Farzane Alidost - Mother and Child Welfare Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
Ziba Taghizadeh - Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
Nasimeh Setayesh - Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
Haniyeh Nazem - Department of Nursing, Faculty of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Marzieh Azizi - Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.

Context: Street children may expose to high-risk behaviors such as unwanted pregnancy, abortion, and Sexually Transmitted Diseases (STDs).  Objectives: This study systematically reviewed and presented preventive strategies for promoting Sexual and Reproductive Health (SRH) against unsafe abortion, STDs, and unwanted pregnancy in street children.  Data Source: In this systematic review, we searched databases of ScienceDirect, Web of Science (ISI), PubMed, Scopus, Scientific Information Database (SID), and Google Scholar. Published articles between ۱۹۹۰ and ۲۰۲۰ were retrieved. Finally, ۴۱ articles were used to compile the results of this study. Study Selection: A total of ۱۵۲۲ potentially relevant articles were identified; ۲۷۵ articles were removed due to duplication and in abstract screening, and ۷۶۶ articles did not meet the inclusion criteria or focus on the research question. Next, the full-text of ۴۸۱ remained articles were screened. Studies in languages other than English or Persian, studies presented in conferences, and those with no information regarding the SRH among street children were removed. Finally, ۴۱ studies were included in this systematic review.  Data Extraction: Data were extracted from the articles according to the selection criteria by two independent reviewers.  Results: Results of this study were categorized into ۲ tables. Table ۱ presents the strengths, weaknesses, opportunities, and threats of SRH in street children were shown. Table ۲ presents the preventive strategies regarding unwanted pregnancy, unsafe abortion, and STDs in the street children in four categories of ۱) expansion program and promotion of educational services, ۲) expansion program and promotion of educational services, ۳) creating secure umbrella and social welfare, and ۴) expansion program and promotion of social protection.  Conclusions: Because of no information on street children regarding SRH, the government should consider adequate sexual education programs such as protected sexual intercourse and counseling on preventing STDs and unsafe abortion. It is essential to allocate affordable and accessible healthcare centers and facilities to provide services with no judgment on these children.

Street children, Homeless people, Reproductive health, Sexually transmitted diseases, Unwanted pregnancy