Family planning in Pacific Island Countries and Territories (PICTs): A scoping review

Harrington, Relmah; Harvey, Nichole; Larkins, Sarah; Redman-MacLaren, Michelle

doi:10.1371/journal.pone.0255080

Cited by 10 publications

(13 citation statements)

References 41 publications

(144 reference statements)

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“…In PICTs, more research is required to understand the drivers of young adults’ health-seeking behaviour, access to SRH information and services, types of SRH services accessed, and unmet need for services [ 1 ]. Evidence from this scoping review shows that there are limited data available on the health-seeking behaviour of young adults in PICTs, perhaps because of the sensitivities around socio-cultural expectation and premarital sexual behaviour [ 4 , 10 ].…”

Section: Discussionmentioning

confidence: 99%

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Barriers and enablers to young people accessing sexual and reproductive health services in Pacific Island Countries and Territories: A scoping review

et al. 2023

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Background The number of young people utilising sexual and reproductive health services in Pacific Island Countries and Territories remains poor despite the availability and the existence of the fundamental rights to access these services. Adolescents and youth need accurate information and timely access to contraceptives to prevent adverse consequences associated with unintended pregnancies, abortion, childbirth and untreated sexually transmitted infections. This scoping review identifies and analyses factors contributing to young people’s low access to sexual and reproductive health information and services in this region. Methods Guided by the PRISMA Scoping review guidelines, we searched three databases (Medline Ovid, Scopus and CINAHL Complete) for peer-reviewed articles published between 1st January 2000 and 31st August 2020 that reported on factors, including barriers and enablers, affecting access to sexual and reproductive health information and services by young people living in Pacific Island Countries and Territories. We assessed the quality of each study according to the study designs, methods of data collection, data analysis and ethical considerations. All information was sorted and organised using an Excel Spreadsheet. Text data from published articles were charted inductively using thematic analysis with no predetermined codes and themes. Findings Five hundred eighty-nine articles were screened, and only eight met the inclusion criteria outlined in this scoping review protocol. These eight articles reported studies conducted in four Pacific Island Countries and Territories: Cook Islands, Fiji, Papua New Guinea, and Vanuatu. Factors such as lack of accurate sexual and reproductive health knowledge and social stigma were the leading causes of young people’s limited access to sexual and reproductive health services. Cultural and religious beliefs also invoked stigmatising behaviours in some family and community members. Conclusion This scoping review revealed that social stigma and judgemental attitudes imposed by family and community members, including healthcare providers, hinder young unmarried individuals in Pacific Island Countries and Territories from accessing sexual and reproductive health information and contraceptives. Alternatively, a non-judgmental healthcare provider is perceived as an enabler in accessing sexual and reproductive health information and services. Moreover, given that only a few studies have actually focused on young people’s sexual and reproductive health needs in the region, more research is required to fully understand the health-seeking behaviours of young people in their specific contexts.

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Section: Discussionmentioning

confidence: 99%

“…Timely access to sexual and reproductive health (SRH) information and services by young adults in Pacific Island Countries and Territories (PICTs) remain low despite the availability of SRH services [ 1 ]. Globally, young adulthood is a critical time of development where many opportunities and challenges exist.…”

Section: Introductionmentioning

confidence: 99%

Barriers and enablers to young people accessing sexual and reproductive health services in Pacific Island Countries and Territories: A scoping review

et al. 2023

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“…32 Stage 1: identifying the research question The research question was identified as a result of our research on women's sexual and reproductive health in the Pacific. [37][38][39] Using an iterative process, our study team identified a broad research question defining the target population, concept and context to guide the focus, scope and intent of the review. 33 36 In conducting this scoping review, our research question is: What are women's experiences of menopause in LIC and MIC in the Asia Pacific?…”

Section: Methods and Analysismentioning

confidence: 99%

“…The research question was identified as a result of our research on women’s sexual and reproductive health in the Pacific 37–39. Using an iterative process, our study team identified a broad research question defining the target population, concept and context to guide the focus, scope and intent of the review 33 36.…”

Section: Methods and Analysismentioning

confidence: 99%

Women’s understanding and experiences of menopause in low-income and middle-income countries in the Asia Pacific region: a scoping review protocol

