Sexual and Reproductive Health Matters最新文献

Exploring Somali-born women's experiences with contraceptive services in Sweden through a reproductive justice lens. 从生殖公正的角度探讨索马里出生妇女在瑞典获得避孕服务的经历。

IF 2.6 2区医学

Sexual and Reproductive Health Matters Pub Date : 2026-05-08 DOI: 10.1080/26410397.2026.2667110

Anna Wängborg, Marie Klingberg-Allvin, Sahra Saidarab, Cristina A Mattison, Elin C Larsson, Helena Kilander

{"title":"Exploring Somali-born women's experiences with contraceptive services in Sweden through a reproductive justice lens.","authors":"Anna Wängborg, Marie Klingberg-Allvin, Sahra Saidarab, Cristina A Mattison, Elin C Larsson, Helena Kilander","doi":"10.1080/26410397.2026.2667110","DOIUrl":"https://doi.org/10.1080/26410397.2026.2667110","url":null,"abstract":"Timely and equitable access to contraceptive services is a key component of sexual and reproductive health and rights. Evidence shows that immigrant women in high-income countries often receive inadequate contraceptive counselling. There is also limited knowledge about how contraceptive services can best be organised within health systems to meet their needs. In Sweden, the Somali population is one of the country's largest immigrant groups facing a higher risk of adverse pregnancy and childbirth outcomes compared to Swedish-born women. This study aimed to gain a deeper understanding of Somali-born women's perceptions of and experiences with contraceptive services in Sweden. Eight focus group discussions were conducted, with a Somali-speaking moderator, and data were analysed using Braun and Clarke's reflexive thematic approach. All participants (N = 60) were Somali immigrants who had given birth in Sweden. Two main themes were constructed: (1) Factors shaping reproductive choices: community, household, and partner influences, and (2) women's perspectives on contraceptive services. The findings suggest opportunities to advance reproductive justice in contraceptive services in Sweden. Incorporating women's preferences and needs is essential to establishing person-centred contraceptive services, aligning with Sweden's health system priorities. Services must adapt to and reflect clients' experiences to avoid being shaped by preconceived notions and intersecting power dynamics. Our findings have implications for moving towards reproductive justice in the delivery of sexual and reproductive health services.","PeriodicalId":37074,"journal":{"name":"Sexual and Reproductive Health Matters","volume":" ","pages":"1-27"},"PeriodicalIF":2.6,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Declines in HIV testing and diagnoses: a policy analysis of the 2019 Title X federal regulations on family planning clinics. 艾滋病毒检测和诊断的下降：对2019年计划生育诊所第十条联邦法规的政策分析。

IF 2.6 2区医学

Sexual and Reproductive Health Matters Pub Date : 2026-05-08 DOI: 10.1080/26410397.2026.2670146

Jennifer Sherwood, Nathan Roberson, Deborah Stenoien, Elise Lankiewicz, Brian Honermann, Greg Millett

{"title":"Declines in HIV testing and diagnoses: a policy analysis of the 2019 Title X federal regulations on family planning clinics.","authors":"Jennifer Sherwood, Nathan Roberson, Deborah Stenoien, Elise Lankiewicz, Brian Honermann, Greg Millett","doi":"10.1080/26410397.2026.2670146","DOIUrl":"https://doi.org/10.1080/26410397.2026.2670146","url":null,"abstract":"In 2019 the Trump administration instituted a federal regulation (hereinafter the Policy) requiring that Title X family planning clinics have financial and physical separation of abortion services from other health services, and prohibited abortion referrals. In response, 32% (1,280) of Title X funded sites left the program nationally. Our analysis connects public data from Title X Family Planning Reports (2016-2021) and CDC surveillance reports (2016-2021), to examine the Policy's impact on: 1) HIV testing at Title X clinics by region, and 2) the proportion of a region's total HIV diagnoses at Title X clinics. We use mixed multivariable linear regression modeling to examine interactions between \"high\" regional-level Policy exposure (defined as >25% Policy-related clinic withdrawal from the program) and pre- and post-Policy implementation for HIV outcomes. Interaction models showed that while in effect the Policy resulted in 69,626 fewer HIV tests (95% CI -108,893 to -30,359 P < .001) and a 4% reduction (95% CI -7% to -0%; P = .052) in overall regional HIV diagnoses at Title X clinics in high-exposed regions compared to low-exposed regions. Results show notable declines in HIV testing and the proportion of HIV cases diagnosed at Title X sites as a result of Policy implementation. Policies that endanger the Title X family planning network also weaken the US HIV response. Future policies governing the Title X family planning program should consider the full consequences for sexual and reproductive health outcomes, including HIV, in the US before implementation.","PeriodicalId":37074,"journal":{"name":"Sexual and Reproductive Health Matters","volume":" ","pages":"1-19"},"PeriodicalIF":2.6,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147843964","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Challenging choice: a media study of anti-abortion movements in India. 具有挑战性的选择：印度反堕胎运动的媒体研究。

