title: Systematic review and narrative synthesis of the effectiveness of contraceptive service interventions for young people, delivered in educational settings.
abstract: OBJECTIVE
  This review was undertaken to determine the effectiveness of contraception service interventions for young people that were delivered in educational settings.
  
  
  METHODS
  We conducted a systematic review and narrative synthesis.
  
  
  METHODS
  Interventions were included where they were delivered in educational institutions, including schools, colleges, and pupil referral units.
  
  
  METHODS
  Young people aged 19 and under. Studies of wider age groups were included if the majority of participants were aged under 19 years.
  
  
  METHODS
  We included interventions which consisted of contraceptive service provision, and also interventions to encourage young people to use existing contraceptive services.
  
  
  METHODS
  The main outcome measures used in the studies were: rate of teenage pregnancy, rate of contraceptive use, and sexual behavior. Many outcome measures were self reported.
  
  
  RESULTS
  Twenty-nine papers were included which reported on interventions to prevent adolescent pregnancy (and repeat pregnancy), school-based health centers, contraceptive use in college students, and multicomponent interventions. Intensive case management intervention conducted by a culturally matched school-based social worker (along with other components including peer education) were shown to be effective in preventing repeat adolescent pregnancy, at least for the duration of the intervention. Also, school-based health centers appear to be most effective when contraception provision is made available on site.
  
  
  CONCLUSIONS
  The evidence from these papers is limited, in terms of both quality and quantity, along with consistency of findings, but some recommendations in relation to effective interventions can be made.
authors.affiliation: School of Health and Related Research (ScHARR), University of Sheffield, Sheffield, UK. l.blank@sheffield.ac.uk
authors.forename: Lindsay
authors.initials: L
authors.lastname: Blank
authors.forename: Susan K
authors.initials: SK
authors.lastname: Baxter
authors.forename: Nick
authors.initials: N
authors.lastname: Payne
authors.forename: Louise R
authors.initials: LR
authors.lastname: Guillaume
authors.forename: Hazel
authors.initials: H
authors.lastname: Pilgrim
mesh_terms: D000293:Adolescent; D016497:Adolescent Health Services; D003267:Contraception / Q000706:statistics & numerical data*; D005193:Family Planning Services; D005260:Female; D006801:Humans; D008297:Male; D010353:Patient Education as Topic; D011247:Pregnancy; D011253:Pregnancy in Adolescence / Q000517:prevention & control*