Sexual and reproductive health and rights in humanitarian crises at ICPD25+ and beyond: consolidating gains to ensure access to services for all

Heidari, Shirin; Onyango, Monica Adhiambo; Chynoweth, Sarah K

doi:10.1080/26410397.2019.1676513

Cited by 12 publications

(19 citation statements)

References 2 publications

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“…Availability and accessibility of reproductive health services : The first important challenge in this category was lack of access to certain services ( 11 – 16 ). Lack of access to humanitarian assistance was generally discussed in different studies ( 24 – 27 ), but some of them were focused on access to reproductive health services ( 28 ). Neglected family planning ( 12 , 17 , 19 ), unplanned pregnancy ( 11 , 14 , 17 ), preventable maternal and infant death ( 17 ), spread of HIV ( 12 , 17 ) and violence against women ( 12 , 15 – 18 ) may be the results of lack of access to certain services.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and Associated Factors of Precancerous Cervical Lesions among Women in Ethiopia: A Systematic Review and Meta-Analysis

Fatemi

Moslehi

2021

Ethiop J Health Sci

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BACKGROUND፡ Cervical cancer remains the most common cancer of women worldwide. Its burden is more serious in developing countries. It is also the second common cancer deaths of women in Ethiopia followed by breast cancer. The aim of this study was to determine the pooled prevalence and associated factors of precancerous cervical lesions among women in Ethiopia.METHODS: We systematically searched published and unpublished articles reported from 2010 to 2019 using a comprehensive search of electronic databases including PubMed and Google scholar for grey literature from August 1 to September 1, 2019. The methodological qualities of included studies were evaluated using Joanna Briggs Institute meta-analysis of Statistics Assessment. The pooled prevalence estimate was calculated using MedCalc software-version 19.0.7, and the pooled odd ratios for predictors was calculated using RevMan software version 5.3.RESULTS: The pooled prevalence of precancerous cervical lesions among women in Ethiopia was 13.4% (95% CI:10.63% 16.37%). Statistically significant heterogeneity between studies was detected (I2=83.1%, P < 0.001). Among all measured associated factors: numbers of women life time sexual partners > 1, OR=2.5 (95% CI:3.70,4.76), being HIV positive women, OR=2.4 (95% CI:1.33,4.61) and women having history of STI, OR=2.0 (95% CI:1.02,3.87) had statistically significant association with precancerous cervical lesions among women in EthiopiaCONCLUSION: The pooled prevalence of precancerous cervical lesions among women in Ethiopia was high as compared to the 5- year worldwide cervical cancer prevalence. Women having more than one life time sexual partners, being HIV positive women and women having history of STI had a statistically significant association with precancerous cervical lesions.

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Section: Discussionmentioning

confidence: 99%

Prevalence and Associated Factors of Precancerous Cervical Lesions among Women in Ethiopia: A Systematic Review and Meta-Analysis

Fatemi

Moslehi

2021

Ethiop J Health Sci

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“…1 Humanitarian crisis, conflict situations, and displacement exacerbate preexisting vulnerabilities and lack of access and rights, and women and children are often the first to suffer the consequences of jeopardized infrastructure and systems. [2][3][4] The current pandemic has led to a restructuring of healthcare services to meet the demands of the infection with disruptions of reproductive maternal and neonatal health services. 5 Lockdown measures taken to limit the spread of the virus have implications for human rights, acutely so for many women at risk of domestic violence.…”

Section: Introductionmentioning

confidence: 99%

How the coronavirus disease 2019 pandemic is impacting sexual and reproductive health and rights and response: Results from a global survey of providers, researchers, and policy‐makers

Endler

Alhaidari

Benedetto

et al. 2020

Acta Obstet Gynecol Scand

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Introduction: We aimed to give a global overview of trends in access to sexual and reproductive health and rights (SRHR) during the Covid-19 pandemic and what is being done to mitigate its impact. Material and methods: We performed a descriptive analysis and content analysis based on an online survey among clinicians, researchers and organizations. Our data was extracted from multiple-choice questions on access to SRHR services and risk of SRHR violations, and written responses to open-ended questions on threats to access and required response. Results: The survey was answered by 51 people representing 29 countries. 86% reported that access to contraceptive services was less or much less due to Covid-19, corresponding figures for surgical and medical abortion were 62% and 46%. The increased risk of gender-based and sexual violence was assessed as moderate or severe by 79%. Among countries with mildly restrictive abortion policies, 69% had implemented changes to facilitate access to abortion during the pandemic, compared to 0 among countries with severe restrictions (p<0.001), 87.5% compared to 46% had implemented changes to facilitate access to contraception (p= 0.023). The content analysis showed that i) prioritizations in health service delivery at the expense of SRHR, ii) lack of political will, iii) the detrimental effect of lock-down, and iv) the suspension of sexual education, were threats to SRHR access (theme 1). Requirements to mitigate these threats (theme 2) were i) political will and support of universal access to SRH services, ii) the sensitization of providers, vii) free public transport, and viii) physical protective equipment. A contrasting third theme was the state of exception of the Covid-19 pandemic as a window of opportunity to push forward women´s health and rights. Conclusions: Many countries have seen decreased access to and increased violations of SRHR during the Covid-19 pandemic. Countries with severe restrictions on abortion seem less likely to have implemented changes to SRHR delivery to mitigate this impact. Political will to support the advancement of SRHR is often lacking, which is fundamental to ensuring both continued access and, in a minority of cases, the solidification of gains made to SRHR during the pandemic.

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“…A host of emergencies consequent on global politics have brought to the fore the health and human rights of people caught in humanitarian crises. As Heidari et al 5 explain, significant efforts have been made in improving the availability and accessibility of SRH services among conflict- and disaster-affected populations, even though progress is fragmented, and persistent gaps remain without adequate accountability in various settings. Technological changes altered the ground on which SRHR is negotiated.…”

Section: A Glass Half Fullmentioning

confidence: 99%

Moving the ICPD agenda forward: challenging the backlash

Sen

Kismödi

Knutsson

2019

Sexual and Reproductive Health Matters

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Sexual and reproductive health and rights in humanitarian crises at ICPD25+ and beyond: consolidating gains to ensure access to services for all

Cited by 12 publications

References 2 publications

Prevalence and Associated Factors of Precancerous Cervical Lesions among Women in Ethiopia: A Systematic Review and Meta-Analysis

Prevalence and Associated Factors of Precancerous Cervical Lesions among Women in Ethiopia: A Systematic Review and Meta-Analysis

How the coronavirus disease 2019 pandemic is impacting sexual and reproductive health and rights and response: Results from a global survey of providers, researchers, and policy‐makers

Moving the ICPD agenda forward: challenging the backlash

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