The social and structural determinants of sexual and reproductive health and rights in migrants and refugees: a systematic review of reviews (original) (raw)
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Sexual and Reproductive Health and Rights of Refugees, Asylum Seekers & Undocumented Migrants
2009
CHAPTER 4: LITERATURE REVIEW Background 19 4.1. Introduction 24 4.1.1 Background and rationale 4.1.2 Methodology used and limitations 4.1.3 Definitions of SRH&R Sexual Health 26 Reproductive Health 26 Sexual and Reproductive Health Rights 27 Sexual and Reproductive Health Care 27 4.2 Why research on sexual and reproductive health and rights? 28 4.3 Why research on SRH&R for refugees, asylum seekers and undocumented migrants? 29 4.4 What do we know already regarding the SRH&R of refugees, asylum seekers and undocumented migrants? 31 4.4.1 General SRH issues 4.4.1.1 SRH data collection 4.4.1.2 Access to SRH services 4.4.1.3 SRH in emergency settings 4.4.2 Maternal and newborn health 4.4.2.1 Prevalence/epidemiology 4.4.2.2 Needs assessments/accessibility of services 4.4.2.3 Service delivery (care and treatment) and service use 4.4.3 Sexually transmitted infections 4.4.3.1 Prevalence/epidemiology 4.4.3.2 Service delivery (care/treatment) and service use 4.4.4 HIV/AIDS 4.4.4.1 Prevalence/epidemiology 4.4.4.2 Needs assessments/accessibility of services 4.4.4.3 Service delivery (care/treatment) and service use En-HEra! rEport 1 III 4.4.5 Sexual and gender-based violence 42 4.4.5.1 Domestic violence 4.4.5.2 Sexual violence during the refugee cycle 4.4.6 Harmful traditional practices/female genital mutilation 45 4.4.6.1 Prevalence/epidemiology 4.4.6.2 Needs assessments, service accessibility and service use 4.4.6.3 Service delivery and service use 4.4.6.4 Policy research/development 4.4.7 Family planning and contraception 47 4.4.7.1 Prevalence/epidemiology 4.4.7.2 Needs assessments/accessibility of services 4.4.7.3 Service accessibility and service use 4.4.7.4 Quality of service delivery 4.4.8 Abortion 49 4.4.8.1 Prevalence/epidemiology 4.4.8.2 Service accessibility and service use 4.4.8.3 Policies/programmatic issues 4.4.9 Gynaecology, infertility and cancers 50 4.4.9.1 Prevalence, epidemiology 4.4.9.2 Service accessibility and service use 4.4.10 General health issues related to refugees, asylum seekers and migrants 51 4.4.10.1 EU health policies and rights 4.4.10.1.1 Right to sexual and reproductive health 4.4.10.1.2 Right to health for refugees and asylum seekers 4.4.10.1.3 Right to health for undocumented migrants 4.4.10.2 National health policy research 4.4.10.3 Guidelines on (reproductive) health for refugees, asylum seekers and migrants 4.4.10.4 Use of health services by (undocumented) migrants 4.5 Challenges in research on SRH for refugees, asylum seekers and migrants 55 4.5.1 Research questions/determinants of health 55 INHOUD IV 4.5.2 Main gaps identified in research regarding SRH of refugees, asylum seekers and migrants Quality in research Forgotten groups Forgotten themes Forgotten geographical areas Forgotten types/methods of research 4.6 Challenges in conducting SRH research with refugees, asylum seekers and migrants 4.6.1 Guiding principles 4.6.2 Dissemination of research results 4.7 Conclusion CHAPTER 5: EN-HERA! RESEARCH AGENDA 5.1 Background and rationale 5.2 The research agenda as presented at the first EN-HERA! meeting 5.2.1 Why should research on the SRH&R of asylum seekers, refugees and undocumented migrants be conducted? 5.2.2 Literature review of SRH&R issues related to refugees, asylum seekers and (un)documented migrants 5.2.3 Identification of the existing gaps, specifying the forgotten groups, themes and research methodologies 5.2.4 Summary of the research interests of the founding members of the EN-HERA! network 5.2.5 The way forward: potential research topics to be developed 5.2.6 Operational grants for funding the EN-HERA! network structure 5.2.7 Submitted research proposals 5.2.8 Potential research proposals
International Journal of Gynecology & Obstetrics
Ensuring universal access to sexual and reproductive healthcare services is Target 3.7 of the United Nations Sustainable Development Goals (SDG). Refugee and migrant women and children are at particular risk of being forgotten in the global momentum to achieve this target. In this article we discuss the violations of sexual and reproductive health and rights (SRHR) of particular relevance to the refugee and migrant reality. We give contextspecific examples of denial of health services to vulnerable groups; lack of dignity as a barrier to care; the vulnerability of adolescents; child marriage; weaponized rape; genderbased violence; and sexual trafficking. We discuss rights frameworks and models that are being used in response to these situations, as well as what remains to be done. Specifically, we call for obstetricians and gynecologists to act as individual providers and through their FIGO member societies to protect women's health and rights in these exposed settings.
