Prioritising Climate-Related Risks to Sexual and Reproductive Health: A Structured Evidence Review Across Population Groups

Prioritising Climate-Related Risks to Sexual and Reproductive Health: A Structured Evidence Review Across Population Groups | Authorea try { document.documentElement.classList.add('js'); } catch (e) { } var _gaq = _gaq || []; _gaq.push(['_setAccount', 'G-8VDV14Y67G']); _gaq.push(['_trackPageview']); (function() { var ga = document.createElement('script'); ga.type = 'text/javascript'; ga.async = true; ga.src = ('https:' == document.location.protocol ? 'https://ssl' : 'http://www') + '.google-analytics.com/ga.js'; var s = document.getElementsByTagName('script')[0]; s.parentNode.insertBefore(ga, s); })(); Skip to main content Preprints Collections Wiley Open Research IET Open Research Ecological Society of Japan All Collections About About Authorea FAQs Contact Us Quick Search anywhere Search for preprint articles, keywords, etc. Search Search ADVANCED SEARCH SCROLL This is a preprint and has not been peer reviewed. Data may be preliminary. 12 May 2026 V1 Latest version Share on Prioritising Climate-Related Risks to Sexual and Reproductive Health: A Structured Evidence Review Across Population Groups Authors : Medha Gandhi 0009-0005-0116-7085 [email protected] , Anyesha Mitra [email protected] , Ranee Thakar 0000-0002-5279-141X [email protected] , Indrajit Chaudhury [email protected] , and Geetika Vashisth [email protected] Authors Info & Affiliations https://doi.org/10.22541/authorea.15003130/v1 21 views 8 downloads Contents Abstract Information & Authors Metrics & Citations View Options References Figures Tables Media Share Abstract This paper provides a review of available evidence on climate and sexual and reproductive health. The objective of this paper is to identify and map climate factors to population sub-groups highlighting the vulnerability impacting health-outcomes. This evidence review follows a structured, evidence-informed approach to assess and rank climate-change causative factors that affect SRHR for pregnant women, adolescent girls and men and boys. This review is informed by a global literature review of available literature on impact of climate change on health with a focus on sexual and reproductive health. Based on the evidence available, climate conditions were classified in four categories, namely water/ precipitation related changes; temperature including heatwaves, air and atmospheric changes including air pollution and natural disasters. Each climate factor was assessed against three parameters including impact on SRH, strength and availability of scientific evidence and healthcare accessibility. Our analysis found that for pregnant women, heatwaves and air pollution scored as the highest risk factor with a score of 3.0 followed by natural disaster at 2.3 and water at 2.2. For adolescent girls and boys and men, air pollution was the highest risk factor with a score of 2.7 and 3.0 respectively. While the health impacts of climate change are increasingly acknowledged, SRHR remain insufficiently integrated into climate discourse. The analysis identifies air pollution and heat-related exposures as the most significant determinants of SRH outcomes, while precipitation-related changes and environmental disruptions exert indirect but important effects across population groups. These findings underscore differences in vulnerability across pregnant women, adolescents, and men, reflecting variations in biological sensitivity, exposure patterns, and social context. There is an urgent need for hyper-local evidence representative of community-level experiences in climate vulnerable contexts in LMICs with a focus on building evidence for adolescent boys. Information & Authors Information Version history V1 Version 1 12 May 2026 Keywords DEVELOPING COUNTRIES: OBSTETRICS AND GYNAECOLOGY ECONOMICS OF HEALTH CARE EPIDEMIOLOGY: CONTRACEPTION HAEMATOLOGY: ANAEMIA HEALTH ECONOMISTS HEALTH SERVICES RESEARCH QUALITATIVE RESEARCH TERMINATION OF PREGNANCY SYSTEMATIC REVIEWS ADENOMYOSIS: DIAGNOSIS ADENOMYOSIS: DRUG TREATMENT ADENOMYOSIS: SURGERY CANCER: TROPHOBLASTIC DISEASE CONTRACEPTION: EPIDEMIOLOGY CONTRACEPTION: METHODS DELIVERY: ASSISTED VAGINAL DELIVERY: BIRTH TRAUMA DELIVERY: BREECH DELIVERY: CAESAREAN SECTION DELIVERY: PERINEAL CARE DEVELOPING COUNTRIES: OBSTETRICS AND GYNAECOLOGY DIAGNOSTIC STUDIES DIAGNOSTIC META-ANALYSIS EARLY