Mbuo Mary, Okello Immaculate, Penn-Kekana Loveday, Willcox Merlin, Portela Anayda, Palestra Francesca, Mathai Matthews
Public health, Environments and Society, London School of Hygiene & Tropical Medicine, London, WC1E 7HT, UK.
Primary Care Research Centre , Aldermoor Health Centre, University of Southampton, Southhampton, UK.
Wellcome Open Res. 2023 Oct 5;8:117. doi: 10.12688/wellcomeopenres.18844.1. eCollection 2023.
While there has been a decline in maternal and perinatal mortality, deaths remain high in sub-Saharan Africa and Asia. With the sustainable development goals (SDGs) targets to reduce maternal and perinatal mortality, more needs to be done to accelerate progress and improve survival. Maternal and perinatal death surveillance and response (MPDSR) is a strategy to identify the clinical and social circumstances that contribute to maternal and perinatal deaths. Through MPDSR, an active surveillance and response cycle is established by bringing together different stakeholders to review and address these social and clinical factors. Community engagement in MPDSR provides a strong basis for collective action to address social factors and quality of care issues that contribute to maternal and perinatal deaths. Studies have shown that community members can support identification and reporting of maternal and/or perinatal deaths. Skilled care at birth has been increasing globally, but there are still gaps in quality of care. Through MPDSR, community members can collaborate with health workers to improve quality of care. But we do not know how community engagement in MPDSR works in practice; for whom it works and what aspects work (or do not work) and why. This realist review answers the question: which strategies of community engagement in MPDSR produce which outcomes in which contexts? For this realist review, we will identify published and grey literature by searching relevant databases for articles. We will include papers published from 2004 in all languages and from all countries. We have set up an advisory group drawn from academia, international organizations, and practitioners of both MPDSR and community engagement to guide the process. This protocol and the subsequent realist review will use theoretical approaches from the community engagement literature to generate theory on community engagement in MPDSR. : CRD42022345216.
虽然孕产妇和围产期死亡率有所下降，但撒哈拉以南非洲和亚洲的死亡人数仍然居高不下。随着可持续发展目标（SDGs）设定了降低孕产妇和围产期死亡率的目标，需要采取更多行动来加速进展并提高生存率。孕产妇和围产期死亡监测与应对（MPDSR）是一种识别导致孕产妇和围产期死亡的临床和社会情况的策略。通过MPDSR，通过召集不同利益相关者来审查和解决这些社会和临床因素，建立了一个积极的监测与应对循环。社区参与MPDSR为集体行动提供了坚实基础，以解决导致孕产妇和围产期死亡的社会因素和护理质量问题。研究表明，社区成员可以支持识别和报告孕产妇和/或围产期死亡情况。全球范围内，熟练的分娩护理一直在增加，但护理质量仍存在差距。通过MPDSR，社区成员可以与卫生工作者合作以提高护理质量。但我们不知道社区参与MPDSR在实际中如何发挥作用；对谁有效以及哪些方面有效（或无效）以及原因。这项实证性综述回答了以下问题：MPDSR中社区参与的哪些策略在哪些背景下产生哪些结果？ 对于这项实证性综述，我们将通过在相关数据库中搜索文章来识别已发表的文献和灰色文献。我们将纳入2004年以来以所有语言发表的来自所有国家的论文。我们成立了一个咨询小组，成员来自学术界、国际组织以及MPDSR和社区参与方面的从业者，以指导这一过程。 本方案及后续的实证性综述将运用社区参与文献中的理论方法来生成关于MPDSR中社区参与 的理论。 注册号：CRD42022345216
