Sexual and Reproductive Health
This review has found a number of peer reviewed studies and grey literature on interventions targeted at sex workers for HIV prevention. Several were systematic reviews, some comprehensive reviews and policy papers. A number of individual studies focused on cost effectiveness are presented. Two interventions in India are considered particularly effective and scalable interventions. A… Read more
Research on the cost-effectiveness of interventions to improve SRH for adolescents is limited. This rapid review includes research on some interventions which focus specifically on girls and some research on programmes for both boys and girls. Three studies were identified that specifically analysed cost-effectiveness of SRH interventions for adolescents in low- and middle-income countries (see… Read more
Evaluation of the evidence on the effectiveness of male circumcision (MC) suggests that implementation should be accelerated in sub-Saharan Africa. Experts reviewing six simulation models agree that programmes that focus on subpopulations with a high HIV prevalence and incidence would have substantial impact on HIV incidence. The review of the six simulation models found estimates… Read more
This helpdesk identified a number of reviews on adolescent SRH. Key findings include: Facilitating school attendance reduces childbearing and schools are an effective platform for reproductive health education. To improve access and use one review recommends: enacting and implementing laws and policies requiring education and reproductive health services, building community support for contraception provision; providing… Read more
This helpdesk query looks at interventions to improve the quality of care in maternal, newborn, and child health (MNCH) and sexual and reproductive health (SRH). It includes evidence assessing which interventions are likely to have the best impact on service outputs and health outcomes, with an emphasis on cost effectiveness. The MNCH focus is on… Read more
The key message from the evidence that although long acting and permanent methods of contraception incur higher initial costs than short acting methods, the long term protection that they provide and substantially greater effectiveness at preventing unintended pregnancies means that their overall cost-effectiveness is higher. Research included in this review describe this key message, including… Read more
This helpdesk provides a rapid analysis on the existing evidence related to effective behaviour change interventions. It has a particular focus on where interventions are related to hygiene and sanitation, nutrition, gender based violence, indoor air pollution, family planning adoption, unsafe sex, motor vehicle driving. The geographic focus is Malawi, but where necessary it draws… Read more
Dr Haja Wurie is based at the College of Medicine and Allied Health Sciences in Freetown, Sierra Leone. In this HEART talks video she describes the rebuilding of health systems in the post-conflict period in Sierra Leone as ‘fire-fighting’. This meant that the response did not adequately capture gender. Ensuring service provision for women and… Read more
This is the 2014 annual review of DFID’s £17M Ghana Adolescent Reproductive Health (ARH) programme (2013 – 2017). It is the second annual review of the programme and covers the period from January to December 2014. The ARH programme is working to improve reproductive health knowledge and behaviour for up to 350,000 adolescents and strengthen… Read more
Female Genital Mutilation/Cutting (FGM/C) is a harmful traditional practice with severe health complications, deeply rooted in many Sub-Saharan African countries. In The Gambia, the prevalence of FGM/C is 78.3% in women aged between 15 and 49 years. The objective of this study is to perform a first evaluation of the magnitude of the health consequences… Read more
In November 2015, President Yahya Jammeh of the Gambia banned, effective immediately, the practice of Female Genital Mutilation (FGM) in the Gambia. This pronouncement was made as part of activities to mark the 16 days of Activism against Gender Based Violence for 2015. The ban follows over 30 years of efforts to end FGM in… Read more