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撒哈拉以南非洲地区免费孕产妇医疗保健融资和护理质量证据图:系统范围界定综述方案。

Mapping evidence of free maternal healthcare financing and quality of care in sub-Saharan Africa: a systematic scoping review protocol.

机构信息

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.

出版信息

Health Res Policy Syst. 2019 Nov 27;17(1):93. doi: 10.1186/s12961-019-0495-1.


DOI:10.1186/s12961-019-0495-1
PMID:31775899
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6882201/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fe4/6882201/dffcf25b746e/12961_2019_495_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fe4/6882201/dffcf25b746e/12961_2019_495_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fe4/6882201/dffcf25b746e/12961_2019_495_Fig1_HTML.jpg

相似文献

[1]
Mapping evidence of free maternal healthcare financing and quality of care in sub-Saharan Africa: a systematic scoping review protocol.

Health Res Policy Syst. 2019-11-27

[2]
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[3]
Maternal perceptions of the quality of Care in the Free Maternal Care Policy in sub-Sahara Africa: a systematic scoping review.

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[4]
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[5]
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[6]
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[7]
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[8]
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[9]
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[10]
Mapping research evidence on implementation of the WHO 'best buys' and other interventions for the prevention and control of non-communicable diseases in sub-Saharan Africa: a scoping review protocol.

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引用本文的文献

[1]
The effect of the capitation policy withdrawal on maternal health service provision in Ashanti Region, Ghana: an interrupted time series analysis.

Glob Health Res Policy. 2022-10-21

[2]
Spatial patterns and inequalities in skilled birth attendance and caesarean delivery in sub-Saharan Africa.

BMJ Glob Health. 2021-10

[3]
Quality of care in the free maternal healthcare era in sub-Saharan Africa: a scoping review of providers' and managers' perceptions.

BMC Pregnancy Childbirth. 2021-3-19

本文引用的文献

[1]
Accessibility of pregnancy-related point-of-care diagnostic tests for maternal healthcare in rural primary healthcare facilities in Northern Ghana: A cross-sectional survey.

Heliyon. 2019-2-19

[2]
Women's perspectives on quality of maternal health care services in Malawi.

Int J Womens Health. 2018-1-9

[3]
Point-of-care diagnostics to improve maternal and neonatal health in low-resource settings.

Lab Chip. 2017-10-11

[4]
National health insurance subscription and maternal healthcare utilisation across mothers' wealth status in Ghana.

Health Econ Rev. 2017-12

[5]
Determinants of use of supervised delivery care under Ghana's fee exemption policy for maternal healthcare: the case of the Central Region.

BMC Pregnancy Childbirth. 2016-7-19

[6]
Determinants of stillbirths in Ghana: does quality of antenatal care matter?

BMC Pregnancy Childbirth. 2016-6-2

[7]
Clients' knowledge, perception and satisfaction with quality of maternal health care services at the primary health care level in Nnewi, Nigeria.

Niger J Clin Pract. 2014

[8]
Global, regional, and national levels and causes of maternal mortality during 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013.

Lancet. 2014-5-2

[9]
Perception of quality of maternal healthcare services among women utilising antenatal services in selected primary health facilities in Anambra State, Southeast Nigeria.

Niger Med J. 2014-3

[10]
Understanding global trends in maternal mortality.

Int Perspect Sex Reprod Health. 2013-3

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