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Gender counts: A systematic review of evaluations of gender-integrated health interventions in low- and middle-income countries

机译：性别计数：对中低收入国家对性别综合健康干预措施评价的系统评价

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摘要

As a result of new global priorities, there is a growing need for high-quality evaluations of gender-integrated health programmes. This systematic review examined 99 peer-reviewed articles on evaluations of gender-integrated (accommodating and transformative) health programmes with regard to their theory of change (ToC), study design, gender integration in data collection, analysis, and gender measures used. Half of the evaluations explicitly described a ToC or conceptual framework (n=50) that guided strategies for their interventions. Over half (61%) of the evaluations used quantitative methods exclusively; 11% used qualitative methods exclusively; and 28% used mixed methods. Qualitative methods were not commonly detailed. Evaluations of transformative interventions were less likely than those of accommodating interventions to employ randomised control trials. Two-thirds of the reviewed evaluations reported including at least one specific gender-related outcome (n=18 accommodating, n=44 transformative). To strengthen evaluations of gender-integrated programmes, we recommend use of ToCs, explicitly including gender in the ToC, use of gender-sensitive measures, mixed-method designs, in-depth descriptions of qualitative methods, and attention to gender-related factors in data collection logistics. We also recommend further research to develop valid and reliable gender measures that are globally relevant.
机译：由于新的全球优先事项，对性别综合保健方案的高质量评价的需求日益增长。这项系统评价审查了99篇经同行评审的文章，这些文章针对性别整合（适应性和转化性）卫生计划的变革理论（ToC），研究设计，数据收集，分析和性别评估中的性别融合进行了评估。一半的评估明确描述了指导其干预策略的ToC或概念框架（n = 50）。超过一半（61％）的评估专门使用定量方法； 11％的人只使用定性方法；和28％的人使用混合方法。定性方法通常不详细。与采用随机干预试验的适应性干预措施相比，变革性干预措施的评估可能性较小。三分之二的评估报告指出，至少包括一项与性别相关的特定结果（n = 18可容纳，n = 44转化）。为了加强对整合了性别的计划的评估，我们建议使用ToC，在ToC中明确包括性别，使用对性别敏感的措施，混合方法设计，定性方法的深入描述，以及关注与性别相关的因素数据收集物流。我们还建议进行进一步的研究，以开发有效且可靠的，与全球相关的性别指标。

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