Faculty of Health and Allied Sciences, Catholic University College of Ghana, Fiapre, Sunyani, Ghana.
Discipline of Public Health Medicine, School of Nursing and Public Health, University of KwaZulu-Natal, Durban, South Africa.
Health Res Policy Syst. 2019 Nov 27;17(1):93. doi: 10.1186/s12961-019-0495-1.
BACKGROUND: Identifying and addressing research gaps on the implementation of free maternal healthcare financing policies and the quality of service delivery in sub-Saharan Africa (SSA) is essential in ensuring continuous patronage of the services by clients and sustainability of the policies to meet the intended goals. The proposed scoping review is aimed at mapping evidence on free maternal healthcare financing and quality of care in SSA. METHODS: Arksey and O'Malley's framework, Levac and colleagues' recommendations, and the Joanna Briggs Institute guidelines will be used to guide the proposed study. A complete keyword search for relevant studies presenting evidence on free maternal healthcare financing and perceived quality of care among women in SSA will be performed in EBSCOhost, PubMed, Web of Science, Google Scholar and SCOPUS. Relevant grey literature from university repositories and international organisations such as WHO and government websites, and the reference lists of included studies will be additionally searched. The Preferred Reporting Items for Systematic Reviews and Meta-analysis: Extension for Scoping Review (PRISMA-ScR) will be used to present the results of the proposed scoping review. NVivo version 11 software package will be employed to extract the relevant outcomes from the included studies using content thematic analysis. Quality appraisal of the included studies for this proposed study will be performed utilising the latest mixed methods appraisal tool. DISCUSSION: It is anticipated that the results of the proposed study will inform future research and reveal evidence-based information to address potential quality of care issues that may arise because of free maternal healthcare policy implementation in some SSA countries. The proposed study will also be useful to other SSA countries planning to implement free maternal health policy, as they will be able to draw useful lessons to guide them through the process.
背景:在撒哈拉以南非洲(SSA),确定和解决免费产妇保健融资政策实施以及服务提供质量方面的研究差距,对于确保客户持续光顾这些服务以及政策的可持续性以实现预期目标至关重要。本拟议的范围综述旨在绘制关于 SSA 免费产妇保健融资和护理质量的证据。
方法:阿特赛和奥马利的框架、列瓦克等人的建议以及乔安娜·布里格斯研究所的指南将用于指导拟议的研究。将在 EBSCOhost、PubMed、Web of Science、Google Scholar 和 SCOPUS 中进行完整的关键字搜索,以查找有关 SSA 中免费产妇保健融资和女性感知护理质量的证据的相关研究。还将额外搜索大学知识库和国际组织(如世界卫生组织和政府网站)中的相关灰色文献以及纳入研究的参考文献列表。将使用扩展后的系统评价和元分析报告清单(PRISMA-ScR)来呈现拟议范围综述的结果。将使用 NVivo 版本 11 软件包使用内容主题分析从纳入的研究中提取相关结果。将使用最新的混合方法评估工具对纳入研究进行质量评估。
讨论:预计该研究的结果将为未来的研究提供信息,并提供循证信息,以解决由于一些 SSA 国家实施免费产妇保健政策可能出现的潜在护理质量问题。该研究对于其他计划实施免费产妇健康政策的 SSA 国家也将很有用,因为它们可以从中吸取有用的经验教训来指导他们完成这一过程。
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