Journal Article
27 Nov 2019
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A forgotten group during humanitarian crises: a systematic review of sexual and reproductive health interventions for young people including adolescents in humanitarian settings

Conflict and Health Lauren Jennings, Asha S. George, Tanya Jacobs, Karl...+1 more
Conflict and Health
Lauren Jennings, Asha S. George, Tanya Jacobs, Karl Blanchet and Neha S. Singh
Global
40 mins
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What you'll learn
Synthesised findings of nine peer-reviewed articles and five pieces of grey literature
  • This systematic review compiles current literature on approaches to improve sexual and reproductive health (SRH) intervention utilisation and outcomes for adolescents in humanitarian settings
  • Almost all articles reported some outcome improvements related to SRH, mostly knowledge and attitudes

While there is evidence that some SRH interventions for young people are being implemented, there are insufficient details of specific intervention components and outcome measurements to be able to adequately describe and assess these interventions.

Key Takeaways
1
Common strategies
Common strategies
Some common strategies for these approaches and programmes included use of peer workers, involving adolescents in a programmatic role, community engagement efforts, mobile clinics, and school-based activities.
2
Evidence base should be strengthened
Evidence base should be strengthened
Despite international commitments to better serve adolescents in this area of health, there is a scarcity of high-quality literature showing robustly measured positive outcomes from programmatic implementation in this setting. Half of the articles reported no improvements on other dimensions of SRH. Hence, future interventions could benefit from a gender transformative approach, targeting both young men and girls.
3
High quality and sex- and age-disaggregated data needed
High quality and sex- and age-disaggregated data needed
There must also be high quality and sex- and age-disaggregated data collected on SRH intervention outcomes in humanitarian settings.
4
Limitations exist in the current evidence
Limitations exist in the current evidence
There are also vital dimensions to SRH that were not discussed in the literature including prevention of maternal-to-child transmission, safe abortion, post-abortion care, urogenital fistulae or female genital mutilation.
A woman wearing pink stands by a green bush in India.

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    Affiliations
    1. Lauren Jennings, Karl Blanchet, Neha S. Singh- Health in Humanitarian Crises Centre, London School of Hygiene and Tropical Medicine
    2. School of Public Health, University of the Western Cape
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