Sexual and reproductive health and rights of “last mile” adolescents: a scoping review

Nowshin, Nahela; Kapiriri, Lydia; Davison, Colleen; Harms, Sheila; Kwagala, Betty; Mutabazi, Miriam G.; Niec, Anne

doi:10.1080/26410397.2022.2077283

Cited by 3 publications

(3 citation statements)

References 74 publications

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“…Global and local data on sexual and reproductive health rights cases indicate that men have been involved actively in maternal health care (de Fouw et al, 2023;Rothstein et al, 2023), child health care services (Bataille & Hyland, 2023;Darroch et al, 2023;Li, 2020;Saaka et al, 2023), and other SRHR-related programs (Nowshin et al, 2022). Several factors influence male involvement, such as men's education, attitudes, knowledge, awareness, socio-cultural and psychological factors, and the health system policies.…”

Section: Discussionmentioning

confidence: 99%

Male Involvement in Sexual and Reproductive Health and Rights

Lamsal,

Aryal,

Adhikari

et al. 2024

INT. J. Multi. Res.

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Sexual and reproductive health and rights focus on advocating, supporting, and participating in various aspects of male involvement in sexual and reproductive health and rights. Family planning, safe abortion, HIV and RTIS/STI prevention and treatment, and maternal health care pursue male involvement. The article employs a review of relevant contemporary literature from various resources. Men have three specific sexual roles as clients, supportive partners, and agents of change to their spouses as well as societies. More specifically, men's involvement accelerates the effectiveness of family planning programmes, promotes mitigating gender-based violence, promotes women empowerment, enhances adolescent reproductive health, maternity care, and knowledge and behavior change on HIV/AIDS, STIs, and RTIs. However, there are more significant challenges to male involvement in sexual and reproductive health and rights. Despite the need for men’s involvement in SRHR, there are barriers in various forms, such as social stigma, cultural determinants, and financial restrictions. Government policies can address the barriers to providing equitable services to needy people.

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Section: Discussionmentioning

confidence: 99%

Male Involvement in Sexual and Reproductive Health and Rights

Lamsal,

Aryal,

Adhikari

et al. 2024

INT. J. Multi. Res.

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“…National level health policies, strategies and academic literature recognize that health inequities for ethnic minority groups are influenced by cultural traditions and social norms in these communities. However, health service programming and investment in Vietnam are still challenged by limited understanding of how these phenomena contribute to poor reproductive health outcomes for ethnic minority girls ( Malqvist et al ., 2013 ; Le and Yu, 2021 ; Nowshin et al ., 2022 ).…”

Section: The Reproductive Health Of Ethnic Minority Girls In Vietnammentioning

confidence: 99%

“…Are there perceived socio-cultural benefits? The term ‘last mile’ has been applied to adolescent populations in LMICs, including ethnic minorities, to highlight there is still action needed to address the gaps in the evidence base to reduce health inequities for these groups ( Nowshin et al , 2022 ). This sentiment also underpins the SDG ‘Leave No One Behind’ partnership in Vietnam ( MSD Vietnam, 2021 ), which seeks to understand the specific needs of ethnic minority populations for targeted investments and interventions.…”

Section: Areas For Action In Research Policy and Practicementioning

confidence: 99%

Adolescent sexual and reproductive health and rights for ethnic minority girls in Vietnam

Burns,

Pitt,

Ngoc

2024

Health Promotion International

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There has been significant progress in improved adolescent sexual and reproductive health and rights (ASRHR) for girls across low- to- middle-income countries (LMICs). However, progress has been uneven, and disparities persistent across and within countries. For example, Vietnam is one of only nine countries to have achieved the 2015 maternal mortality rate (MMR) target of the Millennium Development Goals (MDGs) as a nation, but for some sub-populations, progress has been much slower, and MMR is more than twice that the national average. Ensuring equity is a current focus of the Sustainable Development Goals (SDGs) agenda that seeks to Leave No One Behind. This paper explores some of these inequities and potential drivers for ethnic minority adolescent girls in Vietnam, with a specific focus on the Tay community, the largest ethnic minority group in Vietnam. This paper highlights the challenges to progress, including areas where there is still limited evidence about the range of socio-cultural factors that may determine sexual and reproductive health outcomes for Tay adolescent girls. In the era of the SDGs, Vietnam’s national policy platforms and current aid architecture provide a solid basis on which to build research, policy and practice investments that improve the health of adolescent ethnic minority girls in Vietnam.

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Neglected gaps in improving the health, wellbeing, and care for sexual and gender minority young people living in low- and lower-middle- income countries: a scoping review

Frances,

Garnsey,

DeMulder

2023

BMC Public Health

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Background There is a lack of reliable data on the size, characteristics, and experiences of sexual and gender minority (SGM) young people (ages 10–24) in low- and lower-middle- income countries (LMICs). This review examines the research conducted in the last thirteen years with and about SGM young people living in low-income settings and seeks to answer the question: What is known about the mental and physical health needs, safety, and wellbeing of SGM young people living in LMICs? Methods We conducted a scoping review informed by the methodological frameworks put forth by Arksey and O’Malley and the Joanna Briggs Institute. We systematically searched two general social science databases and one topic-specific database for peer-reviewed papers, of any research design, that included SGM young people or explored attitudes toward SGM young people in LMICs. We included papers that reported on factors influencing the health and wellbeing of SGM populations, including physical and mental health, healthcare-seeking behaviors, substance use, experiences of discrimination and/or stigma, experiences of violence and abuse (emotional, physical, and/or sexual), economically motivated paid sex practices, housing or economic security, and attitudes of others toward SGM populations. Results Of the 5,409 unique records identified, 79 papers drawing from data collected from 74 unique studies met the inclusion criteria. Only 50 of the 79 papers included SGM young people as participants, with just 13 focusing exclusively on SGM young people ages 10–24. The included papers were classified into three thematic groupings: attitudes toward SGM populations (n = 26), risks to health (n = 40), and experiences of stigma and discrimination (n = 13). Conclusion The findings indicate that the health and wellbeing of SGM young people in LMICs has been historically under-researched. While SGM young people have received more attention from researchers in recent years, the body of literature as a whole is disjointed and sparse, and often studies are about SGM young people, rather than with and for them. Our review highlights the need for more and better research, more accurate and disaggregated demographic data, and leadership and participation of SGM-led community-based organizations in the co-design of studies that focus on SGM young people.

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Sexual and reproductive health and rights of “last mile” adolescents: a scoping review

Cited by 3 publications

References 74 publications

Male Involvement in Sexual and Reproductive Health and Rights

Male Involvement in Sexual and Reproductive Health and Rights

Adolescent sexual and reproductive health and rights for ethnic minority girls in Vietnam

Neglected gaps in improving the health, wellbeing, and care for sexual and gender minority young people living in low- and lower-middle- income countries: a scoping review

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