Effectiveness of Interventions to Reduce Teenage Pregnancies in Low and Middle-Income Countries

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Effectiveness of Interventions aimed at
preventing or reducing Teenage Pregnancies
in Low and Middle Income Countries: A
Systematic Review.

A Dissertation submitted to The University of Manchester for the Degree of Master of Public Health in the Faculty of Medical and Human Sciences and the School of Medicine.

2012

Josephat Kakoma

School of Medicine

Table of Contents
List of Tables .................................................................................. 4 List of Figures ................................................................................. 4 List of Appendices ............................................................................ 4 Abbreviations .................................................................................. 5 Abstract ........................................................................................ 7 Declaration..................................................................................... 8 Intellectual Property Statement ............................................................... 8 Acknowledgements ........................................................................... 9 Dedication ..................................................................................... 9 1

INTRODUCTION AND BACKGROUND .......................................... 10 1.1
1.2

Previous Reviews ................................................................. 11

1.3

Rationale for conducting a Systematic Review .................................. 13

1.4

Definition of interventions ........................................................ 14

1.5

Aim of the Review ................................................................ 14

1.6
2

Public health rationale for the study .............................................. 10

Review question ................................................................... 15

METHODS............................................................................. 16 2.1
2.2

Selection of studies................................................................ 17

2.3

Data extraction .................................................................... 17

2.4

Search methods for identification of studies ..................................... 18

2.5
3

Criteria for considering studies for this review .................................. 16

Assessment of study quality ...................................................... 18

RESULTS .............................................................................. 19 2|Page

3.1
3.2

Summary of included studies ..................................................... 20

3.3

Assessment of methodological quality ........................................... 24

3.4
4

Flow chart of search results ....................................................... 19

Summary of intervention effects ................................................. 27

DISCUSSION .......................................................................... 30 4.1

Summary of main results ......................................................... 30

4.2

Critique of the review ............................................................. 31

4.3

Completeness ...................................................................... 31

4.4

Applicability ....................................................................... 33

4.5

Quality of the evidence ........................................................... 34

4.6

Potential biases in the review process ............................................ 35

4.7

Agreements and disagreements with other reviews ............................. 36

4.8

Implications of the study .......................................................... 37

REFERENCES .............................................................................. 40 References of included studies...
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