Department of Sociology, Forman Christian College, Lahore, Pakistan.
Department of Sociology, International Islamic University Islamabad, Islamabad, Pakistan.
BMJ Open. 2021 Mar 24;11(3):e043715. doi: 10.1136/bmjopen-2020-043715.
The lack of universal health coverage and high poverty rates among the majority of women in Pakistan makes it essential to understand the quality and effectiveness of primary healthcare services. The aim of this project is to systematically review the available literature for interventions for primary healthcare services for women in order to provide the basis for future healthcare policy. The primary objective is to identify the effectiveness of the intervention in terms of how successful it was in improving health of women; whereas the secondary aim is to identify barriers and facilitators for delivery of primary healthcare services.
A systematic review using a narrative synthesis will be undertaken, including qualitative, quantitative and mixed methods studies from January to June 2021. Electronic databases will be used including PubMed, BMC, Medline, CINAHL and Cochrane Library. The search will be conducted in English and no date restrictions will be applied. A thematic synthesis method will be used for data synthesis involving three steps: (1) the identification, coding and initial theme generation for effectiveness of primary healthcare interventions in Pakistan for women, (2) identification and grouping of overarching themes, and related subthemes, to develop descriptive themes for barriers and facilitators for primary healthcare delivery, and (3) generation of general analytical themes in order to present recommendations in terms of improved health outcomes for women.
Ethics approval for this study was obtained from the Institutional Review Board, Forman Christian College University. Results will be disseminated via publications in international peer-reviewed journals. In addition, conference proceedings will be used to inform the government, researchers, donors, non-governmental organisations and other stakeholders. This study will result in a systematic identification and synthesis of barriers and facilitators for women's health outcomes that will help inform future primary health policies.
CRD42020203472.
在巴基斯坦，大多数女性缺乏全民健康覆盖和高贫困率，因此了解初级医疗保健服务的质量和效果至关重要。本项目旨在系统地回顾现有文献，了解针对女性的初级医疗保健服务干预措施，为未来的医疗保健政策提供依据。主要目标是确定干预措施在改善女性健康方面的效果；次要目标是确定提供初级医疗保健服务的障碍和促进因素。
将进行系统综述，采用叙述性综合方法，包括 2021 年 1 月至 6 月期间的定性、定量和混合方法研究。将使用电子数据库，包括 PubMed、BMC、Medline、CINAHL 和 Cochrane Library。检索将以英文进行，不设置日期限制。将使用主题综合方法对数据进行综合，包括三个步骤：(1) 确定、编码和初步生成巴基斯坦针对女性的初级医疗保健干预措施效果的主题；(2) 确定和分组总体主题及相关子主题，为初级医疗保健提供的障碍和促进因素开发描述性主题；(3) 生成一般分析主题，以便就改善女性健康结果提出建议。
本研究已获得 Forman Christian 学院大学机构审查委员会的伦理批准。结果将通过在国际同行评议期刊上发表文章进行传播。此外，会议论文将用于向政府、研究人员、捐助者、非政府组织和其他利益相关者通报情况。本研究将系统地确定和综合女性健康结果的障碍和促进因素，有助于为未来的初级卫生政策提供信息。
PROSPERO 注册号：CRD42020203472。
