2024, p. 359-373.

Research output: Contribution to journal › Review article › peer-review

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AU - Nnaji, Azukaeogo

AU - Sahoo, Madhulika

N1 - Copyright © The Author(s) 2024. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit https://creativecommons.org/licenses/by/4.0/.

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Ray-Bennett NS, Ekezie W, Biswas I, Choudhary NI, Cowie D, Dissanayake L et al. Sexual and Reproductive Service Interventions for Menstrual Regulation, Safe Abortion, and Post-abortion Care and Their Effectiveness During Disaster Response: A Global Systematic Review. International Journal of Disaster Risk Science. 2024 Jun 30;15(3):359-373. Epub 2024 Jun 12. doi: 10.1007/s13753-024-00565-7

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

Abstract

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Keywords

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