A scoping review protocol: Mapping the range of policy‐related evidence influencing maternal health outcomes in a fragile, low‐income country (original) (raw)

Scoping review protocol of service delivery-related interventions to improve maternal and newborn health in low-income and middle-income countries

2021

Introduction This review will explore the characteristics of service delivery-related interventions to improve maternal and newborn health in low-income and middle-income countries, comparing three common framing approaches of these interventions (referred to as archetypes), namely, quality improvement (QI), health system strengthening (HSS) and implementation science (IS), over the last 20 years. Methods and analysis This study will review the literature on health service interventions from 2000 to 2020. This will be achieved by searching for English peer-reviewed articles in the following electronic databases EBSCOhost, PubMed, Web of Science, MASCOT/Wotro Map of Maternal Health Research and Google scholar. We will develop a systematic search strategy using a combination of keywords and Boolean operators AND/OR. Eligibility screening and data extraction will be conducted by two independent reviewers, and disagreements resolved by a third independent reviewer. Analyses will be cond...

s response to reviews Title : Mapping the use of research to support strategies tackling maternal and child health inequities : evidence from six countries in Africa and Latin America

2015

Answers to Reviewers' comments First of all, we want to thank both reviewers for their insights and propositions, which helped us to significantly improve our paper. In order to make our answers as clear as possible we developed the following table copying the reviewers' comments on the left column and introducing specific answers on the right column. Changes in the original text are shown in red in the table below. In order to make reading easier, we accepted all the eliminations in the main text, the abstract and the Tables. The latter are introduced in their new version without any track changes since it would also make reading a bit heavy. Due to the reorganization of the material, the numbers of Tables 2 and 3 have been inversed. These new numbers as well as the modifications introduced in the three tables of the paper are at the end of the main text. We hope that our answers are sufficiently clear and satisfying. The research question, and objectives, could be more pre...

Interventions to enhance healthcare utilisation among pregnant women to reduce maternal mortality in low- and middle-income countries: a review of systematic reviews

Background Maternal mortality in low- and middle-income countries (LMIC) has reduced considerably over the past three decades, but it remains high. Effective interventions are available, but uptake and coverage remain low. We reviewed and synthesised evidence from systematic reviews on interventions to increase healthcare services utilisation to reduce maternal mortality among pregnant women in LMICs. Methods and findings We searched PubMed Medline and Cochrane Library databases for systematic reviews published between January 2014 and December 2021, investigating interventions to increase healthcare services uptake among pregnant women in LMICs. We used the AMSTAR tool (A Measurement Tool to Assess Systematic Reviews) to assess the methodological quality of the included reviews. We extracted data on the interventions and their effects and grouped them into broad groups based on the outcomes reported in each systematic review. We retrieved 4,022 articles. After removing duplicates, ...

Maternal deaths in developing countries: A preventable tragedy

Norsk Epidemiologi, 2009

The neglected tragedy of persistent high maternal mortality in the low-income countries is described. One of the millennium development goals states that the current number of maternal deaths of around 500,000 per year should be reduced by three quarters by 2015. Since the major causes and avenues for prevention are known, this may seem an achievable goal. It is concluded, however, that unless all stakeholders globally and within individual countries will demonstrate a real commitment to translate policy statements into actions, it is unlikely that the goal will be reached. A substantial increase in the resources for reproductive health care services is needed, and the human resource crises in the health care systems must be urgently addressed. Epidemiologists have an important role to play by designing randomized controlled trials for estimating the effect of different health care systems interventions aimed at reducing maternal mortality and other major health problems in low reso...