SHRINE Evaluation
Research type
Research Study
Full title
Realist evaluation of a Sexual and Reproductive Health, Rights, Inclusion and Empowerment (SHRINE) programme
IRAS ID
226335
Contact name
Sue Mann
Contact email
Sponsor organisation
Public Health England
Duration of Study in the UK
1 years, 1 months, 31 days
Research summary
About 10,000 people in Lambeth and Southwark suffer from a serious mental illness (schizophrenia and bipolar disease and chronic psychotic disorders), severe learning disability or severe substance abuse. These individuals are less likely to use mainstream sexual health services for a variety of reasons, including experience of stigma, a lack of accessible services, lack of time, and concerns about privacy and confidentiality. This means that many who need contraception do not use it, and unplanned pregnancies are common, and the prevalence of sexually transmitted infections is high. In addition, sexual dysfunction and sexual abuse are rarely addressed.\n\nPregnancies in this population are frequently complicated and when pregnancies do occur they may be recognised late and involve minimal or erratic access to antenatal care, and may be further complicated by maternal and neonatal biomedical or psychiatric morbidity, resulting in an increased risk of antenatal and postnatal hospitalisation. In addition, they can be socially traumatic, especially if children are taken into care. Many children do not live with their biological mother and many are taken into the care system. Southwark spends about £25 million/year on children in care. \n\nHowever, to our knowledge, there have been no effective interventions to promote sexual health in this population. The Sexual and Reproductive Health Rights, Inclusion and Empowerment programme is a 3 year project to deliver and evaluate sexual and reproductive healthcare (SRH) for targeted communities in the boroughs of Lambeth and Southwark. It aims to offer an effective, ethical, accessible and user-centred service for our target population. This research study will evaluate the SHRINE programme. \n\n
REC name
London - Camden & Kings Cross Research Ethics Committee
REC reference
18/LO/0734
Date of REC Opinion
4 May 2018
REC opinion
Favourable Opinion