School of Health, Medical and Applied Sciences, Central Queensland University, Townsville, Queensland, Australia
College of Medicine and Dentistry and Anton Breinl Research Centre for Health Systems Strengthening, James Cook University, Townsville, Queensland, Australia.
BMJ Open. 2019 Sep 5;9(9):e030461. doi: 10.1136/bmjopen-2019-030461.
Community-based Participatory Women's Groups (PWGs) have proven to be an effective intervention to improve maternal and child health (MCH) outcomes in low/middle-income countries (LMICs). Less is known about how PWGs exert their effects in LMICs and virtually nothing is known about the contextual issues, processes and power relationships that affect PWG outcomes in high resource settings. The aim of this systematic review is to synthesise and critically analyse the current evidence on how and why PWGs improve the quality of MCH care. We aim to demonstrate how PWGs function and why PWG interventions contribute to social and health outcomes.
The protocol will follow Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols guidelines. The databases Medline (Ovid): Cumulative Index to Nursing and Allied Health Literature (Ebsco); Informit health suite Scopus, Australian HealthInfoNet, the Cochrane Library and other sources will be searched under broad categories: intervention, context and outcomes to 30 June 2019.
As only secondary data will be analysed; ethical approval is not required. The review will be disseminated to relevant organisations and presented in peer-reviewed papers and at conferences. This will be the first attempt to summarise the current available evidence on the characteristics, contextual influences and mechanisms that are associated with the outcomes and effectiveness of PWGs.
CRD42019126533.
基于社区的妇女团体（PWGs）已被证明是改善中低收入国家（LMICs）母婴健康（MCH）结局的有效干预措施。关于 PWGs 在 LMICs 中如何发挥作用的了解较少，而在高资源环境中影响 PWGs 结果的背景问题、过程和权力关系几乎一无所知。本系统评价的目的是综合和批判性分析目前关于 PWGs 如何以及为何改善母婴保健质量的证据。我们旨在展示 PWGs 的运作方式以及为什么 PWG 干预措施有助于社会和健康结果。
该方案将遵循系统评价和荟萃分析报告的首选报告项目（PRISMA）指南。数据库 Medline（Ovid）：护理和联合健康文献累积索引（Ebsco）；Informit 健康套件 Scopus、澳大利亚健康信息网、Cochrane 图书馆和其他来源将根据广泛的类别进行搜索：干预、背景和结果至 2019 年 6 月 30 日。
由于仅分析二次数据，因此不需要伦理批准。该审查将分发给相关组织，并在同行评议的论文和会议上发表。这将是首次尝试总结目前关于 PWGs 的特征、背景影响和与结果和有效性相关的机制的现有证据。
PROSPERO 注册号：CRD42019126533。