International journal of behavioral medicine, 2017
Migrant and refugee women are at risk of negative sexual and reproductive health (SRH) outcomes due to low utilisation of SRH services. SRH is shaped by socio-cultural factors which can act as barriers to knowledge and influence access to healthcare. Research is needed to examine constructions and experiences of SRH in non-English-speaking migrant and refugee women, across a range of cultural groups. This qualitative study examined the constructions and experiences of SRH among recent migrant and refugee women living in Sydney, Australia, and Vancouver, Canada. A total of 169 women from Afghanistan, Iraq, Somalia, South Sudan, Sudan, India, Sri Lanka and South America participated in the study, through 84 individual interviews, and 16 focus groups comprised of 85 participants. Thematic analysis was used to analyse the data. Three themes were identified: "women's assessments of inadequate knowledge of sexual and reproductive health and preventative screening practices",...
International Journal of Public Health
Objectives: Migrants and refugee youth (MRY) in Western nations are less likely to participate in sexual reproductive health (SRH) services. Consequently, MRY are more likely to encounter adverse SRH experiences due to limited access to and knowledge of SRH services. A scoping review was conducted to examine MRY’s understanding of and the implications for inclusive sexual and reproductive health and rights (SRHR) programs and policies.Methods: A systematic search of literature across seven academic databases was conducted. Data were extracted following Partners for Dignity and Rights’ Human Rights Assessment framework and analysed using the thematic-synthesis method.Results: 38 literature (peer-reviewed, 24 and grey, 14) were considered eligible for inclusion. The findings highlighted significant barriers and the under-implementation of SRHR support and services by MRY. Key policy implications include a need for programs to support MRY’s SRHR education, diversity, equity and inclusi...
Reproductive health, 2024
Background Most forcibly displaced persons are hosted in low-and middle-income countries (LMIC). There is a growing urbanization of forcibly displaced persons, whereby most refugees and nearly half of internally displaced persons live in urban areas. This scoping review assesses the sexual and reproductive health (SRH) needs, outcomes, and priorities among forcibly displaced persons living in urban LMIC. Methods Following The Joanna Briggs Institute scoping review methodology we searched eight databases for literature published between 1998 and 2023 on SRH needs among urban refugees in LMIC. SHR was operationalized as any dimension of sexual health (comprehensive sexuality education [CSE]; sexual and gender based violence [GBV]; HIV and STI prevention and control; sexual function and psychosexual counseling) and/or reproductive health (antental, intrapartum, and postnatal care; contraception; fertility care; safe abortion care). Searches included peer-reviewed and grey literature studies across quantitative, qualitative, or mixed-methods designs. Findings The review included 92 studies spanning 100 countries: 55 peer-reviewed publications and 37 grey literature reports. Most peer-reviewed articles (n = 38) discussed sexual health domains including: GBV (n = 23); HIV/ STI (n = 19); and CSE (n = 12). Over one-third (n = 20) discussed reproductive health, including: antenatal, intrapartum and postnatal care (n = 13); contraception (n = 13); fertility (n = 1); and safe abortion (n = 1). Eight included both reproductive and sexual health. Most grey literature (n = 29) examined GBV vulnerabilities. Themes across studies revealed social-ecological barriers to realizing optimal SRH and accessing SRH services, including factors spanning structural (e.g., livelihood loss), health institution (e.g., lack of health insurance), community (e.g., reduced social support), interpersonal (e.g., gender inequitable relationships), and intrapersonal (e.g., low literacy) levels. Conclusions This review identified displacement processes, resource insecurities, and multiple forms of stigma as factors contributing to poor SRH outcomes, as well as producing SRH access barriers for forcibly displaced individuals in urban LMIC. Findings have implications for mobilizing innovative approaches such as self-care strategies for SRH (e.g., HIV self-testing) to address these gaps. Regions such as Africa, Latin America, and the Caribbean are
A Systematic Review of Refugee Women's Reproductive Health
2000
Resettling refugee women may be at greater risk than other women for several harmful reproductive health out- comes as a result of their migration experience. The objec- tive of this study was to determine differences in reproductive health status between refugee women in countries of resettlement and non-refugee counterparts. A systematic review of the literature culled from five elec- tronic