IF 2.6 2区医学

Sexual and Reproductive Health Matters Pub Date : 2026-04-15 DOI: 10.1080/26410397.2026.2653891

Ragini Bordoloi, Vinitha Jayaprakasan, Souvik Pyne, Alka Barua

{"title":"Challenging choice: a media study of anti-abortion movements in India.","authors":"Ragini Bordoloi, Vinitha Jayaprakasan, Souvik Pyne, Alka Barua","doi":"10.1080/26410397.2026.2653891","DOIUrl":"https://doi.org/10.1080/26410397.2026.2653891","url":null,"abstract":"In recent years, the backlash against abortion and reproductive autonomy has grown, driven by authoritarian regimes and conservative ideologies. In 2023, CommonHealth conducted a study to identify key anti-choice entities in India, examine their global links, and analyse their narratives and strategies for shaping public opinion and influencing policy through media platforms (print and social) in three languages. Key findings were that these organisations are leveraging educational platforms and social media, co-opting campaigns against gender-based discrimination, and framing their arguments with moral and constitutional rhetoric. Their tactics include the manipulation of public perception and gaining trust by blending science, religion, and emotional appeals. Crisis helplines, educational outreach, social media campaigns, mass mobilisation efforts, and direct peer interactions are utilised to particularly influence youth, and garner support against reproductive choice. The study also highlights the growing influence of international networks on these initiatives. The emerging narratives are increasingly focused on intertwining anti-abortion and broader anti-choice ideologies, emphasising fetal rights and the sanctity of life. These initiatives thus pose a significant threat to reproductive rights and autonomy by undermining access to safe and legal abortion services. To counter this evolving anti-abortion activism, it is crucial to develop context-specific interventions and strategies. This analysis aims to contribute to a nuanced understanding of the challenges, calling for interdisciplinary collaboration among stakeholders to safeguard and strengthen reproductive justice. Reconceiving abortion as a life-enhancing decision is therefore essential to advancing reproductive rights and autonomy amidst escalating anti-choice narratives.","PeriodicalId":37074,"journal":{"name":"Sexual and Reproductive Health Matters","volume":" ","pages":"1-25"},"PeriodicalIF":2.6,"publicationDate":"2026-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147692824","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Development of a comprehensive measure of reproductive coercion and abuse for global use: a Delphi study. 制定全球使用的生殖强迫和虐待的综合措施：德尔菲研究。

IF 2.6 2区医学

Sexual and Reproductive Health Matters Pub Date : 2026-04-08 DOI: 10.1080/26410397.2026.2652218

