{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T08:49:16Z","timestamp":1784278156332,"version":"3.55.0"},"reference-count":163,"publisher":"MDPI AG","issue":"1","license":[{"start":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T00:00:00Z","timestamp":1767916800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinics and Practice"],"abstract":"<jats:p>Objective: The aim of this study was to systematically map evidence to inform best practices for sexual and reproductive healthcare delivered via telehealth (TeleSRH) in United States-based Title X-funded clinics. Methods: We searched three databases (2017\u20132025) for studies evaluating effectiveness, harms, patient and provider experiences, barriers\/facilitators, and engagement strategies encompassing TeleSRH for sexually transmitted infections (STIs), contraceptive care\/family planning (CC\/FP), and sexual wellness, in countries with a human development index of \u22650.8. Results: From 5963 references and 436 articles, we included 142 eligible publications. TeleSRH use declined since the COVID-19 pandemic\u2019s peak but remains higher than pre-pandemic. Evidence comes mostly from poor-quality studies. TeleSRH increases access and adherence to STI prevention (e.g., pre-exposure prophylaxis for HIV). Tele-follow-up may safely facilitate HIV care continuity. For CC\/FP, TeleSRH is comparable to in-person care for patient satisfaction and uptake; patients are less likely to select long-acting reversible contraception but post-initiation tele-follow-up may increase its continuation rates. Vasectomy completion rates may be similar between pre-procedural counseling via telehealth versus in-person. TeleSRH\u2019s potential benefits might include reduced travel time, wait times, no-show rates, and clinic human resource burden (via tele-triaging) and increased preventative screening rates for STIs and non-communicable diseases, prescription refill rates, ability to receive confidential care in preferred settings, and rural\/marginalized community outreach. Implementation challenges span technological and capital constraints, provider availability, staff capability building, restrictive policies, language incompatibility, and patient mistrust. Supplementing synchronous TeleSRH with asynchronous communication (e.g., mobile application) may improve continued patient engagement. Conclusions: Preventive, diagnostic, and therapeutic TeleSRH can be effective, with high patient acceptability; however, effectiveness and adoption hinge on contextual factors outlined in this review.<\/jats:p>","DOI":"10.3390\/clinpract16010014","type":"journal-article","created":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T08:09:06Z","timestamp":1767946146000},"page":"14","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Telehealth for Sexual and Reproductive Healthcare: Evidence Map of Effectiveness, Patient and Provider Experiences and Preferences, and Patient Engagement Strategies"],"prefix":"10.3390","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6087-0583","authenticated-orcid":false,"given":"Romil R.","family":"Parikh","sequence":"first","affiliation":[{"name":"Division of Health Policy & Management, University of Minnesota School of Public Health, Minneapolis, MN 55455, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nishka U.","family":"Shetty","sequence":"additional","affiliation":[{"name":"Kymera Medical Group, Eastern New Mexico Medical Center, Roswell, NM 88201, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chinar","family":"Singhal","sequence":"additional","affiliation":[{"name":"University of Minnesota Hubert H. Humphrey School of Public Affairs, Minneapolis, MN 55455, USA"},{"name":"Department of Family Medicine and Community Health, University of Minnesota Medical School, Minneapolis, MN 55455, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0450-4762","authenticated-orcid":false,"given":"Prachi","family":"Patel","sequence":"additional","affiliation":[{"name":"Bergen New Bridge Medical Center, Paramus, NJ 07652, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Priyanka","family":"Manghani","sequence":"additional","affiliation":[{"name":"Division of HIV, Infectious Diseases & Global Medicine, University of California, San Francisco, CA 94143, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0543-2235","authenticated-orcid":false,"given":"Ashwin A.","family":"Pillai","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, University of Connecticut School of Medicine, Farmington, CT 06032, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luz Angela","family":"Chocont\u00e1-Piraquive","sequence":"additional","affiliation":[{"name":"Division of Health Policy & Management, University of Minnesota School of Public Health, Minneapolis, MN 55455, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary E.","family":"Butler","sequence":"additional","affiliation":[{"name":"Division of Health Policy & Management, University of Minnesota School of Public Health, Minneapolis, MN 55455, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,1,9]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Mawson, R.L., Hodges, V., Salway, S., and Mitchell, C. 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