Department of Family Medicine, Care and Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, The Netherlands
Department of Public Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands.
BMJ Open. 2020 Dec 7;10(12):e041821. doi: 10.1136/bmjopen-2020-041821.
Over a third of the world's population relies on solid fuels as their primary energy source. These fuels have damaging effects on health, air quality and forest resources. Interventions to promote access to cleaner solid fuel cookstoves and clean fuels have existed for decades. However, the adoption by local communities has largely failed, which led to a waste of resources and suboptimal outcomes. Therefore, the objective of this umbrella review is to identify factors that determine implementation success for cleaner cooking interventions in low-resource settings and weigh their level of confidence in the evidence.
We identified systematic and narrative reviews examining factors that influence the acquisition, initial adoption or sustained use of cleaner solid fuel cookstoves and clean fuels at any scale by a literature search in PubMed, Embase, Global Health Database, Cochrane, PsycINFO, Emcare, Web of Science and CINAHL, without date or language restrictions. The search was conducted on 23 October 2017 and updated on 10 July 2019. Reviews based on qualitative, quantitative or mixed-methods studies were included and will be appraised using the Meta Quality Appraisal Tool combined with the Assessment of Multiple Systematic Reviews. Data will be extracted and factors affecting implementation will be coded using the Consolidated Framework for Implementation Research. The Grading of Recommendations Assessment, Development and Evaluation-Confidence in the Evidence from Reviews of Qualitative Research tool will be used to determine the level of confidence in the coded factors. Two researchers will independently conduct these steps.
This umbrella review does not require the approval of an ethical review board. Study results will be published in an international peer-reviewed journal. The outcomes will be converted into two practical tools: one for cleaner solid fuel cookstoves and one for clean fuels. These tools can guide the development of evidence-based implementation strategies for cleaner cooking interventions in low-income and middle-income countries to improve implementation success. These tools should be pilot-tested and promoted among regional and global initiatives.
CRD42018088687.
全球有超过三分之一的人口依赖固体燃料作为主要能源。这些燃料对健康、空气质量和森林资源都有破坏性影响。数十年来，一直存在促进获得更清洁的固体燃料炊具和清洁燃料的干预措施。然而，当地社区的采用率却很低，导致资源浪费和结果不理想。因此，本综述的目的是确定决定在资源匮乏环境中实施清洁烹饪干预措施成功的因素，并权衡其证据的可信度。
我们通过在 PubMed、Embase、全球卫生数据库、Cochrane、PsycINFO、Emcare、Web of Science 和 CINAHL 中进行文献检索，确定了系统评价和叙述性评价，这些评价检查了在任何规模下，影响获得、最初采用或持续使用清洁固体燃料炊具和清洁燃料的因素，搜索没有日期或语言限制。搜索于 2017 年 10 月 23 日进行，并于 2019 年 7 月 10 日更新。纳入了基于定性、定量或混合方法研究的综述，并将使用 Meta 质量评估工具结合多重系统评价评估进行评估。将提取数据，并使用实施研究综合框架对影响实施的因素进行编码。将使用推荐评估、发展和评估-定性研究综述证据信心工具（Grading of Recommendations Assessment，Development and Evaluation-Confidence in the Evidence from Reviews of Qualitative Research tool）来确定编码因素的可信度水平。两位研究人员将独立进行这些步骤。
本综述不需要伦理审查委员会的批准。研究结果将发表在国际同行评议期刊上。研究结果将转化为两种实用工具：一种用于清洁固体燃料炊具，一种用于清洁燃料。这些工具可以指导在低收入和中等收入国家实施清洁烹饪干预措施的循证实施策略的制定，以提高实施的成功率。这些工具应在试点测试，并在区域和全球倡议中推广。
PROSPERO 注册号：CRD42018088687。
