Harmful effects of digital interventions in SRH (Sexual and Reproductive Health and Research)

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Digital channels such as the internet, mobile phone messaging, social media, apps, voice, video messaging, and telemedicine are increasingly being used to deliver health care. This trend has been aided by the widespread adoption of mobile technology and rapid advances in artificial intelligence. Digital communication channels provide broad coverage, allow messages to be targeted to specific groups or individuals, and have the potential to improve the delivery of sexual and reproductive health and rights (SRHR) information and support. 

Potential harms of using digital technology in SRHR must be considered first, then mitigated or minimized in the intervention design, and measured during evaluation or implementation, as with other forms of communication and service delivery. Those who provide interventions should also consider how they will respond to reports of harm. We discuss four key steps that should be taken to reduce and respond to the risk of harm in SRHR interventions, with a particular emphasis on digital interventions. 

                                                    Click here to watch  the video


Steps to Minimize Potential Harms in Sexual and Reproductive Health Services

1. Consider potential harms when designing an intervention. With the help of users and key stakeholders: 

  • Create theoretical frameworks to elaborate mechanisms that could lead to negative outcomes.
  • Recognize how digital media is used, shared, and kept private.
  • Recognize the sensitivity, stigma, and social and power dynamics influencing SRH in the context of the intervention.
2. In the design phase, mitigate or minimize potential harms. 
  • Consult with potential users during the development of the intervention to determine whether privacy can be achieved. Consider the delivery mode and intervention features required to provide privacy and confidentiality when desired. 
  • Test and improve interventions with feedback from users who will receive the intervention as planned. 
3. Measure adverse outcomes. 

  • Reduce reporting bias by using research methods such as standardized, validated measures.
  • When conducting violence research, adhere to ethical guidelines. 
4. Plan how to assist those who report adverse events, such as IPV. 
  • Depending on the setting, provide links to existing services and/or staff training. 



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