Center for Evidence Based Health Care, Division of Epidemiology and Biostatistics, Department of Global Health, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.
School of Public Health, College of Medicine and Health Sciences, University of Rwanda, Kicukiro, Kigali, Rwanda.
Pan Afr Med J. 2022 Dec 5;43:168. doi: 10.11604/pamj.2022.43.168.32983. eCollection 2022.
This evidence synthesis aimed at assessing the effectiveness of Faith-Based Organisations (FBOs) on Maternal and Child Health (MCH) outcomes; and explore the perceptions and experiences of the users and providers of MCH services delivered by FBOs in Africa. This review considered studies from African countries only. Both reviews and primary studies focusing on MCH services provided by FBOs were considered. Quantitative, qualitative, and mixed methods reviews were included with no restriction on the date and language. Primary outcomes included maternal mortality ratio, neonatal mortality, infant mortality, child mortality, quality of care, views, experiences, and perceptions of users of FBOs. We searched up to November 2020 in the Joanna Briggs Institute (JBI) Database of Systematic Reviews and Implementation Reports, the Cochrane Database of Systematic Reviews, Database of Abstracts of Reviews of Effects, PROSPERO register, PDQ-evidence, Health Systems Evidence, CINAHL, EMBASE, and PubMed. We searched references cited by similar studies that may be potentially eligible for inclusion. We then updated the search for primary studies from December 2009 - October 2020. One systematic review and six primary studies met the eligibility criteria for inclusion. Methodological quality varied. These observational and qualitative studies found that FBOs offered the following MCH services - training of healthcare workers, obstetric services, health promotion, sexual education, immunization services, and intermittent preventive therapy for malaria. Maternal and Child Health (MCH) services provided by FBO suggest a reduction in maternal morbidity and mortality. Increased uptake of maternal healthcare services, and increased satisfaction were reported by users of care. However, costs of providing these services varied across the studies and users. This review shows that FBOs play an important role in improving access and delivery of MCH services and have the potential of strengthening the health system at large. Rigorous research is needed to ascertain the effectiveness of FBO-based interventions in strengthening the health systems in Africa.
本证据综合旨在评估信仰组织（FBO）在母婴健康（MCH）结果上的有效性；并探索非洲由 FBO 提供的母婴保健服务的使用者和提供者的看法和经验。本综述仅考虑来自非洲国家的研究。同时考虑了针对 FBO 提供的母婴保健服务的综述和原始研究。纳入了定量、定性和混合方法综述，且不受日期和语言的限制。主要结果包括孕产妇死亡率、新生儿死亡率、婴儿死亡率、儿童死亡率、护理质量、FBO 用户的观点、经验和看法。我们在乔安娜·布里格斯研究所（JBI）系统评价和实施报告数据库、Cochrane 系统评价数据库、效应摘要数据库、PROSPERO 登记处、PDQ-evidence、卫生系统证据、CINAHL、EMBASE 和 PubMed 中进行了截至 2020 年 11 月的检索。我们还检索了可能符合纳入标准的类似研究的参考文献。然后，我们更新了 2009 年 12 月至 2020 年 10 月的原始研究检索。一项系统评价和六项原始研究符合纳入标准。方法学质量参差不齐。这些观察性和定性研究发现，FBO 提供了以下母婴保健服务 - 医护人员培训、产科服务、健康促进、性教育、免疫服务和间歇性预防治疗疟疾。FBO 提供的母婴保健服务表明孕产妇发病率和死亡率有所降低。使用者报告称，更多地接受了孕产妇保健服务，并且满意度提高。然而，各项研究和使用者提供这些服务的成本有所不同。本综述表明，FBO 在改善母婴保健服务的可及性和提供方面发挥了重要作用，并有潜力加强整个卫生系统。需要进行严格的研究以确定基于 FBO 的干预措施在加强非洲卫生系统方面的有效性。
