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IAWG Global Evaluation: Literature Review. Global Evaluation Steering Committee Meeting February 12, 2014. Methodology. Overarching question: what is the evidence regarding RH services provided in humanitarian settings and what is the quality of that evidence?
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IAWG Global Evaluation:Literature Review Global Evaluation Steering Committee Meeting February 12, 2014
Methodology • Overarching question: what is the evidence regarding RH services provided in humanitarian settings and what is the quality of that evidence? • Is the level of RH services being provided going beyond the basics to provide the recommended standard of care? • Which RH technical services are better covered than others? • How well are the services being implemented? • Are services/programs being evaluated?
Recommended standard of care for each RH technical area • EmOC: all signal functions available 24/7 • FP: all methods including long-acting and permanent • HIV: ARVs, PMTCT with triple therapy • GBV: clinical care including EC, PEP, STI prophylaxis and treatment of injuries, referral to psychosocial care
No. of records identified through database searching: Ovid Medline + PubMed +PopLine+ Jstor (duplicates removed) = 4,797 No. of records excluded based on a review of the title or abstract: 4,190 No. of records excluded based on the abstract or full-text review as needed: 291 No. of records for abstract or full-text review: 333 No. of studies included in qualitative synthesis: 41which describe 33different programs or settings
Preliminary results • Which RH technical services are better covered than others? • EmOC/safe motherhood: 9 • FP: 7 • HIV/STI: 14 • GBV: 6 • General RH: 1 (FP and ANC mentioned)
Types of studies • Facility assessment or other general assessments not linked to specific programs or baseline only: 11 • Pre/post evaluation: 5 • Cross-sectional studies: 4 • Cohort study: 1 • Program data: 8 • Qualitative methods: 4 • 16 not linked to programs (or present only baseline data) • 20 linked to programs