Discipline of Public Health Medicine, School of Nursing and Public Health, University of KwaZulu-Natal, Durban, 4001, South Africa.
Syst Rev. 2017 May 16;6(1):99. doi: 10.1186/s13643-017-0494-7.
The Sustainable Development Goals (SDGs) emphasises the increasing equitable coverage of quality health care and provision of integrated services as means of reducing maternal mortality. Despite so much effort being placed on improved access to maternity health care, studies show that women with disabilities are being systemically excluded from the mainstream maternal health services. The proposed scoping review aims to map literature on the barriers and facilitators of access to maternal services for women with disabilities.
The search strategy for this scoping review study will involve electronic databases including Pubmed, MEDLINE via EBSCOhost, CINAHL Plus with full text via EBSCOhost, Africa-Wide Info via EBSCOhost, JSTOR and Proquest Health and Medical Complete. Articles will also be searched through the "Cited by" search as well as citations included in the reference lists of included articles. A two-stage mapping strategy would be conducted. Stage 1 would be to screen studies through examining their titles. Furthermore, we will screen abstracts of the identified studies descriptively and by focus and method as stipulated by the inclusion and exclusion criteria. In stage 2, we will extract data from the included studies. A parallel screening and data extraction will be undertaken by two reviewers. We will access the quality of the included studies using the mixed methods appraisal tool (MMAT). We will use NVIVO version 10 to extract the relevant outcomes and thematic analysis of the studies.
We anticipate to find relevant studies reporting evidence on the barriers and facilitators of access to maternal health services in Sub-Saharan Africa. The evidence obtained from the included studies when summarised will help guide future research. The study findings will be disseminated electronically and in print. In addition, it will be presented at conferences related to sexual reproductive health, maternal health care and reproductive health.
可持续发展目标（SDGs）强调，要增加公平获得高质量医疗保健的机会，并提供综合服务，以此作为降低孕产妇死亡率的手段。尽管在改善产妇保健服务的可及性方面付出了很多努力，但研究表明，残疾妇女被系统地排除在主流孕产妇保健服务之外。本研究旨在对残疾妇女获得孕产妇服务的障碍和促进因素的文献进行综述。
本综述研究的检索策略将包括电子数据库，包括 Pubmed、MEDLINE 通过 EBSCOhost、CINAHL Plus 通过 EBSCOhost 全文、Africa-Wide Info 通过 EBSCOhost、JSTOR 和 Proquest Health and Medical Complete。还将通过“被引文献”搜索以及纳入文章参考文献中的引文来搜索文章。将采用两阶段映射策略。第一阶段将通过检查标题筛选研究。此外，我们将通过描述性和按纳入和排除标准规定的重点和方法筛选确定研究的摘要。在第二阶段，我们将从纳入的研究中提取数据。两名审查员将并行进行筛选和数据提取。我们将使用混合方法评估工具（MMAT）评估纳入研究的质量。我们将使用 NVIVO 版本 10 提取研究的相关结果并进行主题分析。
我们预计会找到相关研究报告撒哈拉以南非洲地区获得孕产妇健康服务的障碍和促进因素的证据。对纳入研究进行总结后获得的证据将有助于指导未来的研究。研究结果将通过电子和印刷方式传播。此外，还将在与性生殖健康、孕产妇保健和生殖健康相关的会议上进行展示。