Desireé LaGrappe, Angela Taft, Leesa Hooker, Laura Tarzia, Kristina Edvardsson

{"title":"Development of a comprehensive measure of reproductive coercion and abuse for global use: a Delphi study.","authors":"Desireé LaGrappe, Angela Taft, Leesa Hooker, Laura Tarzia, Kristina Edvardsson","doi":"10.1080/26410397.2026.2652218","DOIUrl":"https://doi.org/10.1080/26410397.2026.2652218","url":null,"abstract":"Reproductive coercion and abuse describes controlling behaviours to undermine another person's reproductive autonomy, predominantly affecting women and gender minorities with pregnancy capacity. Debate exists about how this form of gender-based violence should be measured and whether available measures developed over a decade ago adequately capture current conceptual understandings. To address this, our study aimed to develop a comprehensive measure of reproductive coercion and abuse for global population-level use. A modified e-Delphi technique was used to determine consensus on measurement items generated from pre-existing literature and formative qualitative research. Global experts (n=30) with research, clinical, and/or lived expertise were recruited from low- to middle- and high-income countries and asked to rate items against COSMIN criteria. Participants represented 15 countries and five global regions (Africa, Asia, Europe, North America, Oceania). They suggested 12 new items in addition to the 62 candidate items. Consensus was not reached on 17 of 74 items. After incorporating final feedback, 59 items were selected for future pilot testing. The Delphi panel did not reach consensus on structure of response options or how to ask about intent. Experts agreed measuring the distinct interpersonal relationships in which reproductive coercion and abuse can occur is important. We developed a robust set of new items to measure reproductive coercion and abuse within multi-country comparative studies that fills a measurement gap in sexual and reproductive health. With future psychometric evaluation, the measure will enable more sensitive, specific, and consistent prevalence estimates across contexts, critical to inform practice and policy locally and globally.","PeriodicalId":37074,"journal":{"name":"Sexual and Reproductive Health Matters","volume":" ","pages":"1-29"},"PeriodicalIF":2.6,"publicationDate":"2026-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147634647","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Staying in a punishing place: online narratives about pregnancy and abortion in pre-liberalisation Ireland. 停留在一个惩罚的地方：在自由开放前的爱尔兰，关于怀孕和堕胎的网上叙述。

IF 3.3 2区医学

Sexual and Reproductive Health Matters Pub Date : 2025-12-01 Epub Date: 2025-05-16 DOI: 10.1080/26410397.2025.2481761

Niamh Skelly

{"title":"Staying in a punishing place: online narratives about pregnancy and abortion in pre-liberalisation Ireland.","authors":"Niamh Skelly","doi":"10.1080/26410397.2025.2481761","DOIUrl":"10.1080/26410397.2025.2481761","url":null,"abstract":"Restricted abortion access impinges on the human rights and health of a significant number of women globally. The reproductive justice framework, as well as recent calls for the normalisation of abortion, encourage examination of the deleterious effects of abortion restrictions. This study explores the self-generated, online narratives of women who experienced crises in pregnancy while living in a restrictive context, namely pre-2019 Ireland, and who did not travel for abortion care. Mental health and emotional experiences are a specific focus. From an archived version of posts to the In her Shoes - Women of the Eighth Facebook page made in 2018-2019 (N = 728), 96 personal narratives were sampled. Narratives that did not feature travel for abortion care (n = 25) were selected for thematic analysis, which was completed by a single researcher in 2024. Themes that emerged included waiting for intervention as a form of mental torture, fear during self-managed abortion, attempts to self-induce abortion driven by despair, and variation in the extent to which proceeding with the pregnancy was a choice. Most women who stayed in place had been constrained by circumstances in deciding to do so. These results enrich our understanding of the negative effects of restrictive contexts on women's emotional wellbeing. They also draw attention to those who are effectively trapped in restricted contexts and overlooked when the literature narrowly focuses on outward travel from restrictive contexts for abortion care.","PeriodicalId":37074,"journal":{"name":"Sexual and Reproductive Health Matters","volume":" ","pages":"2481761"},"PeriodicalIF":3.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12086944/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144015965","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Telehealth abortion services via Women on Web in Kenya (2013-2019): a descriptive analysis of the characteristics and motivations of the care seekers. 肯尼亚妇女网上远程医疗堕胎服务（2013-2019年）：对求助者特征和动机的描述性分析。

IF 3.3 2区医学

Sexual and Reproductive Health Matters Pub Date : 2025-12-01 Epub Date: 2025-06-04 DOI: 10.1080/26410397.2025.2500828

Mary Achieng Ouma, Anita Alaze, Kenneth Juma, Hazal Atay, Rebecca Gomperts, Céline Miani

