Evidence map›Paper›PMID 33914834›Full record

SynthesisPloS one2021

Rights based approaches to sexual and reproductive health in low and middle-income countries: A systematic review.

Majel McGranahan, Joselyn Nakyeyune, Christopher Baguma, Nakibuuka Noor Musisi, Derrick Nsibirwa, Sharifah Sekalala, Oyinlola Oyebode

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
3.5field-weighted citation impact, top 8% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 15 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Review
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

7 authors at 2 institutions in 2 countries.

Majel McGranahanUniversity of Warwick Medical School, Coventry, West Midlands, United Kingdom.ORCID 0000-0002-5892-0729
Joselyn NakyeyuneCenter for Health, Human Rights and Development (CEHURD), Kampala, Uganda.
Christopher BagumaCenter for Health, Human Rights and Development (CEHURD), Kampala, Uganda.
Nakibuuka Noor MusisiCenter for Health, Human Rights and Development (CEHURD), Kampala, Uganda.
Derrick NsibirwaCenter for Health, Human Rights and Development (CEHURD), Kampala, Uganda.
Sharifah SekalalaUniversity of Warwick, Law School, Coventry, West Midlands, United Kingdom.
Oyinlola OyebodeUniversity of Warwick Medical School, Coventry, West Midlands, United Kingdom.
Center for Health, Human Rights and Development · UGUniversity of Warwick · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe Sustainable Development Goals, which are grounded in human rights, involve empowering women and girls and ensuring that everyone can access sexual and reproductive health and rights (Goal 5). This is the first systematic review reporting interventions involving rights-based approaches for sexual and reproductive health issues including gender-based violence, maternity, HIV and sexually transmitted infections in low and middle-income countries.

aimsTo describe the evidence on rights-based approaches to sexual and reproductive health in low and middle-income countries.

methodsEMBASE, MEDLINE and Web of Science were searched until 9/1/2020. Inclusion criteria were: Study design: any interventional study.Population: females aged over 15 living in low and middle-income countries.Intervention: a "rights-based approach" (defined by the author) and/or interventions that the author explicitly stated related to "rights".Comparator: clusters in which no intervention or fewer components of an intervention were in place, or individuals not exposed to interventions, or exposed to fewer intervention components.Outcome: Sexual and reproductive health related outcomes. A narrative synthesis of included studies was undertaken, and outcomes mapped to identify evidence gaps. The systematic review protocol was registered on PROSPERO (CRD42019158950).

resultsDatabase searching identified 17,212 records, and 13,404 studies remained after de-duplication. Twenty-four studies were included after title and abstract, full-text and reference-list screening by two authors independently. Rights-based interventions were effective for some included outcomes, but evidence was of poor quality. Testing uptake for HIV and/or other sexually transmitted infections, condom use, and awareness of rights improved with intervention, but all relevant studies were at high, critical or serious risk of bias. No study included gender-based violence outcomes.

conclusionConsiderable risk of bias in all studies means results must be interpreted with caution. High-quality controlled studies are needed urgently in this area.

Indexed as

AdolescentDeveloping CountriesFemaleGender-Based ViolenceHealth PromotionHuman RightsHumansPregnancyReproductive HealthReproductive Health ServicesSexual BehaviorSexually Transmitted DiseasesYoung Adult

Identifiers

PMID33914834
PMCPMC8084237
OpenAlexW3157790124

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.