Evidence from cluster surveys on the association between home‐based counseling and use of family planning in conflict‐affected Darfur

Adam, Izzeldin F.

doi:10.1016/j.ijgo.2015.09.023

Cited by 6 publications

(8 citation statements)

References 19 publications

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“… 16 A study of high quality assessing a home-based counselling and awareness programme for internally displaced women in Sudan led to an increase in the use of modern family planning methods (adjusted OR (aOR) 2.8, 95% CI 2.0 to 4.1). 27 Another study of high quality assessed a refugee-led reproductive health group operating across 48 Guinean refugee camps. 25 The intervention recruited refugee nurses and midwives to local health facilities, trained lay women to provide health education and contraception and to facilitate referrals.…”

Section: Resultsmentioning

confidence: 99%

A long way to go: a systematic review to assess the utilisation of sexual and reproductive health services during humanitarian crises

et al. 2018

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IntroductionWomen and girls are affected significantly in both sudden and slow-onset emergencies, and face multiple sexual and reproductive health (SRH) challenges in humanitarian crises contexts. There are an estimated 26 million women and girls of reproductive age living in humanitarian crises settings, all of whom need access to SRH information and services. This systematic review aimed to assess the utilisation of services of SRH interventions from the onset of emergencies in low- and middle-income countries.MethodsWe searched for both quantitative and qualitative studies in peer-reviewed journals across the following four databases: EMBASE, Global Health, MEDLINE and PsychINFO from 1 January 1980 to 10 April 2017. Primary outcomes of interest included self-reported use and/or confirmed use of the Minimum Initial Service Package services and abortion services. Two authors independently extracted and analysed data from published papers on the effect of SRH interventions on a range of SRH care utilisation outcomes from the onset of emergencies, and used a narrative synthesis approach.ResultsOf the 2404 identified citations, 23 studies met the inclusion criteria. 52.1% of the studies (n=12) used quasi-experimental study designs, which provided some statistical measure of difference between intervention and outcome. 39.1% of the studies (n=9) selected were graded as high quality, 39.1% moderate quality (n=9) and 17.4% low quality (n=4). Evidence of effectiveness in increasing service utilisation was available for the following interventions: peer-led and interpersonal education and mass media campaigns, community-based programming and three-tiered network of community-based reproductive and maternal health providers.ConclusionsDespite increased attention to SRH service provision in humanitarian crises settings, the evidence base is still very limited. More implementation research is required to identify interventions to increase utilisation of SRH services in diverse humanitarian crises settings and populations.

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Section: Resultsmentioning

confidence: 99%

A long way to go: a systematic review to assess the utilisation of sexual and reproductive health services during humanitarian crises

et al. 2018

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“…[ 25 ] A home-based counselling and awareness programme for internally displaced women in Sudan led to an increase in the use of modern family planning methods (aOR 2.8, 95% CI 2.0, 4.1). [ 27 ] A programme of mobile outreach and public health strengthening in Uganda led to an increase in the number of women who reported ever using a family planning method (aOR 2.23, 95% CI 1.7, 2.92, P<0.001), and a reduction in the unmet need for family planning from 52.1% to 35.7% (aOR 0.47, 95% CI 0.37, 0.6, P<0.001). [ 26 ] A study in Pakistan providing subsidised healthcare to refugees reported use of contraceptives in the subsidised group (54%) was more than double the use reported in the non-subsidised group (25%), (P<0.001), and reported that the non-subsidised group was more likely to use the oral contraceptive pill (40.7%), whereas the subsidised group was more likely to have tubal ligation (36.7%) (p<0.001).…”

