Institute of Health Research and Society (IRSS), Université catholique de Louvain, Belgium.
Centre of Excellence in Reproductive Health Innovation, University of Benin, Nigeria.
Afr J Reprod Health. 2022 Sep;26(9):31-47. doi: 10.29063/ajrh2022/v26i9.4.
A myriad of demand-side factors hamper childbearing women from utilizing needed skilled birth care in low and lower-middle-income countries. The objective of this scoping review is to explore the extent of evidence available on the subject matter and identify knowledge gaps in the reviewed literature. We used the Arksey and O'Malley scoping review framework as a guide for this review and conducted searches on four electronic databases: PubMed, Embase, PsycInfo and Google Scholar. Eligible studies were those published in English and French languages between 2013 and 2022 that discussed demand-side barriers to access and utilization of skilled birth care in low and lower-middle-income countries. Five themes emerged as major types of barriers influencing the utilization of skilled birth care in low and lower-middle-income countries. These were socio-economic and socio-demographic status of women; lack of access to healthcare facilities; cost of healthcare services; ineffective healthcare systems and socio-cultural/religious factors. The identified gap in the literature was the lack of studies on the influence of women's behaviour and psychological traits as barriers to the use of skilled birth care among reviewed publications. To design effective interventions, it is important to consider all influential factors that determine the utilization of skilled birth care by women in low-resource settings.
众多需求方因素阻碍了中低收入国家的生育妇女获得所需的熟练分娩护理。本范围综述的目的是探讨现有关于该主题的证据程度，并确定已审查文献中的知识空白。我们使用阿特塞尔和奥马利范围综述框架作为本综述的指南，并在四个电子数据库上进行了搜索：PubMed、Embase、PsycInfo 和 Google Scholar。符合条件的研究是 2013 年至 2022 年间以英语和法语发表的，讨论了中低收入国家获得和利用熟练分娩护理的需求方障碍。五个主题作为影响中低收入国家熟练分娩护理利用的主要障碍类型出现。这些障碍包括妇女的社会经济和社会人口地位；缺乏获得医疗保健设施的机会；医疗保健服务的成本；低效的医疗保健系统和社会文化/宗教因素。文献中的差距是缺乏关于妇女行为和心理特征作为熟练分娩护理使用障碍的研究。为了设计有效的干预措施，重要的是要考虑所有影响因素，这些因素决定了资源匮乏环境中妇女对熟练分娩护理的利用。
