Isaac Chipako, Saurabh Singhal, Bruce Hollingsworth
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引用次数: 0
摘要
本次范围界定综述的目的是确定并概述性健康和生殖健康(SRH)干预措施对撒哈拉以南非洲年轻人生殖健康结果的影响。我们在五个数据库中进行了检索,检索时使用了以下关键词的变体和组合:避孕、计划生育、节育、年轻人和青少年。使用 Cochrane risk-of-bias 2 和 Risk of Bias in Non-Randomized Studies-of-Interventions 工具来评估纳入文章的偏倚风险。以社区为基础的项目、移动医疗、性健康与生殖健康教育、咨询、社区卫生工作者、青年友好型医疗服务、经济支持和大众传媒等干预措施对生育间隔、现代避孕知识、现代避孕药具的使用/摄入、青少年禁欲、怀孕以及关于现代避孕的神话和误解普遍产生了积极影响。随着移动保健的日益普及以及青年友好型保健服务的有效性,未来的青年性健康和生殖健康干预措施可将这两种战略结合起来,以改善性健康和生殖健康服务的获取和利用。
Impact of sexual and reproductive health interventions among young people in sub-Saharan Africa: a scoping review
The aim of this scoping review was to identify and provide an overview of the impact of sexual and reproductive health (SRH) interventions on reproductive health outcomes among young people in sub-Saharan Africa.Searches were carried out in five data bases. The databases were searched using variations and combinations of the following keywords: contraception, family planning, birth control, young people and adolescents. The Cochrane risk-of-bias 2 and Risk of Bias in Non-Randomized Studies-of-Interventions tools were used to assess risk of bias for articles included.Community-based programs, mHealth, SRH education, counselling, community health workers, youth friendly health services, economic support and mass media interventions generally had a positive effect on childbirth spacing, modern contraceptive knowledge, modern contraceptive use/uptake, adolescent sexual abstinence, pregnancy and myths and misperceptions about modern contraception.Sexual and reproductive health interventions have a positive impact on sexual and reproductive health outcomes. With the increasing popularity of mHealth coupled with the effectiveness of youth friendly health services, future youth SRH interventions could integrate both strategies to improve SRH services access and utilization.