Mapping of person-centred sexual and reproductive health interventions at primary healthcare settings: An umbrella review

Introduction Person-centred care is crucial for quality, comprehensive healthcare, particularly in Sexual and Reproductive Health (SRH). This umbrella review synthesises key findings on existing person-centred SRH interventions in primary care settings, globally. Methods Searches were conducted in five bibliometric databases from 2016 to 2024. Reviews were included if they referred to person-centred SRH interventions adopted in primary care settings. Two researchers independently screened reviews for inclusion and extracted and appraised quality of eligible reviews. Data was summarized to explore key themes, interventions and outcomes. Results Of 1,300 identified reviews, 21 were included (twelve scoping reviews, seven systematic reviews, one integrative review, and 1 narrative review). Geographic scope of the reviews was varied where eight were global in scope, six focused on low- and middle-Income countries, and seven on high-income countries. These reviews explored a variety of SRH topics (e.g. family planning counselling and uptake, sexuality and HIV or cervical cancer screening), across diverse contexts. Four reviews implicitly referred to person-centredness, otherwise person-centeredness of interventions was inferred. Person-centred counselling, technology-based interventions, strategies that improved primary healthcare services through electronic medical record enhancements or screening tools, and specific interventions for STI/HIV and breast/cervical cancer screening and risky behaviours demonstrated effectiveness in improving SRH services. Specific intervention components that were present in effective interventions included tailored communication, investment in informed choices, and addressing access barriers. Synthesis showed that interventions do not consider all domains of person-centred care. Discussion Our results have shown that multicomponent interventions are effective. Combining accessible information (often technology-based) and tailored person-centred counselling are likely to be most effective in improving a range of SRH outcomes. Given the limited explicit evaluation of person-centredness and the incomplete capture of its domains within interventions, future interventions need to encompass more person-centred components to provide further evidence on pathways to enhance SRH care quality.