亚洲罗兴亚和阿富汗难民育龄妇女的性健康和生殖健康需求、经验、服务获取和干预措施:一项混合方法系统评价方案

M. A. Hossain, A. Dawson
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引用次数: 1

摘要

背景:人道主义危机扰乱了现有的卫生保健系统,限制了获得性生殖健康(SRH)服务。截至2020年9月,亚太地区共有920万难民,其中大多数来自阿富汗和缅甸。长期以来,阿富汗和罗兴亚难民被剥夺了接受正规性健康和生殖健康教育的机会,数十年来在性健康和生殖健康服务方面面临歧视,这可能影响健康结果。目的:本综述探讨了亚洲育龄阿富汗和罗兴亚难民妇女的性健康和生殖健康状况,以及她们在获得这些服务和商品方面的需求和经验。方法:本方案将遵循PRISMA检查表和系统评价质量评价标准。搜索策略将使用与研究问题相关的搜索词,从scopus、EMBASE (Ovid)、MEDLINE (Ovid)、CINAHL和PROQUEST五个在线书目数据库中寻找所有相关的同行评审文献。该审查将包括定性、定量和混合方法研究,以了解整个亚洲罗兴亚和阿富汗难民的性健康和生殖健康状况。内容分析将按照最低初始服务包(MISP)目标进行。本综述将使用混合方法评估工具(MMAT)来评估个别研究的质量。然而,没有研究将根据这一评估被排除在外。结果:本综述的发现将深入了解亚洲阿富汗和罗兴亚难民育龄妇女的性生殖健康需求、现状和经验,并有助于卫生服务规划,提供基于证据的干预措施和政策,以改善亚洲人道主义环境下的性生殖健康结果。系统综述注册:该综述在PROSPERO数据库中注册,ID为CRD42021253975。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Sexual And Reproductive Health Needs, Experiences, Access To Services, And Interventions Among The Rohingya And The Afghan Refugee Women Of Reproductive Age In Asia: A Mixed Methods Systematic Review Protocol
Background: A humanitarian crisis disrupts the existing health care system limiting access to sexual reproductive health (SRH) services. The Asia and the Pacific region is home to 9.2 million refugees as of September 2020, most originating from Afghanistan and Myanmar. Afghan and Rohingya refugees have long been deprived of formal SRH education and face decades of discrimination in SRH services that can affect health outcomes. Purpose: This review examines the SRH status of Afghan and Rohingya refugee women of reproductive age in Asia and their needs and experiences in accessing these services and commodities. Methods: This protocol will follow the PRISMA checklist and standards for quality assessment of systematic reviews. The search strategy will be sought out all relevant peer-reviewed literature from five online bibliographic databases—SCOPUS, EMBASE (Ovid), MEDLINE (Ovid), CINAHL, and PROQUEST— using search terms related to the research questions. The review will include qualitative, quantitative, and mixed-method studies to understand the status of SRH of Rohingya and Afghan refugees across Asia. Content analysis will undertake following the Minimum Initial Service Package (MISP) objectives. The review will use the mixed methods appraisal tool (MMAT) to assess the quality of individual studies. However, no studies will be excluded based on this assessment. Result: The findings of this review will provide insight into the needs, status, and experiences of SRH of the Afghan and Rohingya refugee women of reproductive age in Asia and could contribute to health service planning to deliver evidence-based interventions and policies to improve SRH outcomes in humanitarian settings across Asia. Systematic review registration: The review was registered in the PROSPERO database with ID CRD42021253975.
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