![]() ![]() PsycINFO, PubMed, and Scopus searches were supplemented with expert consultations, reference-list searches, and targeted organizational website searches. GBV exposures were child abuse, female genital mutilation/cutting, child marriage, intimate partner violence (IPV), and non-partner sexual violence. In this systematic review of reviews, we aimed to synthesize research about the SRH outcomes of GBV for adolescent girls and young women in low-and middle-income countries (LMICs). Gender-based violence (GBV) against women and girls is pervasive and has negative consequences for sexual and reproductive health (SRH). Although trauma informed practice and person-centred care were central in creating a safe and supportive environment for disclosure the review found them to be poorly defined in this setting. Conclusions: Benefits of SRHS engagement with health promotion and health activism activities to address societal level barriers like lack of service awareness and stereotypic views on SV are presented. The theories consider how interventions may overcome barriers surrounding SV disclosure at individual, service-delivery and societal levels. Four evidence-informed theories were developed proposing ways in which a safe and supportive environment for the disclosure of SV is enabled in SRHS. Results: Searches yielded 3172 citations, and 28 articles with sufficient information were included to develop the emerging theories. This strategy was supplemented with iterative searches. After focussing the review question and identifying key contextual barriers, articles pertaining to these were identified using a traditional systematic database search. Methods: Following published realist standards we undertook a realist review. ![]() The purpose of this review was to develop and refine theories that explain how, for whom and in what context SRHS facilitate disclosure. There is limited research identifying and explaining how interventions remove barriers and create a safe and supportive environment for disclosure. However, barriers to disclosure need to be overcome to allow timely access to this care. Background: Sexual and reproductive healthcare services (SRHS) are an environment where medical care relevant to sexual violence and abuse (SV) is available. ![]()
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