Sexual and Reproductive Service Interventions for Menstrual Regulation,Safe Abortion,and Post-abortion Care and Their Effectiveness During Disaster Response:A Global Systematic Review  

作　　者：Nibedita S.Ray-Bennett Winifred Ekezie Isha Biswas Nimra Iqbal Choudhary David Cowie Lasith Dissanayake Lauren Macleod Azukaeogo Nnaji Madhulika Sahoo 

机构地区：[1]School of Business,University of Leicester,Leicester,LE17RH,UK [2]Avoidable Deaths Network,University of Leicester,Leicester,LE17RH,UK [3]Diabetes Research Centre,Leicester General Hospital,University of Leicester,Leicester,LE54PW,UK [4]School of Social Sciences and Humanities,Aston University,Birmingham,B47ET,UK [5]Lifespan and Population Health,School of Medicine,University of Nottingham,Nottingham,NG51PB,UK [6]School of Public Health and Interdisciplinary Studies,Auckland University of Technology,Auckland,0627,New Zealand [7]Faculty of Life Sciences and Education,University of South Wales,Pontypridd,CF371DL,UK [8]West African Regional ECHO(WARE),APIN Public Health Initiatives,Abuja,900104,Nigeria [9]Department of Anthropology,Kalahandi University,Kalahandi,Odisha,766001,India

出　　处：《International Journal of Disaster Risk Science》2024年第3期359-373,共15页国际灾害风险科学学报（英文版）

摘　　要：Sexual and reproductive health(SRH)services are crucial for women especially during disasters,to reduce maternal mortality and morbidity from miscarriages,unsafe abortions,and post-abortion complications.This study explored the SRH interventions provided during disaster response.A systematic review was conducted to identify what menstrual regulation(MR),safe abortion(SA),and post-abortion care(PAC)approaches/interventions exist to promote resilience in the health system in disaster settings;what intervention components were most eff ective;and challenges and opportunities to meeting SRH rights.Five electronic databases were searched,resulting in 4194 records.Following the screening process,seven publications were included.The intervention-related information in each publication was assessed based on availability,accessibility,acceptability,and quality.Two SRH approaches/interventions were found.The eff ectiveness of intervention components could not be conducted due to the limited number of relevant studies.Challenges were found at facility and community levels,and opportunities included overcoming them,making MR,SA,and PAC integral to the mitigation phase,and policy change to overcome barriers related to unaff ordability and inaccessibility.Recommendations are provided to encourage research and policy towards improving neglected SRH in disaster settings to realize Sustainable Development Goal 3 and the Global Strategy and Sendai Framework's priority to promote disaster-resilient health systems.

关 键 词：ABORTION Disasters-Sendai framework Sexual and reproductive health Sustainable development goal 

分 类 号：X4[环境科学与工程—灾害防治] R71[医药卫生—妇产科学]