Evidence map›Paper›PMID 39832970›Full record

SynthesisBMJ open2025

Systematic review of reviews on interventions to engage men and boys as clients, partners and agents of change for improved sexual and reproductive health and rights.

Ann Gottert, Julie Pulerwitz, Renay Weiner, Chantalle Okondo, Jesse Werner, Sarah Magni, Sanyukta Mathur

Abstract readSystematic Review
In one paragraph

Synthesis in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 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.

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

11 citing papers in PubMed, 1 synthesis or guideline 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

7 authors.

Ann GottertPopulation Council, Washington, District of Columbia, USA agottert@popcouncil.org.ORCID http://orcid.org/0000-0001-6422-9478
Julie PulerwitzPopulation Council, Washington, District of Columbia, USA.
Renay WeinerGenesis Analytics Pty Ltd, Johannesburg, Gauteng, South Africa.
Chantalle OkondoPopulation Council Kenya, Nairobi, Kenya.
Jesse WernerGenesis Analytics Pty Ltd, Johannesburg, Gauteng, South Africa.
Sarah MagniGenesis Analytics Pty Ltd, Johannesburg, Gauteng, South Africa.
Sanyukta MathurPopulation Council, Washington, District of Columbia, USA.

Funding

Gates Foundation INV-004578
6 · The paper itself

Abstract

objectivesEvidence regarding interventions to engage men and boys to improve sexual and reproductive health and rights (SRHR) has grown rapidly across subtopics such as HIV, family planning and gender-based violence (GBV). We conducted a review of the effectiveness of interventions to engage men and boys across SRHR domains, lessons learnt about successful programming, and about harms/unintended consequences, in low- and middle-income countries (LMIC).

designSystematic review of reviews following Cochrane guidelines. DATA SOURCES: PubMed, Cumulative Index to Nursing and Allied Health Literature, Web of Science and Cochrane were searched (18 October-9 November 2022; 9 September 2024). ELIGIBILITY CRITERIA: Eligible reviews were published since 2015, covered WHO-defined SRHR domain(s) and focused mostly on LMIC. DATA EXTRACTION AND SYNTHESIS: Data extraction by multiple reviewers focused on intervention effectiveness, implementation best practices, unintended consequences, and quality/risk of bias.

resultsThirty-five systematic reviews were included, comprising ~960 primary studies. Reviews focused on HIV prevention/care, reproductive health, maternal and newborn health, and GBV. Reviews consistently concluded that men were successfully engaged, yielding benefits to both women and men's SRHR outcomes; no adverse intervention impacts on prevalence of SRHR outcomes were reported. We summarised the interventions most consistently found to be effective across reviews, in a programmer-friendly visual mapped onto a framework of men as clients, partners and agents of change. Person-centred, gender-transformative, multilevel approaches were most effective. Remaining evidence gaps include engaging men as contraceptive

conclusionsThere is substantial evidence supporting a range of successful interventions to engage men and boys to improve SRHR, with markedly similar principles and approaches emerging across SRHR domains. It is time to scale up and integrate these strategies, monitoring for any potential harms and tailoring as needed to socio-cultural contexts and for specific vulnerable subpopulations.

Indexed as

Reproductive HealthSexual HealthDeveloping CountriesFemaleGender-Based ViolenceHIV InfectionsHumansMaleHealth EducationPrimary PreventionPsychosocial InterventionREPRODUCTIVE MEDICINESystematic Review

Identifiers

PMID39832970
PMCPMC11751930

What OpenQuestion holds

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LicenceCC BY
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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.