Emergency Nutrition Network, Kidlington, UK
Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK.
BMJ Open. 2023 Sep 19;13(9):e069359. doi: 10.1136/bmjopen-2022-069359.
Evidence gaps limit management of small and/or nutritionally at-risk infants under 6 months and their mothers, who are at higher risk of death, illness, malnutrition and poor growth and development. These infants may be low birth weight, wasted, stunted and/or underweight. An integrated care model to guide their management (MAMI Care Pathway) is being tested in a randomised controlled trial in Ethiopia. Evaluating the extent to which an innovation is consistent with national policies and priorities will aid evidence uptake and plan for scale.
This review will evaluate the extent to which the MAMI Care Pathway is consistent with national policies that relate to the care of at-risk infants under 6 months and their mothers in Ethiopia. The objectives are to describe the range and characteristics, concepts, strategic interventions, coherence and alignment of existing policies and identify opportunities and gaps. It will be conducted in accordance with the JBI methodology for scoping reviews (PRISMA-ScR). Eligible documents include infant and maternal health, nutrition, child development, food and social welfare-related policies publicly available in English and Amharic. The protocol was registered on the Open Science Framework Registry on 20 June 2022 (https://osf.io/m4jt6).Grey literature will be identified through government and agency websites, national and subnational contacts and Google Scholar, and published policies through electronic database searches (MEDLINE, EMBASE and Global and Health Information). The searches will take place between October 2023 and March 2024. A standardised data extraction tool will be used. Descriptive analysis of data will be undertaken. Data will be mapped visually and tabulated. Results will be described in narrative form. National stakeholder discussions will inform conclusions and recommendations.
Ethical approval is not required as data consist solely of publicly available material. Findings will be used to evidence national and international policy and practice.
由于证据不足，6 个月以下的小体型/营养风险婴儿及其母亲的管理受到限制，而这些婴儿及其母亲面临更高的死亡、患病、营养不良以及生长发育不良的风险。这些婴儿可能存在低出生体重、消瘦、发育迟缓或体重不足的情况。一种综合护理模式（MAMI 护理路径）正在埃塞俄比亚的一项随机对照试验中进行测试，旨在评估该创新在多大程度上符合国家政策和优先事项，以促进证据的采用和推广。
本综述将评估 MAMI 护理路径在多大程度上符合埃塞俄比亚与 6 个月以下高危婴儿及其母亲护理相关的国家政策。目的是描述现有政策的范围和特征、概念、战略干预措施、一致性和协调性，并确定机会和差距。本研究将按照 JBI 范围综述方法（PRISMA-ScR）进行。符合条件的文件包括英语和阿姆哈拉语的婴儿和孕产妇健康、营养、儿童发育、食品和社会福利相关政策。该方案于 2022 年 6 月 20 日在开放科学框架注册（https://osf.io/m4jt6）。灰色文献将通过政府和机构网站、国家和次国家联系人以及 Google Scholar 进行识别，并通过电子数据库搜索（MEDLINE、EMBASE 和全球和健康信息）查找已发表的政策。搜索将于 2023 年 10 月至 2024 年 3 月进行。将使用标准化的数据提取工具。将对数据进行描述性分析。数据将以可视化和表格形式呈现。结果将以叙述形式描述。国家利益相关者的讨论将为结论和建议提供信息。
由于数据仅包含公开可用的材料，因此无需进行伦理审查。研究结果将用于为国家和国际政策和实践提供证据。
