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一项范围综述方案:绘制影响脆弱、低收入国家产妇健康结局的政策相关证据范围图。

A scoping review protocol: Mapping the range of policy-related evidence influencing maternal health outcomes in a fragile, low-income country.

机构信息

Faculty of Life & Health Sciences, School of Nursing, University of Ulster, Belfast, Northern Ireland.

Ulster University Business School, Global Business and Enterprise, University of Ulster, Belfast, Northern Ireland.

出版信息

J Adv Nurs. 2021 Oct;77(10):4246-4253. doi: 10.1111/jan.14956. Epub 2021 Jul 20.

DOI:10.1111/jan.14956
PMID:34288043
Abstract

AIM

The aim of this scoping review is to map the range of policy-related evidence influencing maternal health outcomes and determine the cultural and contextual factors influencing maternal health in Myanmar, a low-income, fragile setting.

DESIGN

Eligible studies identified will include maternal health-related policies, policy documents and research. All types of health-related policies aimed at targeting population health and well-being influencing maternal mortality and morbidity will be considered.

METHODS

This scoping review has been developed using the Joanna Briggs Institute recommendations. The database search will include MEDLINE, CINAHL, Web of Science, Cochrane Library and the grey literature. Documents published in English and Burmese in the past 10 years will be included. Numerical data will be extracted and summarized in diagrammatic form, and a descriptive format will be used to present narrative accounts. Funding approval was granted by the Economic and Social Research Council in January 2020. This protocol was registered with OSF registries (Open-ended Registration) on 30 March 2021.

DISCUSSION

Little is known about which strategies work best as there is less evidence related to health policy and contextual factors in which maternal health care is delivered in fragile, low-income settings. Understanding the context of maternal health is key to the planning and implementation of effective maternal health services designed to address women's needs.

IMPACT

This review will map the range of policy-related evidence influencing maternal health outcomes in Myanmar and will underpin future large-scale research in other low-income and fragile settings. The results of this scoping review will provide recommendations for developing and improving practice and education for nurses and midwives working in resource-restricted contexts.

摘要

目的

本范围综述旨在绘制影响产妇健康结果的政策相关证据范围,并确定影响缅甸产妇健康的文化和背景因素,缅甸是一个低收入、脆弱的环境。

设计

将包括与产妇健康相关的政策、政策文件和研究在内的符合条件的研究。所有旨在针对影响母婴死亡率和发病率的人口健康和福祉的与健康相关的政策都将被考虑。

方法

本范围综述是根据乔安娜·布里格斯研究所的建议制定的。数据库搜索将包括 MEDLINE、CINAHL、Web of Science、Cochrane 图书馆和灰色文献。将纳入过去 10 年以英文和缅甸文发表的文件。将提取数值数据并以图表形式总结,并以描述性格式呈现叙述性说明。2020 年 1 月,经济和社会研究委员会批准了资金。本方案于 2021 年 3 月 30 日在 OSF 注册处(开放式注册)注册。

讨论

由于在脆弱、低收入环境中提供产妇保健的健康政策和背景因素相关证据较少,因此对于哪些策略最有效知之甚少。了解产妇健康的背景是规划和实施旨在满足妇女需求的有效产妇保健服务的关键。

影响

本综述将绘制影响缅甸产妇健康结果的政策相关证据范围,并为在其他低收入和脆弱环境中进行大规模研究提供依据。本范围综述的结果将为在资源有限的情况下工作的护士和助产士的实践和教育的发展和改进提供建议。

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