Section: Resultsmentioning

confidence: 99%

Evaluating the effectiveness of sexual and reproductive health services during humanitarian crises: A systematic review

et al. 2018

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BackgroundAn estimated 32 million women and girls of reproductive age living in emergency situations, all of whom require sexual and reproductive health (SRH) information and services. This systematic review assessed the effect of SRH interventions, including the Minimum Initial Service Package (MISP) on a range of health outcomes from the onset of emergencies.Methods and findingsWe searched EMBASE, Global Health, MEDLINE and PsychINFO databases from January 1, 1980 to April 10, 2017. This review was registered with the PROSPERO database with identifier number CRD42017082102. We found 29 studies meet the inclusion criteria. We found high quality evidence to support the effectiveness of specific SRH interventions, such as home visits and peer-led educational and counselling, training of lower-level health care providers, community health workers (CHWs) to promote SRH services, a three-tiered network of health workers providing reproductive and maternal health services, integration of HIV and SRH services, and men’s discussion groups for reducing intimate partner violence. We found moderate quality evidence to support transport-based referral systems, community-based SRH education, CHW delivery of injectable contraceptives, wider literacy programmes, and birth preparedness interventions. No studies reported interventions related to fistulae, and only one study focused on abortion services.ConclusionsDespite increased attention to SRH in humanitarian crises, the sector has made little progress in advancing the evidence base for the effectiveness of SRH interventions, including the MISP, in crisis settings. A greater quantity and quality of more timely research is needed to ascertain the effectiveness of delivering SRH interventions in a variety of humanitarian crises.

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“…One study on the association between home-based counselling and use of FP reported that the proportion of women receiving home-based FP counselling increased from 7.3% to 59.8%, and those aware of modern FP methods increased by over 20%. 35 Wayte et al, 63 however, reported fewer women received FP and antenatal care (ANC) in camps, yet ANC uptake was higher compared to other MCH services. Also, obstetric care provided in the study by Mullany et al 51 showed significant uptake, especially among women with recent pregnancies.…”

Section: Sexual Reproductive Maternal and Child Health Interventionsmentioning

confidence: 99%

“…38 Sexually transmitted diseases (STIs) and HIV/AIDS were not a major focus in the SRH interventions. 35,38,51,57,63 Most interventions lasted for longer durations (up to three years) 35,51 compared to other intervention types. Reasons given for shorter SRH intervention periods included poor sustainability and high-cost implications.…”

Section: Sexual Reproductive Maternal and Child Health Interventionsmentioning

confidence: 99%

Essential healthcare services provided to conflict-affected internallydisplaced populations in low and middle-income countries: A systematicreview

Ekezie

Adaji

Murray

2020

Health Promot Perspect

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Background: Conflict and violent crises have resulted in over 40 million of internally displaced persons (IDPs). Most affected regions lack access to basic health resources and generally rely on humanitarian support. The objective of this review was to appraise primary health service interventions among conflict-induced internally displaced populations in low and middle income countries between 2000 and 2019. Methods: A systematic review of literature in the following databases: Embase, MEDLINE, PsyArticles, PsycINFO, Scopus, Web of Science, LILAC and CAB Articles, was performed to identify interventions implemented in conflict IDP settings. Results: Initial searches yielded 4578 papers and 30 studies met the inclusion criteria. Descriptivesynthesis analysis was used, and the final selections were assessed using a customized CriticalAppraisal Skills Programme (CASP) checklist. Included papers were from Sub-Saharan Africa, South Asia and the Middle East regions. Most studies were on prevention interventions, especially water treatment and maternal health. Treatment interventions mostly focused on onmalaria and mental health. Only one food and nutrition study with outcome data was identified, indicating limitations in IDP health-related intervention publications. Reported interventions were conducted between one week to five years, and the study qualities were moderate. The most effective interventions were integrated programmes and common challenges were weakstudy methodology and data reporting. Conclusion: Regardless of the intervention types and durations, the services offered were beneficial to the IDPs. More intervention evidence are, however required as shown in gaps around food and nutrition, health education and disease surveillance.

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Evidence from cluster surveys on the association between home‐based counseling and use of family planning in conflict‐affected Darfur

Abstract: After the introduction of home-based FP counseling for couples and FP services in clinics, women's awareness and use of modern FP methods increased in a conflict-affected setting.

Cited by 6 publications

References 19 publications

A long way to go: a systematic review to assess the utilisation of sexual and reproductive health services during humanitarian crises

A long way to go: a systematic review to assess the utilisation of sexual and reproductive health services during humanitarian crises

Evaluating the effectiveness of sexual and reproductive health services during humanitarian crises: A systematic review

Essential healthcare services provided to conflict-affected internallydisplaced populations in low and middle-income countries: A systematicreview

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