{"title":"Telehealth abortion services via Women on Web in Kenya (2013-2019): a descriptive analysis of the characteristics and motivations of the care seekers.","authors":"Mary Achieng Ouma, Anita Alaze, Kenneth Juma, Hazal Atay, Rebecca Gomperts, Céline Miani","doi":"10.1080/26410397.2025.2500828","DOIUrl":"10.1080/26410397.2025.2500828","url":null,"abstract":"In Kenya, access to abortion is legally restricted and allowed under a limited set of conditions. Teleabortion service providers, such as Women on Web (WoW), provide safe and effective abortion care outside the formal health sector. This study explores the characteristics and motivations of individuals in Kenya who completed an online consultation on the WoW website in 2013-2019. We used anonymised data provided by WoW to describe participants' characteristics (n = 857) and their motivations for accessing the WoW online consultation (n = 449, since this information was only available for those who filled out the questionnaire from December 2017). Participants' median age was 23; 65.0% did not have children, and 80.9% had not had a previous abortion. Pregnancies were caused by failure (43.6%) or absence of contraceptive method (49.0%), or rape (6.0%). The most frequently reported reasons for accessing the online consultation were legal restrictions and abortion costs. Those were selected by about half the participants (respectively 235 and 222/449). Next came the wish to keep the abortion private or secret, which was selected by 34.5% and 26.0% of participants. Among more positively framed reasons, home comfort came first (23.6%), followed by wanting to deal with the abortion oneself (20.7%) and finding an abortion through WoW empowering (17.4%). Abortion-seekers turning to teleabortion services usually do so following failing or absent contraception and to get access to safe abortions, avoid stigma, and keep their privacy. Expansion of teleabortion services, within or outside formal healthcare services, could strengthen abortion-seekers' autonomy and agency in Kenya.","PeriodicalId":37074,"journal":{"name":"Sexual and Reproductive Health Matters","volume":" ","pages":"2500828"},"PeriodicalIF":3.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12138938/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144032585","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Embracing complexity to challenge stigma: a qualitative analysis of representations of abortion in a Polish storytelling initiative. 拥抱复杂性，挑战耻辱：波兰叙事活动中堕胎表现的定性分析。

IF 2.6 2区医学

Sexual and Reproductive Health Matters Pub Date : 2025-12-01 Epub Date: 2025-08-15 DOI: 10.1080/26410397.2025.2535835

Alina Paczesna

{"title":"Embracing complexity to challenge stigma: a qualitative analysis of representations of abortion in a Polish storytelling initiative.","authors":"Alina Paczesna","doi":"10.1080/26410397.2025.2535835","DOIUrl":"10.1080/26410397.2025.2535835","url":null,"abstract":"Testimonies of abortion experiences are largely silenced in many contexts around the world, including Poland, and stigma affects how abortion is represented. Pro-choice initiatives, which support abortion rights, aim to challenge stigma through the sharing of personal abortion experiences (i.e. abortion storytelling). However, these initiatives may simultaneously construct normative hierarchies of abortion and stigmatise abortion stories which do not fit context-specific, politicised norms. This study draws on data purposefully sampled from a pro-choice abortion storytelling initiative in Poland, conducted between 2020 and 2021, and organised by the Abortion Dream Team (ADT; Aborcyjny Dream Team), an influential Polish organisation campaigning for abortion access and rights. By conducting a qualitative document analysis of 73 first-person abortion stories shared in this initiative, I explored how abortion was represented, and whether, and how, these representations challenged abortion stigma and its manifestation in normative hierarchies of abortion. Using reflexive thematic analysis, I identified four main themes. My findings show that abortion is represented as a valid decision, both a positive and challenging experience, and an embodied process. The stories shared in the ADT storytelling initiative challenge stigma and deconstruct normative hierarchies of abortion by representing abortion as a complex experience imbued with multiple, and often contradictory, meanings. This study highlights the existence of positive and non-stigmatising representations of abortion in Poland and shows that abortion storytelling can challenge dominant narratives around abortion. These findings therefore have broader significance, as they suggest that abortion storytelling may serve as an effective tool to destigmatise abortion and advance abortion rights. DOI:10.1080/26410397.2025.2535835.","PeriodicalId":37074,"journal":{"name":"Sexual and Reproductive Health Matters","volume":"33 1","pages":"2535835"},"PeriodicalIF":2.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12360049/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144856702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Unmet needs and new challenges in young women's sexual and reproductive health and rights: a qualitative study in Chile's Metropolitan Region. 青年妇女性健康和生殖健康及权利方面未满足的需求和新的挑战：在智利大都市区进行的定性研究。