Cheer

Harrington

Esau³

et al. 2022

BMJ Open

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IntroductionMenopause denotes the end of a woman’s reproductive life. A woman’s experiences of menopause are shaped by her individual circumstances and may vary between social and cultural contexts. Evidence is needed to inform research and programme delivery that supports women’s health and well-being throughout the menopausal transition. This scoping review will map evidence of women’s experiences of menopause in Asia Pacific countries, where limited research exists.Methods and analysisWe will follow the five-stage framework of Arksey and O’Malley, further developed by Levac et al and the Joanna Briggs Institute. MEDLINE, CINAHL, PsycINFO and Scopus databases will be systematically searched between February 2022 and May 2022 using subject headings and keywords. The title–abstract and full text of retrieved studies will be assessed against eligibility criteria. The review will focus on studies with a qualitative research component. Citation searching of selected articles will supplement database searching. Data will be extracted, charted, synthesised and summarised. Findings will be presented in narrative format and implications for research and practice reported.Ethics and disseminationEthical approval is not required for this scoping review of selected studies from peer-reviewed journals. Ethical approval has been granted from relevant ethics committees for community consultation. Findings will be shared in peer-reviewed publications, presented at conferences and disseminated with communities, health workers and researchers.

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“…These include: international organisations, donor agencies, NGOs, civil society organisations (CSOs), participatory research programmes based at universities and independent research organisations, unions, faith-linked groups and informal women’s collectives and coalitions. Outreach programmes can also be delivered in ‘settings’ such as “schools, villages, workplaces, churches, radio talk-back shows …” ([ 44 ], p.21). Researchers investigating the role of gender in Zika prevention behaviours in the Dominican Republic raised an essential issue for reducing the burden of Zika and other similar mosquito-borne diseases (i.e.…”

Section: Recommendationsmentioning

confidence: 99%

Women’s participation in the prevention and control of dengue using environmental methods in the global south: a qualitative meta-synthesis

Mungall-Baldwin

2022

Int J Equity Health

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Background Dengue, a mosquito-borne viral disease, causes significant mortality and morbidity in low- to middle-income countries. A body of research indicates that women can be effective in implementing vector borne disease control, but they still face inequitable opportunities for participation, leadership and decision-making in the execution of dengue prevention and vector control programmes. Yet implementing informal environmental management practices to prevent mosquito vector breeding forms part of their domestic household responsibilities. Understanding the enablers and barriers to women’s equitable roles with men in formal and informal disease prevention, and the benefits of their participation could help to increase their role and may be a contributing factor to reducing disease rates. The objective of this qualitative meta-synthesis was to synthesise evidence about women’s roles in dengue prevention and control in the global south and generate insights around the barriers, enablers, and benefits. Methods Eight databases were searched from inception to 7th December 2020. One investigator independently reviewed all titles and abstracts for relevant articles. Grey literature was searched using 34 websites of global health and international development organisations. Results A total of 18 articles representing qualitative research or the qualitative component of mixed methods studies from Latin American and Caribbean (n = 8), Asia (n = 9), and one international review were included in the meta-synthesis. Relevant scholarship from Africa was lacking. This meta-synthesis revealed five unique themes surrounding women’s participation, seven categories of barriers, six of enablers, four health, well-being and social benefits for individuals, and four for communities . Conclusion An analysis of the results confirmed that women’s participation in dengue prevention was not gender equitable, gender sensitive nor transformative although women are the primary human resource for household and community-based prevention. Women demonstrated specific qualities aiding successful implementation. Corrective action is urgently needed to shift unhelpful gender norms, and empower women into leadership and decision-making roles.

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Family planning in Pacific Island Countries and Territories (PICTs): A scoping review

Cited by 10 publications

References 41 publications

Barriers and enablers to young people accessing sexual and reproductive health services in Pacific Island Countries and Territories: A scoping review

Barriers and enablers to young people accessing sexual and reproductive health services in Pacific Island Countries and Territories: A scoping review

Women’s understanding and experiences of menopause in low-income and middle-income countries in the Asia Pacific region: a scoping review protocol

Women’s participation in the prevention and control of dengue using environmental methods in the global south: a qualitative meta-synthesis

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