Sexual and reproductive health services and promotion in tertiary institutions : a systematic content review

Sexual and reproductive health (SRH) is increasingly being recognised as a key concern for young people within tertiary settings. This is reflected within the Okanagan Charter: An International Charter for Health Promoting Universities and Colleges. In response, tertiary institutions around the world have developed and are developing SRH promotion and services to meet the needs of their students. However, the scope and duration of such programs vary across institutions. To identify best practice within this area, a systematic scoping content review of scholarly literature published in English was conducted. The review sought out research conducted in Australia, USA, Canada, UK and New Zealand. Findings from the review were used in the development of a SRH program at an Australian university. Results indicate that the capacity for programs to have significant positive impact on university students is highly dependent on a range of SRH priorities. These priorities include utilising pilot programs in the development and evaluation of SRH initiatives, including peers in the delivery of SRH services, identifying key demographics and high-risk sub-populations within the institution and surrounding geographical area, providing targeted SRH education, and ensuring accessibility to STI screening and contraception on campus. Key lessons include the importance of an integrated approach in delivering SRH programs, where the departments leading such initiates have buy-in and support from a range of stakeholders across the institution. A best practice model for the development and delivery of SRH programs at tertiary institutions, in line with the Okanagan Charter, is recommended.