Interventions aiming to improve menstrual, sexual, reproductive, and mental health among out-of-school girls: a systematic review
PurposeOut-of-school adolescent girls (OoSGs) can lack education on menstrual, sexual, reproductive, and mental health (SRMH) and be more vulnerable to SRMH harms. Targeted interventions could reduce these risks. We assessed interventions and their effectiveness among OoSGs globally.MethodsSix onlin...
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Frontiers Media S.A.
2024-12-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2024.1440930/full |
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| author | Karinn Farquharson Alexandra Quinn-Savory Garazi Zulaika Linda Mason Susan Nungo Elizabeth Nyothach Holger Unger Holger Unger Holger Unger Muthusamy Sivakami Philip Spinhoven Penelope A. Phillips-Howard Anna Maria van Eijk |
| author_facet | Karinn Farquharson Alexandra Quinn-Savory Garazi Zulaika Linda Mason Susan Nungo Elizabeth Nyothach Holger Unger Holger Unger Holger Unger Muthusamy Sivakami Philip Spinhoven Penelope A. Phillips-Howard Anna Maria van Eijk |
| author_sort | Karinn Farquharson |
| collection | DOAJ |
| description | PurposeOut-of-school adolescent girls (OoSGs) can lack education on menstrual, sexual, reproductive, and mental health (SRMH) and be more vulnerable to SRMH harms. Targeted interventions could reduce these risks. We assessed interventions and their effectiveness among OoSGs globally.MethodsSix online databases were searched for interventional studies targeting SRMH problems in OoSGs. Two coders independently abstracted data from each eligible study, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. We summarized results using forest plots.ResultsA total of 1,244 studies were screened; eight studies with sufficient information on SRMH outcomes were included (9,084 OoSGs, range 100–3,026 per study, overall study quality low-to-moderate). Six were educational programmes, and two were cash interventions; no study was directed at mental health. Participants were recruited through village census, outreach workers, and work locations. Some improvements were seen in indicators of SRMH knowledge (four studies), attitudes (one study), and risky sexual behaviors (four studies); however, no reduction was seen in human immunodeficiency virus or herpes simplex virus-2 incidence (two studies).DiscussionThis review suggests that programmes can improve OosG’s SRMH knowledge, attitudes, and practices and can be delivered in low resource contexts. Effective interventions are needed to support OoSGs, including interventions focusing on SRMH support incorporating elements of cash-transfer, and comprehensive sexual education, and to aid local policy and programming. |
| format | Article |
| id | doaj-art-b5150f21fba64666a28631a1ad58baef |
| institution | Kabale University |
| issn | 2296-2565 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj-art-b5150f21fba64666a28631a1ad58baef2024-12-05T08:34:28ZengFrontiers Media S.A.Frontiers in Public Health2296-25652024-12-011210.3389/fpubh.2024.14409301440930Interventions aiming to improve menstrual, sexual, reproductive, and mental health among out-of-school girls: a systematic reviewKarinn Farquharson0Alexandra Quinn-Savory1Garazi Zulaika2Linda Mason3Susan Nungo4Elizabeth Nyothach5Holger Unger6Holger Unger7Holger Unger8Muthusamy Sivakami9Philip Spinhoven10Penelope A. Phillips-Howard11Anna Maria van Eijk12Department of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, United KingdomDepartment of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, United KingdomDepartment of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, United KingdomDepartment of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, United KingdomDepartment of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, United KingdomCenter for Global Health Research, Kenya Medical Research Institute, Kisumu, KenyaDepartment of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, United KingdomGlobal and Tropical Health Division, Menzies School of Health Research, Charles Darwin University, Darwin, NT, AustraliaDepartment of Obstetrics and Gynaecology, Royal Darwin Hospital, Tiwi, NT, AustraliaSchool of Population and Global Health, Tata Institute of Social Sciences, Mumbai, IndiaDepartment of Psychiatry, Leiden University Medical Center, Leiden, NetherlandsDepartment of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, United KingdomDepartment of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, United KingdomPurposeOut-of-school adolescent girls (OoSGs) can lack education on menstrual, sexual, reproductive, and mental health (SRMH) and be more vulnerable to SRMH harms. Targeted interventions could reduce these risks. We assessed interventions and their effectiveness among OoSGs globally.MethodsSix online databases were searched for interventional studies targeting SRMH problems in OoSGs. Two coders independently abstracted data from each eligible study, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. We summarized results using forest plots.ResultsA total of 1,244 studies were screened; eight studies with sufficient information on SRMH outcomes were included (9,084 OoSGs, range 100–3,026 per study, overall study quality low-to-moderate). Six were educational programmes, and two were cash interventions; no study was directed at mental health. Participants were recruited through village census, outreach workers, and work locations. Some improvements were seen in indicators of SRMH knowledge (four studies), attitudes (one study), and risky sexual behaviors (four studies); however, no reduction was seen in human immunodeficiency virus or herpes simplex virus-2 incidence (two studies).DiscussionThis review suggests that programmes can improve OosG’s SRMH knowledge, attitudes, and practices and can be delivered in low resource contexts. Effective interventions are needed to support OoSGs, including interventions focusing on SRMH support incorporating elements of cash-transfer, and comprehensive sexual education, and to aid local policy and programming.https://www.frontiersin.org/articles/10.3389/fpubh.2024.1440930/fullout-of-school girlssexual and reproductive healthmental healthmenstrual healthknowledge |
| spellingShingle | Karinn Farquharson Alexandra Quinn-Savory Garazi Zulaika Linda Mason Susan Nungo Elizabeth Nyothach Holger Unger Holger Unger Holger Unger Muthusamy Sivakami Philip Spinhoven Penelope A. Phillips-Howard Anna Maria van Eijk Interventions aiming to improve menstrual, sexual, reproductive, and mental health among out-of-school girls: a systematic review Frontiers in Public Health out-of-school girls sexual and reproductive health mental health menstrual health knowledge |
| title | Interventions aiming to improve menstrual, sexual, reproductive, and mental health among out-of-school girls: a systematic review |
| title_full | Interventions aiming to improve menstrual, sexual, reproductive, and mental health among out-of-school girls: a systematic review |
| title_fullStr | Interventions aiming to improve menstrual, sexual, reproductive, and mental health among out-of-school girls: a systematic review |
| title_full_unstemmed | Interventions aiming to improve menstrual, sexual, reproductive, and mental health among out-of-school girls: a systematic review |
| title_short | Interventions aiming to improve menstrual, sexual, reproductive, and mental health among out-of-school girls: a systematic review |
| title_sort | interventions aiming to improve menstrual sexual reproductive and mental health among out of school girls a systematic review |
| topic | out-of-school girls sexual and reproductive health mental health menstrual health knowledge |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2024.1440930/full |
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