Emily Warren|Nathan Post|Mazeda Hossain|Karl Blanchet|Bayard Roberts
Systematic review of the evidence on the effectiveness of sexual and reproductive health interventions in humanitarian crises
London School of Hygiene & Tropical Medicine|Newcastle University|London School of Hygiene & Tropical Medicine|London School of Hygiene & Tropical Medicine|London School of Hygiene & Tropical Medicine
systematic review aims evaluate evidence effectiveness sexual reproductive health srh interventions delivered humanitarian crisescrisis affected lowincome middleincome countriescrisisaffected populations lowincome middleincome countriespeerreviewed grey literature sources systematically searched relevant papers detailing interventions 1 january 1980 search date 30 april 2013 data included studies extracted papers quality evaluated using criteria based modified strobe consort checklistsprimary outcomes include limited changes morbidity mortality sexually transmitted infection sti diagnosis genderbased violence secondary outcomes include limited reported condom use skilled attendance birth primary outputs include limited condoms distributed education courses taughtof 7149 returned citations 15 studies met inclusion criteria one randomised controlled trial identified remaining observational studies moderate quality demonstrating limited use controls inadequate attempts address bias evidence effectiveness available following interventions impregnated bed nets pregnant women subsidised refugee healthcare female community health workers tiered community reproductive health servicesthe limited evidence base srh interventions highlights need improved research effectiveness public health interventions humanitarian crises interventions proven efficacious stable settings used humanitarian efforts evidence required demonstrate effectiveness delivering scalingup interventions humanitarian crises