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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

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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’s priority to promote disaster-resilient health systems.
Original languageEnglish
Pages (from-to)359-373
Number of pages15
JournalInternational Journal of Disaster Risk Science
Volume15
Issue number3
Early online date12 Jun 2024
DOIs
Publication statusPublished - 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/.

Funding

This systematic review was initiated as part of a bigger research project funded by the government of Bangladesh\u2019s National Institute of Population Research and Training (NIPORT), Ministry of Health and Family Planning under the ambit of the Procurement of Services Package NPS 29: \u201CSexual and Reproductive Health Services in Remote and Hard-to-Reach Areas of Bangladesh (Operations Research) and Related Services.\u201D One of the aims of this project was to identify SRH interventions for MR and PAC that could be adopted for hard-to-reach disaster-prone health facilities of Barguna District of Barisal Division and Sunamganj District of Sylhet Division. Therefore, some of the selection criteria, such as excluding humanitarian crises in the review, are influenced by this project.

Funders
government of Bangladesh’s National Institute of Population Research and Training
NIPORT
Ministry of Health and Family Planning
Hard-to-Reach Areas of Bangladesh

    UN SDGs

    This output contributes to the following UN Sustainable Development Goals (SDGs)

    1. SDG 3 - Good Health and Well-being
      SDG 3 Good Health and Well-being

    Keywords

    • Abortion
    • Disasters
    • Sendai framework
    • Sexual and reproductive health
    • Sustainable development goal

    Access to Document

    • 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

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