Cite this article：
Ray-Bennett, N.S., Ekezie, W., Biswas, I. et al. Sexual and Reproductive Service Interventions for Menstrual Regulation, Safe Abortion, and Post-abortion Care and Their Effectiveness During Disaster Response: A Global Systematic Review. Int J Disaster Risk Sci (2024). https://doi.org/10.1007/s13753-024-00565-7
性与生殖健康服务干预措施及其在灾害应对期间的有效性：全球范围的系统性综述
Nibedita S. Ray-Bennett, Winifred Ekezie, Isha Biswas, Nimra Iqbal Choudhary, David Cowie, Lasith Dissanayake, Lauren Macleod, Azukaeogo Nnaji & Madhulika Sahoo
摘要：
性与生殖健康（SRH）服务对于女性，尤其是在灾害发生期间至关重要，以减少由流产、不安全流产和流产后并发症导致的孕产妇死亡率和发病率。本研究探讨了在灾害响应期间提供的SRH干预措施。文章进行了系统性综述，以识别在灾害环境中促进健康系统恢复力的月经调节（MR）、安全流产（SA）和流产后护理（PAC）方法/干预措施；评估最有效的干预措施；以及实现SRH权利的挑战和机遇。研究通过检索五个电子数据库，共获得了4194条记录。经过筛选过程，共纳入了七篇研究文章。每篇研究中的干预相关信息均基于可得性、可及性、可接受性和质量进行评估。研究发现了两种SRH方法/干预措施。由于相关研究数量有限，无法评估干预措施的有效性。研究在设施和社区层面均发现了挑战，机遇包括克服这些挑战，将MR、SA和PAC纳入减灾阶段，以及通过政策变革克服与负担不起和难以获得相关的障碍。研究提出了建议，以鼓励在灾害环境中加强忽视的SRH研究和政策，从而实现可持续发展目标3以及全球战略和仙台框架优先促进建设具有灾害恢复力的健康系统的目标。
关键词：
流产；灾害；仙台框架；性与生殖健康；可持续发展目标
Sexual and Reproductive Service Interventions for Menstrual Regulation, Safe Abortion, and Post-abortion Care and Their Effectiveness During Disaster Response: A Global Systematic Review
Nibedita S. Ray-Bennett, Winifred Ekezie, Isha Biswas, Nimra Iqbal Choudhary, David Cowie, Lasith Dissanayake, Lauren Macleod, Azukaeogo Nnaji & Madhulika Sahoo
Abstract：
Sexual and reproductive health (SRH) services are crucial for women especially during disasters, to reduce maternal mortality and morbidity from miscarriages, unsafe abortions, and post-abortion complications. This study explored the SRH interventions provided during disaster response. A systematic review was conducted to identify what menstrual regulation (MR), safe abortion (SA), and post-abortion care (PAC) approaches/interventions exist to promote resilience in the health system in disaster settings; what intervention components were most effective; and challenges and opportunities to meeting SRH rights. Five electronic databases were searched, resulting in 4194 records. Following the screening process, seven publications were included. The intervention-related information in each publication was assessed based on availability, accessibility, acceptability, and quality. Two SRH approaches/interventions were found. The effectiveness of intervention components could not be conducted due to the limited number of relevant studies. Challenges were found at facility and community levels, and opportunities included overcoming them, making MR, SA, and PAC integral to the mitigation phase, and policy change to overcome barriers related to unaffordability and inaccessibility. Recommendations are provided to encourage research and policy towards improving neglected SRH in disaster settings to realize Sustainable Development Goal 3 and the Global Strategy and Sendai Framework’s priority to promote disaster-resilient health systems.
Keywords：
Abortion, Disasters, Sendai framework, Sexual and reproductive health, Sustainable development goal
文章链接：
https://link.springer.com/article/10.1007/s13753-024-00565-7