Mapping of person-centred sexual and reproductive health interventions at primary healthcare settings: An umbrella review
Notice bibliographique
Résumé
ABSTRACT Introduction Sexual and reproductive health (SRH) is an essential component of primary healthcare (PHC). Advancing person-centred SRH promotes gender equality and ensures women and girls access high-quality care that respects their autonomy. This umbrella review synthesises key findings on existing person-centred SRH interventions in primary care settings, globally. Methods Searches were conducted in five bibliometric databases from 2016-2024. Reviews were included if they referred to person-centred SRH interventions, aimed at enhancing women’s autonomy, in PHCs. Two researchers independently screened reviews for inclusion, extracted and appraised quality of eligible reviews. Data was synthesised to identify themes and related person-centeredness. Results Of 1,300 identified reviews, 21 were included (twelve scoping, seven systematic, one integrative, and one narrative review). Geographic scope varied where eight were global, six focused on low- and middle-Income countries, and seven on high-income countries. These reviews explored multiple SRH topics (e.g., family planning, STIs/HIV, breast/cervical cancer). Four reviews explicitly referred to person-centredness; otherwise, person-centeredness was inferred. Synthesis identified five themes:1-Interactive decision- and counselling-support tools;2-Provider-initiated clinical prompts/support; 3-Remote/digital information channels;4-Integrated service delivery and accessibility strategies; and 5-Social/peer-led navigation. These interventions mainly addressed person-centred care domains of autonomy, dignity and communication, while trust, social support, and facility environment were addressed less. Conclusions Person-centred SRH interventions in PHCs have varied delivery modes highlighting innovation and a shift towards SRH care that is more responsive, accessible and respectful. Nevertheless, given limited explicit evaluation of person-centredness, future interventions need to encompass person-centred components to achieve holistic, person-centred SRH care for women and girls. SUMMARY BOX - Key Messages What is already known about the topic There are numerous existing systematic and scoping reviews on Sexual and Reproductive Health (SRH) interventions tackling specific SRH services. Despite this growing body of evidence and many reviews on SRH services and interventions, the existing literature is fragmented and often fails to address person-centeredness of these services and interventions. To our knowledge, no previous umbrella review has synthesised the available evidence and specifically addressed the concept of person-centred SRH care within primary healthcare settings. What this study adds This umbrella review provides a comprehensive overview of person-centred SRH interventions by synthesising high-level findings from 21 eligible reviews. By collating a global collection of systematic and scoping reviews on various SRH topics, this study highlights the available SRH interventions, describing their person-centredness, a concept that is not widely emphasised in the existing literature. It presents a high-level narrative synthesis, offering a comprehensive overview of the available person-centred SRH interventions in primary care settings that have the potential to enhance girls’ and women’s autonomy. How this study might affect research, practice and policy This umbrella review underscores the limited emphasis on person-centred SRH interventions, and the need to design more holistic, tailored interventions that consider the multiple domains of person-centred care to ensure women receive respectful SRH services that ensure autonomy, choice and supportive care. The synthesis of results highlights the need for standardised measurements of clinical and person-centred care outcome indicators.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,029 | 0,123 |
| Méta-épidémiologie (sens strict) | 0,002 | 0,002 |
| Méta-épidémiologie (sens large) | 0,008 | 0,007 |
| Bibliométrie | 0,029 | 0,029 |
| Études des sciences et des technologies | 0,001 | 0,002 |
| Communication savante | 0,008 | 0,006 |
| Science ouverte | 0,003 | 0,004 |
| Intégrité de la recherche | 0,003 | 0,002 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,007 | 0,001 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».