Formerly London School of Hygiene and Tropical Medicine, University of London, London WC1E 7HT, UK.
School of Healthcare Sciences, Cardiff University, Cardiff CF24 0AB, UK.
Int J Environ Res Public Health. 2020 Jun 16;17(12):4292. doi: 10.3390/ijerph17124292.
The new Sustainable Development Goals (SDGs) to 2030 aim to reduce maternal mortality and provide equitable access to maternal healthcare. Compromised access to maternal health facilities in low-income countries, and specifically in Africa, contribute to the increased prevalence of maternal mortality. We conducted a systematic review to investigate access barriers to maternal health in low-income countries in Africa since 2015, from the perspective of both community members and health providers. The findings show that the most important barriers to maternal health are transportation barriers to health facilities, economic factors, and cultural beliefs, in addition to lack of family support and poor quality of care. Further research is required to guide policymakers towards firm multi-sectoral action to ensure appropriate and equitable access to maternal health in line with the SDGs to 2030.
新的 2030 年可持续发展目标旨在降低孕产妇死亡率并提供公平获得孕产妇保健的机会。在低收入国家,特别是在非洲,孕产妇获得保健设施的机会受到限制,这导致孕产妇死亡率上升。我们进行了一项系统评价,以调查 2015 年以来非洲低收入国家中社区成员和卫生提供者所认为的孕产妇保健获取障碍。研究结果表明,孕产妇保健的最大障碍是前往卫生机构的交通障碍、经济因素和文化信仰,此外还包括缺乏家庭支持和护理质量差。需要进一步研究来指导政策制定者采取坚定的多部门行动,以确保按照 2030 年可持续发展目标获得适当和公平的孕产妇保健。