Evidence map›Paper›PMID 26685020›Full record

SynthesisBMJ open2015

Systematic review of the evidence on the effectiveness of sexual and reproductive health interventions in humanitarian crises.

Emily Warren, Nathan Post, Mazeda Hossain, Karl Blanchet, Bayard Roberts

Registry-linked trialAbstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in BMJ open, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06270160 (Tushirikiane-4-Uthabiti), which is not on this map. Cited by 46 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 9 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06270160 naunknown statusnot on this mapstarted 2024, after this paper: background citation

Tushirikiane-4-Uthabiti (Supporting Each Other For Resilience)

TypeinterventionalSponsorUniversity of TorontoRan2024 to 2024Enrolled432ConditionsFinancial Stress, Social Functioning, Social SkillsArmsHIVST, mHealth, Creating Futures Livelihoods program
3 · Its place in the literature

Who cites it

46 citing papers in PubMed, 9 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Emily WarrenFaculty of Epidemiology and Population Health, Department of Infectious Disease Epidemiology, London School of Hygiene & Tropical Medicine, London, UK.
Nathan PostFaculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UK.
Mazeda HossainFaculty of Public Health Policy, Department of Global Health and Development, London School of Hygiene & Tropical Medicine, London, UK.
Karl BlanchetFaculty of Infectious and Tropical Diseases, Department of Clinical Research, London School of Hygiene & Tropical Medicine, London, UK.
Bayard RobertsFaculty of Public Health Policy, Department of Health Services Research and Policy, London School of Hygiene & Tropical Medicine, London, UK.

Funding

Wellcome Trust
6 · The paper itself

Abstract

objectivesThis systematic review aims to evaluate evidence on the effectiveness of sexual and reproductive health (SRH) interventions delivered in humanitarian crises.

settingCrisis affected low-income or middle-income countries.

participantsCrisis-affected populations in low-income or middle-income countries.

methodPeer-reviewed and grey literature sources were systematically searched for relevant papers detailing interventions from 1 January 1980 until the search date on 30 April 2013. Data from included studies were then extracted, and the papers' quality evaluated using criteria based on modified STROBE and CONSORT checklists. PRIMARY AND SECONDARY OUTCOME MEASURES: Primary outcomes include, but are not limited to, changes in morbidity, mortality, sexually transmitted infection (STI) diagnosis or gender-based violence. Secondary outcomes include, but are not limited to, reported condom use or skilled attendance at birth. Primary outputs include, but are not limited to, condoms distributed or education courses taught.

resultsOf 7149 returned citations, 15 studies met the inclusion criteria. Only one randomised controlled trial was identified. The remaining observational studies were of moderate quality, demonstrating limited use of controls and inadequate attempts to address bias. Evidence of effectiveness was available for the following interventions: impregnated bed nets for pregnant women, subsidised refugee healthcare, female community health workers, and tiered community reproductive health services.

conclusionsThe limited evidence base for SRH interventions highlights the need for improved research on the effectiveness of public health interventions in humanitarian crises. While interventions proven efficacious in stable settings are being used in humanitarian efforts, more evidence is required to demonstrate the effectiveness of delivering and scaling-up such interventions in humanitarian crises.

Indexed as

Developing CountriesDisastersCommunity Health ServicesFamily Planning ServicesFemaleHumansMaleMaternal-Child Health ServicesPovertyPregnancyPrenatal CareReproductive Health ServicesSexually Transmitted DiseasesHEALTH SERVICES ADMINISTRATION & MANAGEMENTPUBLIC HEALTHREPRODUCTIVE MEDICINESEXUAL MEDICINE

Identifiers

PMID26685020
PMCPMC4691726

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.