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Programs and practices that support pregnant people who use drugs' access to sexual and reproductive health care in Canada: a scoping review

BMC pregnancy and childbirth, 2024-01, Vol.24 (1), p.72-72, Article 72 [Peer Reviewed Journal]

2024. The Author(s). ;2024. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;The Author(s) 2024 ;ISSN: 1471-2393 ;EISSN: 1471-2393 ;DOI: 10.1186/s12884-023-06225-w ;PMID: 38254076

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  • Title:
    Programs and practices that support pregnant people who use drugs' access to sexual and reproductive health care in Canada: a scoping review
  • Author: Mathias, Holly ; Foster, Lesley Ann ; Rushton, Ashleigh
  • Subjects: Abortion ; Birth control ; Canada ; Child ; Colonialism ; Drug use ; Family planning ; Female ; Gender-based violence ; Harm reduction ; Harm reduction ; Health care ; Health services ; Humans ; Industrialized nations ; Maternal mortality ; Narcotics ; Native North Americans ; Pregnancy ; Racism ; Reproduction ; Reproductive Health ; Reproductive justice ; Sexual Behavior ; Sexually transmitted diseases ; STD ; Substance use ; Substance-Related Disorders ; Sustainable development ; Womens health
  • Is Part Of: BMC pregnancy and childbirth, 2024-01, Vol.24 (1), p.72-72, Article 72
  • Description: Pregnant people who use unregulated drugs (PPWUD) are at high risk of health complications yet experience a range of barriers to sexual and reproductive health care. Given that improving maternal health and access to reproductive health care are key targets underpinning the Sustainable Development Goals (SDG), there is an urgent need to improve access to appropriate supports and services for this population. Little is known about what programs and practices exist to support PPWUD's access to sexual and reproductive health care. This scoping review aimed to identify the available literature on these programs and practices in Canada. A scoping review was conducted using JBI methodology and reported using PRISMA guidelines. Scholarly databases and grey literature sources were searched to identify literature published between 2016-2023 in English or French that discussed, defined, conceptualised, or evaluated programs and practices that support PPWUD's access to sexual and reproductive health care in Canada. Identified literature was screened using Covidence. Data were extracted from included texts, then analysed descriptively. Frequencies and key concepts were reported. A total of 71 articles were included, most of which were grey literature. Of the total, 46 unique programs were identified, as well as several useful practices. Most programs were in urban centres in Western Canada, and most programs offered holistic 'wrap-around services.' Several programs delivered these services on-site or as 'drop-in' programs with the support of staff with lived/living experience of substance use. Most frequent program outcomes included keeping parents and children together, improving connection to other services, and reducing substance use harms. Noted helpful practices included non-judgmental care and the use of harm-reduction strategies. Several programs and practices that support PPWUD exist in Canada, though few focus exclusively on sexual and reproductive health. There remain opportunities to improve access to programs, including expanding geographic availability and range of services. The review has clinical application by providing an overview of available programs that may support clinicians in identifying services for PPWUD. Future research should consider client perspectives and experiences of these programs. Open Science Framework https://osf.io/5y64j .
  • Publisher: England: BioMed Central
  • Language: English
  • Identifier: ISSN: 1471-2393
    EISSN: 1471-2393
    DOI: 10.1186/s12884-023-06225-w
    PMID: 38254076
  • Source: GFMER Free Medical Journals
    MEDLINE
    PubMed Central
    Springer Nature OA/Free Journals
    Coronavirus Research Database
    ROAD: Directory of Open Access Scholarly Resources
    ProQuest Central
    DOAJ Directory of Open Access Journals
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