IF 2.6 2区医学

Sexual and Reproductive Health Matters Pub Date : 2025-12-01 Epub Date: 2025-10-03 DOI: 10.1080/26410397.2025.2558272

Alexandra Obach, Michelle Sadler, Consuelo Robledo, Ciara Wright, Báltica Cabieses

{"title":"Unmet needs and new challenges in young women's sexual and reproductive health and rights: a qualitative study in Chile's Metropolitan Region.","authors":"Alexandra Obach, Michelle Sadler, Consuelo Robledo, Ciara Wright, Báltica Cabieses","doi":"10.1080/26410397.2025.2558272","DOIUrl":"10.1080/26410397.2025.2558272","url":null,"abstract":"In Chile, despite important advances in access to contraception and a steady reduction in unplanned pregnancy, longstanding barriers for young people to access sexual and reproductive health (SRH) and rights - rooted in a conservative and religious background - have been highlighted by recent socio-political movements, including the feminist student wave of 2018 and the social uprising of 2019. The COVID-19 pandemic further strained access, leading to the suspension of many in-person services. In this context, we conducted a qualitative study between 2020 and 2023 to explore young women's perceptions of sexuality and SRH, their interactions with the formal healthcare system, and the diverse resources they engage with to access support and care. 23 in-depth interviews were carried out with heterosexual and non-heterosexual women aged 18-25 in Chile's Metropolitan Region. The findings reveal a mismatch between young women's holistic understanding of sexuality - which includes emotional, biological, and political dimensions - and the healthcare system's reductionist, heteronormative, and risk-based approach, which became more visible after these societal upheavals. As a result, young women may use biomedical SRH services strategically for prescriptions and testing, while seeking more comprehensive support outside the formal system through virtual platforms, health professionals giving online support, and civil society organisations. The study concludes that systemic changes in the health system are needed to bridge these divides and uphold the sexual and reproductive rights of young women in Chile, especially those who identify as non-heterosexual. DOI: 10.1080/26410397.2025.2558272.","PeriodicalId":37074,"journal":{"name":"Sexual and Reproductive Health Matters","volume":" ","pages":"2558272"},"PeriodicalIF":2.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12498357/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145065403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Strategies to address reproductive coercion and intimate partner violence in Nairobi family planning services: qualitative client and provider perspectives. 解决内罗毕计划生育服务中生殖强迫和亲密伴侣暴力问题的战略：定性客户和提供者观点。

IF 2.6 2区医学

Sexual and Reproductive Health Matters Pub Date : 2025-12-01 Epub Date: 2025-12-15 DOI: 10.1080/26410397.2025.2570528

Jasmine Uysal, Emilie Schwarz, Wilson Liambila, Seri Wendoh, Ruvani W Fonseka, Ricardo Vera Monroy, Sabrina C Boyce, Erin Pearson, Jay G Silverman

