ReviewSexual and reproductive health matters2020
Sexual and reproductive health services in universal health coverage: a review of recent evidence from low- and middle-income countries.
Review in Sexual and reproductive health matters, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 60 papers, 2 of them syntheses that pooled 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.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
60 citing papers in PubMed, 2 syntheses or guidelines pooled it, 99 citations in OpenAlex.
- Are facility service delivery models meeting the sexual and reproductive health needs of adolescents in Sub-Saharan Africa? A qualitative evidence synthesis.BMC health services research · 2025Pooled it
- Access to preventive sexual and reproductive health care for women from refugee-like backgrounds: a systematic review.BMC public health · 2022Pooled it
- "I have never heard of this reproductive health": young adults' understanding of the link between sexually transmitted infections and reproductive health in Eastern Cape, South Africa.SAHARA J : journal of Social Aspects of HIV/AIDS Research Alliance · 2026Article
- Sexual knowledge as a predictor of intention in sexual activity in university women.AJOG global reports · 2026Article
- Leveraging connections between family planning and nutrition to improve the health of women.BMJ global health · 2026Review
- From policy to practice: perspectives on youth-friendly sexual and reproductive health service delivery in Southeast Nigeria.Reproductive health · 2026Article
- Integration of family planning and nutrition programmes in 64 WHO member states of Africa, Eastern Mediterranean and South-East Asia regions: findings from a survey of Ministry of Health officials.BMJ global health · 2026Article
- Policy-oriented analysis of primary health care country case studies: multi-country synthesis of 52 cases through a sexual and reproductive health and rights lens.BMC health services research · 2026Article
- Knowledge, awareness, support networks, and service utilization of sexual and reproductive health and rights among Indonesian adolescents.Journal of education and health promotion · 2026Article
- Information-seeking behaviours, attitudes and practices on sexual and reproductive health among healthcare providers in Pakistan.BMJ public health · 2026Article
- Ectopic Pregnancy Mortality Trends in BRICS: Age-Period-Cohort Analysis of Global Burden Disease 2021 Data and 2030 Forecast.Clinical epidemiology · 2026Article
- Article
- Barriers and facilitators to sexual and reproductive healthcare access for women with severe mental illness in low- and middle-income countries: A qualitative systematic review and meta-aggregation.Global mental health (Cambridge, England) · 2026Review
- Postpartum sexual dysfunction in resource-limited settings: a cross-sectional study of maternal sexual health.BMJ public health · 2026Article
- Historic and future spending estimates of maternal health and family planning in 139 low- and middle-income countries, 2000-2030: a modelling study.BMJ public health · 2026Article
- Access to maternal health services for young women with disabilities in Sub-Saharan Africa: a scoping review protocol.BMJ open · 2025Article
- Exploring barriers and solutions in sexual health services: a qualitative study from Iran.Reproductive health · 2025Article
- Insights Into the Expectations of Infertile Men Regarding Multidisciplinary Reproductive Health Services.Health expectations : an international journal of public participation in health care and health policy · 2025Article
- How Tay adolescent girls and their female carers navigate sexual and reproductive health information.Health promotion international · 2025Article
- The impact of male contraception on global sexual and reproductive health and rights.Contraception · 2025Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
If universal health coverage (UHC) cannot be achieved without the sexual and reproductive health (SRH) needs of the population being met, what then is the current situation vis-à-vis universal coverage of SRH services, and the extent to which SRH services have been prioritised in national UHC plans and processes? This was the central question that guided this critical review of more than 200 publications between 2010 and 2019. The findings are the following. The Essential Package of Healthcare Services (EPHS) across many countries excludes several critical SRH services (e.g. safe abortion services, reproductive cancers) that are already poorly available. Inadequate international and domestic public funding of SRH services contributes to a sustained burden of out-of-pocket expenditure (OOPE) and inequities in access to SRH services. Policy and legal barriers, restrictive gender norms and gender-based inequalities challenge the delivery and access to quality SRH services. The evidence is mixed as to whether an expanded role and scope of the private sector improves availability and access to services of underserved populations. As momentum gathers towards SRH and UHC, the following actions are necessary and urgent. Advocacy for greater priority for SRH in government EPHS and health budgets aligned with SRH and UHC goals is needed. Implementation of stable and sustained financing mechanisms that would reduce the proportion of SRH-financing from OOPE is a priority. Evidence, moving from descriptive towards explanatory studies which provide insights into the "hows" and "whys" of processes and pathways are essential for guiding policy and programme actions.
Indexed as
Identifiers
What OpenQuestion holds
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.