Kitila Sena Belina, Feyissa Garumma Tolu, Olika Alemi Kebede, Wordofa Muluemebet Abera
School of Nursing, Jimma University Institute of Health Science, Faculty of Health Sciences, Ethiopia.
Ethiopian Evidence Based Health Care Centre, Department of Health, Behavior and Society, Institute of health, Jimma University, Jimma, Ethiopia.
Health Serv Insights. 2022 May 21;15:11786329221100310. doi: 10.1177/11786329221100310. eCollection 2022.
Continuum of care [COC] for maternal health care [MHC] refers to continuity of care that has been considered as a core principle and framework to underpin strategies and programs to save the lives and promote wellbeing of mothers and newborns. However, the status of the continuum of care for maternal health care is not well studied. Thus, the objective of this analysis is to examine the status of the continuum of care for maternal health care and current recommendations in Low- and Middle-Income Countries.
Our review followed the scoping review methods. We searched for relevant studies in the PubMed, and Cochrane Library databases. Additionally, lateral searching was carried out from google scholar, reference lists of the included studies and supplemented by a gray literature search. One reviewer screened the full list, which was randomly split into two halves and independently screened by other 2 reviewers. The 2 reviewers independently extracted the data and discrepancies were resolved through discussion.
A total of 1259 records were identified through the databases and others searching strategies. Of these, 13 studies were included in the review and the year of their publication was from 2015 to 2019, more than half (53.8 %) of the included studies were from African countries. As to the source of data 53.8% of them were from countries' Demographic Health Survey [DHS], and all of them were cross sectional study by design. The general picture shows a decline in use of the services as women move along the continuum of care from pregnancy to childbirth and postnatal, and the highest gap was noticed between institutional delivery and postnatal care. The completion status differs from country to country and 60% in Cambodia during the 2010 CDHS but, 5% in Ratanakiri, Cambodia in 2015.
The status of continuum of care for maternal health care is varies across the countries. Also, there is limited studies on the continuum of maternal health care and more than half of the studies on this area were from countries' Demographic Health Survey and all of them were cross sectional by design. Furthermore, none of the reviewed studies considered status of continuum of care and birth outcomes. Hence, it is decisive to estimate the status of completion of continuum of care, completion, and its effect on birth outcomes in countries like Ethiopia where the burden of maternal and newborn mortality is high.
Continuum of care for maternal health care means the continuity of care during prenatal, delivery and postnatal. It has been considered as core strategies to save the lives of mothers and newborns.We searched for relevant studies in the databases and gray literature. Two reviewers performed data extraction independently. A total of 1259 records were identified through searching. Thirteen studies were included in the review. More than half of the studies included were from African countries. Demographic Health Survey [DHS] reported from these countries formed the main source of data. All of them were cross sectional study by design.The general picture shows a decline in the use of the health services as women move along the continuum of care from ANC to PNC. The completion status varies across countries.
孕产妇保健的连续照护（COC）是指连续的护理，它被视为支撑拯救母亲和新生儿生命并促进其福祉的战略与项目的核心原则和框架。然而，孕产妇保健连续照护的现状尚未得到充分研究。因此，本分析的目的是研究低收入和中等收入国家孕产妇保健连续照护的现状及当前建议。
我们的综述遵循范围综述方法。在PubMed和Cochrane图书馆数据库中搜索相关研究。此外，通过谷歌学术、纳入研究的参考文献列表进行横向搜索，并辅以灰色文献搜索。一名评审员筛选完整列表，该列表随机分为两半，由另外两名评审员独立筛选。这两名评审员独立提取数据，差异通过讨论解决。
通过数据库和其他搜索策略共识别出1259条记录。其中，13项研究被纳入综述，其发表年份为2015年至2019年，超过一半（53.8%）的纳入研究来自非洲国家。关于数据来源，其中53.8%来自各国的人口健康调查（DHS），且所有研究在设计上均为横断面研究。总体情况显示，随着妇女从怀孕到分娩及产后沿着连续照护过程推进，服务使用率呈下降趋势，机构分娩和产后护理之间的差距最为明显。完成情况因国家而异，2010年柬埔寨全国人口健康调查（CDHS）期间为60%，但2015年柬埔寨腊塔纳基里省为5%。
孕产妇保健连续照护的现状因国家而异。此外，关于孕产妇保健连续照护的研究有限，该领域一半以上的研究来自各国的人口健康调查，且所有研究在设计上均为横断面研究。此外，所审查的研究均未考虑连续照护状况和分娩结局。因此，在孕产妇和新生儿死亡率负担较高的埃塞俄比亚等国家，评估连续照护的完成状况、完成情况及其对分娩结局的影响至关重要。
孕产妇保健的连续照护是指产前、分娩和产后护理的连续性。它被视为拯救母亲和新生儿生命的核心战略。我们在数据库和灰色文献中搜索相关研究。两名评审员独立进行数据提取。通过搜索共识别出1259条记录。13项研究被纳入综述。纳入研究中一半以上来自非洲国家。这些国家报告的人口健康调查（DHS）构成了主要数据来源。所有研究在设计上均为横断面研究。总体情况显示，随着妇女从产前护理（ANC）到产后护理（PNC）沿着连续照护过程推进，卫生服务的使用率呈下降趋势。完成情况因国家而异。
