The role of social capital in women’s sexual and reproductive health and rights in humanitarian settings: a systematic review of qualitative studies

Abstract Background Social capital is an important social determinant of women’s sexual and reproductive health and rights. Little research has been conducted to understand the role of social capital in women’s sexual and reproductive health and how this can be harnessed to improve health in humanit...

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Autores principales:	Hannah Ireland, Nguyen Toan Tran, Angela Dawson
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Sexual and reproductive health and rights Social capital Humanitarian Social support Conflict Natural disaster Special situations and conditions RC952-1245 Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
Acceso en línea:	https://doaj.org/article/4f0e793e9a6d4ecd95ccdfd10935b8ed
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spelling	oai:doaj.org-article:4f0e793e9a6d4ecd95ccdfd10935b8ed2021-11-28T12:09:22ZThe role of social capital in women’s sexual and reproductive health and rights in humanitarian settings: a systematic review of qualitative studies10.1186/s13031-021-00421-11752-1505https://doaj.org/article/4f0e793e9a6d4ecd95ccdfd10935b8ed2021-11-01T00:00:00Zhttps://doi.org/10.1186/s13031-021-00421-1https://doaj.org/toc/1752-1505Abstract Background Social capital is an important social determinant of women’s sexual and reproductive health and rights. Little research has been conducted to understand the role of social capital in women’s sexual and reproductive health and how this can be harnessed to improve health in humanitarian settings. We synthesised the evidence to examine the nexus of women’s sexual and reproductive health and rights and social capital in humanitarian contexts. Methods We undertook a systematic review of qualitative studies. The preferred reporting items for systematic review and meta-analysis guidelines were used to identify peer-reviewed, qualitative studies conducted in humanitarian settings published since 1999. We searched CINAHL, MEDLINE, ProQuest Health & Medicine, PubMed, Embase and Web of science core collection and assessed quality using the Critical Appraisal Skills Programme tool. We used a meta-ethnographic approach to synthesise and analyse the data. Findings Of 6749 initially identified studies, we included 19 studies, of which 18 were in conflict-related humanitarian settings and one in a natural disaster setting. The analysis revealed that the main form of social capital available to women was bonding social capital or strong links between people within groups of similar characteristics. There was limited use of bridging social capital, consisting of weaker connections between people of approximately equal status and power but with different characteristics. The primary social capital mechanisms that played a role in women’s sexual and reproductive health and rights were social support, informal social control and collective action. Depending on the nature of the values, norms and traditions shared by network members, these social capital mechanisms had the potential to both facilitate and hinder positive health outcomes for women. Conclusions These findings demonstrate the importance of understanding social capital in planning sexual and reproductive health responses in humanitarian settings. The analysis highlights the need to investigate social capital from an individual perspective to expose the intra-network dynamics that shape women’s experiences. Insights could help inform community-based preparedness and response programs aimed at improving the demand for and access to quality sexual and reproductive health services in humanitarian settings.Hannah IrelandNguyen Toan TranAngela DawsonBMCarticleSexual and reproductive health and rightsSocial capitalHumanitarianSocial supportConflictNatural disasterSpecial situations and conditionsRC952-1245Medical emergencies. Critical care. Intensive care. First aidRC86-88.9ENConflict and Health, Vol 15, Iss 1, Pp 1-12 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Sexual and reproductive health and rights Social capital Humanitarian Social support Conflict Natural disaster Special situations and conditions RC952-1245 Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
spellingShingle	Sexual and reproductive health and rights Social capital Humanitarian Social support Conflict Natural disaster Special situations and conditions RC952-1245 Medical emergencies. Critical care. Intensive care. First aid RC86-88.9 Hannah Ireland Nguyen Toan Tran Angela Dawson The role of social capital in women’s sexual and reproductive health and rights in humanitarian settings: a systematic review of qualitative studies
description	Abstract Background Social capital is an important social determinant of women’s sexual and reproductive health and rights. Little research has been conducted to understand the role of social capital in women’s sexual and reproductive health and how this can be harnessed to improve health in humanitarian settings. We synthesised the evidence to examine the nexus of women’s sexual and reproductive health and rights and social capital in humanitarian contexts. Methods We undertook a systematic review of qualitative studies. The preferred reporting items for systematic review and meta-analysis guidelines were used to identify peer-reviewed, qualitative studies conducted in humanitarian settings published since 1999. We searched CINAHL, MEDLINE, ProQuest Health & Medicine, PubMed, Embase and Web of science core collection and assessed quality using the Critical Appraisal Skills Programme tool. We used a meta-ethnographic approach to synthesise and analyse the data. Findings Of 6749 initially identified studies, we included 19 studies, of which 18 were in conflict-related humanitarian settings and one in a natural disaster setting. The analysis revealed that the main form of social capital available to women was bonding social capital or strong links between people within groups of similar characteristics. There was limited use of bridging social capital, consisting of weaker connections between people of approximately equal status and power but with different characteristics. The primary social capital mechanisms that played a role in women’s sexual and reproductive health and rights were social support, informal social control and collective action. Depending on the nature of the values, norms and traditions shared by network members, these social capital mechanisms had the potential to both facilitate and hinder positive health outcomes for women. Conclusions These findings demonstrate the importance of understanding social capital in planning sexual and reproductive health responses in humanitarian settings. The analysis highlights the need to investigate social capital from an individual perspective to expose the intra-network dynamics that shape women’s experiences. Insights could help inform community-based preparedness and response programs aimed at improving the demand for and access to quality sexual and reproductive health services in humanitarian settings.
format	article
author	Hannah Ireland Nguyen Toan Tran Angela Dawson
author_facet	Hannah Ireland Nguyen Toan Tran Angela Dawson
author_sort	Hannah Ireland
title	The role of social capital in women’s sexual and reproductive health and rights in humanitarian settings: a systematic review of qualitative studies
title_short	The role of social capital in women’s sexual and reproductive health and rights in humanitarian settings: a systematic review of qualitative studies
title_full	The role of social capital in women’s sexual and reproductive health and rights in humanitarian settings: a systematic review of qualitative studies
title_fullStr	The role of social capital in women’s sexual and reproductive health and rights in humanitarian settings: a systematic review of qualitative studies
title_full_unstemmed	The role of social capital in women’s sexual and reproductive health and rights in humanitarian settings: a systematic review of qualitative studies
title_sort	role of social capital in women’s sexual and reproductive health and rights in humanitarian settings: a systematic review of qualitative studies
publisher	BMC
publishDate	2021
url	https://doaj.org/article/4f0e793e9a6d4ecd95ccdfd10935b8ed
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The role of social capital in women’s sexual and reproductive health and rights in humanitarian settings: a systematic review of qualitative studies

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