PT  - JOURNAL ARTICLE
AU  - Eneyi E Kpokiri
AU  - Dan Wu
AU  - Megan L Srinivas
AU  - Juliana Anderson
AU  - Lale Say
AU  - Osmo Kontula
AU  - Noor A Ahmad
AU  - Chelsea Morroni
AU  - Chimaraoke Izugbara
AU  - Richard de Visser
AU  - Georgina Y Oduro
AU  - Evelyn Gitau
AU  - Alice Welbourn
AU  - Michele Andrasik
AU  - Wendy V Norman
AU  - Soazig Clifton
AU  - Amanda Gabster
AU  - Amanda Gesselman
AU  - Chantal Smith
AU  - Nicole Prause
AU  - Adesola Olumide
AU  - Jennifer T Erausquin
AU  - Peter Muriuki
AU  - Ariane van der Straten
AU  - Martha Nicholson
AU  - Kathryn A O'Connell
AU  - Meggie Mwoka
AU  - Nathalie Bajos
AU  - Catherine H Mercer
AU  - Lianne Marie Gonsalves
AU  - Joseph D Tucker
TI  - Development of an international sexual and reproductive health survey instrument: results from a pilot WHO/HRP consultative Delphi process
AID  - 10.1136/sextrans-2020-054822
DP  - 2021 Apr 11
TA  - Sexually Transmitted Infections
PG  - sextrans-2020-054822
4099  - http://sti.bmj.com/content/early/2021/04/22/sextrans-2020-054822.short
4100  - http://sti.bmj.com/content/early/2021/04/22/sextrans-2020-054822.full
AB  - Population health surveys are rarely comprehensive in addressing sexual health, and population-representative surveys often lack standardised measures for collecting comparable data across countries. We present a sexual health survey instrument and implementation considerations for population-level sexual health research. The brief, comprehensive sexual health survey and consensus statement was developed via a multi-step process (an open call, a hackathon, and a modified Delphi process). The survey items, domains, entire instruments, and implementation considerations to develop a sexual health survey were solicited via a global crowdsourcing open call. The open call received 175 contributions from 49 countries. Following review of submissions from the open call, 18 finalists and eight facilitators with expertise in sexual health research, especially in low- and middle-income countries (LMICs), were invited to a 3-day hackathon to harmonise a survey instrument. Consensus was achieved through an iterative, modified Delphi process that included three rounds of online surveys. The entire process resulted in a 19-item consensus statement and a brief sexual health survey instrument. This is the first global consensus on a sexual and reproductive health survey instrument that can be used to generate cross-national comparative data in both high-income and LMICs. The inclusive process identified priority domains for improvement and can inform the design of sexual and reproductive health programs and contextually relevant data for comparable research across countries.