{"title":"Strategies to address reproductive coercion and intimate partner violence in Nairobi family planning services: qualitative client and provider perspectives.","authors":"Jasmine Uysal, Emilie Schwarz, Wilson Liambila, Seri Wendoh, Ruvani W Fonseka, Ricardo Vera Monroy, Sabrina C Boyce, Erin Pearson, Jay G Silverman","doi":"10.1080/26410397.2025.2570528","DOIUrl":"10.1080/26410397.2025.2570528","url":null,"abstract":"Reproductive coercion (RC) and intimate partner violence (IPV) threaten women's health and reproductive agency globally. The Addressing Reproductive Coercion in Health Settings (ARCHES) intervention integrates screening for RC and IPV, covert contraceptive options, IPV referrals, and an educational booklet into family planning (FP) services. This study examines client and provider perspectives on ARCHES in Nairobi, Kenya. A qualitative study was conducted in the three private clinics implementing ARCHES. Data were collected through 35 in-depth client interviews and 12 provider interviews three months post-intervention. Participants were purposively sampled based on age and RC/IPV experience. Thematic content analysis was used. Clients reported greater reproductive autonomy through increased knowledge of covert contraception, IPV services, and reproductive rights. Providers reported gaining confidence to address RC and IPV and building stronger relationships with clients. Barriers included stigma around IPV referrals and limited counselling time. Screening for RC/IPV was widely accepted, with some clients recognising abuse for the first time. The compact educational booklet improved knowledge retention and community outreach. Perspectives on male partner engagement were mixed due to concerns about safety and confidentiality. ARCHES was well-received by clients and providers, enhancing FP care and addressing critical gaps in RC and IPV support. Future adaptations should address barriers to IPV referral uptake and provider first-line IPV support, and carefully track implementation to ensure continued client-centred counselling. These findings support ARCHES as a scalable model for integrating FP and violence prevention interventions in Kenya and similar contexts.","PeriodicalId":37074,"journal":{"name":"Sexual and Reproductive Health Matters","volume":" ","pages":"2570528"},"PeriodicalIF":2.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12707072/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145276292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Imbalances in authorship, geographic and institutional contexts, and funding sources in research on gender approaches to sexual and reproductive health in Africa: a scoping review. 非洲性健康和生殖健康性别方法研究的作者、地理和机构背景以及供资来源方面的不平衡：范围审查。

IF 2.6 2区医学

Sexual and Reproductive Health Matters Pub Date : 2025-12-01 Epub Date: 2026-04-17 DOI: 10.1080/26410397.2026.2616137

Woldekidan Amde, Kéfilath Bello, Tanya Jacobs, Tk Sundari Ravindran, Asha S George

{"title":"Imbalances in authorship, geographic and institutional contexts, and funding sources in research on gender approaches to sexual and reproductive health in Africa: a scoping review.","authors":"Woldekidan Amde, Kéfilath Bello, Tanya Jacobs, Tk Sundari Ravindran, Asha S George","doi":"10.1080/26410397.2026.2616137","DOIUrl":"10.1080/26410397.2026.2616137","url":null,"abstract":"National research leadership is critical for generating locally responsive knowledge, especially grounded in gender approaches, given its engagement with local social contexts. We conducted a focused analysis of a scoping review to examine patterns in authorship, geographic and institutional contexts, and funding sources, in studies that apply gender approaches to sexual and reproductive health (SRH) across Africa. The review examined 45 publications in PubMed and Scopus (2012-2022) and included consultation with African gender and health experts. Our analysis revealed unequal distribution of papers across sub-regions in Africa (48.9% were based in Southern Africa, 37.8% in Eastern Africa, 11.1% in Western Africa, and 2.1% in Northern Africa). The distribution of articles by first and last authors' country of residence depicted disparity between authors in high-income countries and those in Africa, and between authors based in South Africa and those stationed in the rest of Africa (USA 46.7%, Europe 17.8%, Canada 2.2%, South Africa 22.2%, and the rest of Africa 11.1%). Similarly, unequal patterns exist regarding the distribution of last authors (USA 42.9%, Europe 9.5%, Canada 4.8%, South Africa 28.6%, and the rest of Africa 14.3%). One-fifth of the papers feature no local authors. Funding sources show a stark difference, with just 9.4% of the funding coming from Africa, exclusively South Africa, and the rest originating from high-income countries (USA 36.5%, UK 14.1%, Canada 8.2%, and Sweden 5.9%). The authors call for ensuring local ownership and leadership of research in Africa, increasing domestic investment and addressing disparities across sub-regions.","PeriodicalId":37074,"journal":{"name":"Sexual and Reproductive Health Matters","volume":" ","pages":"2616137"},"PeriodicalIF":2.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13094261/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145991061","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0