The health-sector response to gender-based violence and sexual reproductive health programmes in commonwealth and selected African countries: a mixed-methods systematic review and meta-analysis

A narrative synthesis described the diversity of interventions for GBV, VAWG, and SRHR. A meta-analysis of eligible randomised controlled trials (RCTs) was conducted to evaluate the efficacy of interventions aimed at enhancing SRHR knowledge and attitudes among adolescents, couples, and partners. We included 60 studies on GBV, VAWG and SRHR interventions.

Nine studies were included in the meta-analysis. A range of education-based interventions for SRHR were implemented resulting in improved SRHR knowledge and attitudes among adolescents, couples, and partners (OR 2.47, 95% CI: 1.51–4.03). When compared with cluster RCTs (OR 2.28, 95% CI: 1.49–4.80), RCTs provided moderate evidence of improving SRHR knowledge and attitudes (OR 1.78, 95% CI: 1.14–2.77).

Home-based visits, education based interventions, one-way or two-way SMS with health education messages, and youth-friendly health services (YFHS) may all be essential for enhancing SRHR knowledge and attitudes among partners, couples, and adolescents.