撒哈拉以南非洲国家母婴等候之家的女性体验：一项定性系统评价研究方案。

Women's experiences of maternity waiting homes in sub-Saharan Africa: a qualitative systematic review protocol.

机构信息

Institute of Health, Department of Population and Family Health, Jimma University, Jimma, Ethiopia.

Department of Epidemiology and Biostatistics, College of Health Sciences, Mizan Tepi University, Mizan Teferi, Ethiopia.

出版信息

JBI Evid Synth. 2022 Oct 1;20(10):2528-2535. doi: 10.11124/JBIES-22-00102.

DOI:10.11124/JBIES-22-00102

PMID:35946906

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10137323/

Abstract

OBJECTIVE

The objective of this review is to synthesize women's experiences related to the use of maternity waiting homes in sub-Saharan Africa.

INTRODUCTION

Most maternal deaths occur within resource-limited settings. Sub-Saharan Africa and Southern Asia account for around 86% of all maternal deaths worldwide, with sub-Saharan Africa alone contributing roughly two-thirds of all maternal deaths. The long distances that women must travel to reach health facilities has been highlighted as the main cause of maternal death. Maternity waiting homes have been recognized as a strategy to enhance maternal health outcomes by bringing women living in geographically isolated locations closer to health facilities. However, maternity waiting home utilization rates are low and vary across different settings.

INCLUSION CRITERIA

The study population will be women (15 to 49 years of age) living in sub-Saharan Africa who have experiences related to maternity waiting home use. This may include experiences with service provisions during the final weeks of pregnancy and 2 weeks after childbirth. Stays of at least 1 day will be considered for inclusion.

METHODS

Databases including MEDLINE, Web of Science, Scopus, and Hinari will be searched. Gray literature sources will include Google Scholar and MedNar. Studies published in English from January 2000 onward will be included. Two independent reviewers will screen the titles and abstracts, followed by an examination of full-text papers. Any disagreements will be handled through discussion or consultation with a third reviewer. Two reviewers will independently assess the methodological quality of included studies and extract the data. The articles will be meta-aggregated and presented in tabular or narrative format.

SYSTEMATIC REVIEW REGISTRATION NUMBER

PROSPERO CRD42022306003.

摘要

目的

本综述的目的是综合撒哈拉以南非洲地区妇女使用产妇等候之家的相关体验。

引言

大多数产妇死亡发生在资源有限的环境中。撒哈拉以南非洲和南亚占全球产妇死亡人数的 86%左右，其中撒哈拉以南非洲单独占所有产妇死亡人数的三分之二左右。妇女必须长途跋涉才能到达保健设施，这被认为是导致产妇死亡的主要原因。产妇等候之家已被确认为一种通过使生活在地理上偏远地区的妇女更接近保健设施来改善产妇健康结果的策略。然而，产妇等候之家的利用率很低，并且在不同的环境中有所不同。

纳入标准

研究人群将是居住在撒哈拉以南非洲的 15 至 49 岁的妇女，她们有与使用产妇等候之家相关的经验。这可能包括在妊娠最后几周和分娩后两周内与服务提供有关的经验。至少停留 1 天的情况将被考虑纳入。

方法

将搜索包括 MEDLINE、Web of Science、Scopus 和 Hinari 在内的数据库。灰色文献来源将包括 Google Scholar 和 MedNar。纳入的研究将包括 2000 年 1 月以后以英文发表的研究。两名独立评审员将筛选标题和摘要，然后检查全文论文。任何分歧将通过讨论或与第三名评审员协商解决。两名评审员将独立评估纳入研究的方法学质量并提取数据。文章将进行元聚合，并以表格或叙述形式呈现。