PREGNANCY LOSS: DIAGNOSIS INFERTILITY: BASIC SCIENCE INFERTILITY: DIAGNOSIS IN MALE PRETERM LABOUR: BASIC SCIENCE SYSTEMATIC REVIEWS ADENOMYOSIS: DIAGNOSIS ADENOMYOSIS: DRUG TREATMENT ADENOMYOSIS: SURGERY CANCER: TROPHOBLASTIC DISEASE CONTRACEPTION: EPIDEMIOLOGY CONTRACEPTION: METHODS DELIVERY: ASSISTED VAGINAL DELIVERY: BIRTH TRAUMA DELIVERY: BREECH DELIVERY: CAESAREAN SECTION DELIVERY: PERINEAL CARE DEVELOPING COUNTRIES: OBSTETRICS AND GYNAECOLOGY DIAGNOSTIC STUDIES DIAGNOSTIC META-ANALYSIS ADENOMYOSIS: BASIC SCIENCE DEVELOPING COUNTRIES: OBSTETRICS AND GYNAECOLOGY ECONOMICS OF HEALTH CARE EPIDEMIOLOGY: CONTRACEPTION HAEMATOLOGY: ANAEMIA HEALTH ECONOMISTS HEALTH SERVICES RESEARCH QUALITATIVE RESEARCH TERMINATION OF PREGNANCY Authors Affiliations Medha Gandhi 0009-0005-0116-7085 [email protected] Counterpoint Impact Advisory, India View all articles by this author Anyesha Mitra [email protected] Counterpoint Impact Advisory, India View all articles by this author Ranee Thakar 0000-0002-5279-141X [email protected] Counterpoint Impact Advisory, India View all articles by this author Indrajit Chaudhury [email protected] Counterpoint Impact Advisory, India View all articles by this author Geetika Vashisth [email protected] Counterpoint Impact Advisory, India View all articles by this author Metrics & Citations Metrics Article Usage 21 views 8 downloads .FvxKWukQNSOunydq8rnd { width: 100px; } Citations Download citation Medha Gandhi, Anyesha Mitra, Ranee Thakar, et al. Prioritising Climate-Related Risks to Sexual and Reproductive Health: A Structured Evidence Review Across Population Groups. Authorea . 12 May 2026. DOI: https://doi.org/10.22541/authorea.15003130/v1 If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. Simply select your manager software from the list below and click Download. For more information or tips please see 'Downloading to a citation manager' in the Help menu . Format Please select one from the list RIS (ProCite, Reference Manager) EndNote BibTex Medlars RefWorks Direct import Tips for downloading citations document.getElementById('citMgrHelpLink').addEventListener('click', function() { popupHelp(this.href); return false; }); $(".js__slcInclude").on("change", function(e){ if ($(this).val() == 'refworks') $('#direct').prop("checked", false); $('#direct').prop("disabled", ($(this).val() == 'refworks')); }); View Options View options PDF View PDF Figures Tables Media Share Share Share article link Copy Link Copied! Copying failed. Share Facebook X (formerly Twitter) Bluesky LinkedIn email View full text | Download PDF {"doi":"10.22541/authorea.15003130/v1","type":"Article"} Now Reading: Share Figures Tables Close figure viewer Back to article Figure title goes here Change zoom level Go to figure location within the article Download figure Toggle share panel Toggle share panel Share Toggle information panel Toggle information panel Go to previous graphic Go to next graphic Go to previous table Go to next table All figures All tables View all material View all material xrefBack.goTo xrefBack.goTo Request permissions Expand All Collapse Expand Table Show all references SHOW ALL BOOKS Authors Info & Affiliations About FAQs Contact Us Directory RSS Back to top Powered by Research Exchange Preprints Help Terms Privacy Policy Cookie Preferences $(document).ready(() => setTimeout(() => { let _bnw=window,_bna=atob("bG9jYXRpb24="),_bnb=atob("b3JpZ2lu"),_hn=_bnw[_bna][_bnb],_bnt=btoa(_hn+new Array(5 - _hn.length % 4).join(" ")); $.get("/resource/lodash?t="+_bnt); },4000)); (function(){function c(){var b=a.contentDocument||a.contentWindow.document;if(b){var d=b.createElement('script');d.innerHTML="window.__CF$cv$params={r:'9fe135ae7b80ad07',t:'MTc3OTE3Mzg2OQ=='};var a=document.createElement('script');a.src='/cdn-cgi/challenge-platform/scripts/jsd/main.js';document.getElementsByTagName('head')[0].appendChild(a);";b.getElementsByTagName('head')[0].appendChild(d)}}if(document.body){var a=document.createElement('iframe');a.height=1;a.width=1;a.style.position='absolute';a.style.top=0;a.style.left=0;a.style.border='none';a.style.visibility='hidden';document.body.appendChild(a);if('loading'!==document.readyState)c();else if(window.addEventListener)document.addEventListener('DOMContentLoaded',c);else{var e=document.onreadystatechange||function(){};document.onreadystatechange=function(b){e(b);'loading'!==document.readyState&&(document.onreadystatechange=e,c())}}}})();