“…59 Ten studies included both men and women, 38,39,[41][42][43]48,49,51,54,55,[57][58][59] and 10 studies included women only. 37,40,[44][45][46][47]50,52,53,56 Six studies incorporated systems approaches, for example, participatory approach to programme design, management involvement and support, or environmental audits. 41,48,49,53,[55][56][57] None of these studies reported the implementation of any clear organizational policy changes.…”