Birhane Binyam Minuye, Assefa Yibeltal, Belay Demeke Mesfin, Nibret Gedefaye, Munye Aytenew Tigabu, Liyeh Tewachew Muche, Gelaw Kelemu Abebe, Tiruneh Yenework Mulu
College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.
School of Public Health, University of Technology Sydney, Sydney, NSW, Australia.
Front Glob Womens Health. 2024 Apr 17;5:1289835. doi: 10.3389/fgwh.2024.1289835. eCollection 2024.
Quality improvement interventions have been part of the national agenda aimed at reducing maternal and neonatal morbidities and mortality. Despite different interventions, neonatal mortality and morbidity rates remain steady. This review aimed to map and synthesize the evidence of maternal and newborn quality improvement interventions in Ethiopia.
A scoping review was reported based on the reporting items for systematic reviews and meta-analysis extensions for the scoping review checklist. Data extraction, collation, and organization were based on the Joanna Briggs Institute manual of the evidence synthesis framework for a scoping review. The maternal and neonatal care standards from the World Health Organization and the Donabedian quality of health framework were used to summarize the findings.
Nineteen articles were included in this scoping review. The review found that the studies were conducted across various regions of Ethiopia, with the majority published after 2013. The reviewed studies mainly focused on three maternal care quality interventions: mobile and electronic health (eHealth), quality improvement standards, and human resource mobilization. Moreover, the reviewed studies explored various approaches to quality improvement, such as providing training to healthcare workers, health extension workers, traditional birth attendants, the community health development army, and mothers and supplying resources needed for maternal and newborn care.
In conclusion, quality improvement strategies encompass community involvement, health education, mHealth, data-driven approaches, and health system strengthening. Future research should focus on the impact of physical environment, culture, sustainability, cost-effectiveness, and long-term effects of interventions. Healthcare providers' knowledge, skills, attitudes, satisfaction, and adherence to guidelines should also be considered.
质量改进干预措施一直是旨在降低孕产妇和新生儿发病率及死亡率的国家议程的一部分。尽管采取了不同的干预措施，但新生儿死亡率和发病率仍保持稳定。本综述旨在梳理和综合埃塞俄比亚孕产妇和新生儿质量改进干预措施的证据。
根据系统评价和范围综述清单的元分析扩展报告项目报告了一项范围综述。数据提取、整理和组织基于乔安娜·布里格斯研究所范围综述证据综合框架手册。使用世界卫生组织的孕产妇和新生儿护理标准以及唐纳贝迪安健康质量框架来总结研究结果。
本范围综述纳入了19篇文章。综述发现，这些研究在埃塞俄比亚的不同地区开展，大多数研究于2013年后发表。所综述的研究主要集中在三项孕产妇护理质量干预措施上：移动和电子健康（eHealth）、质量改进标准以及人力资源动员。此外，所综述的研究探索了各种质量改进方法，例如为医护人员、健康推广工作者、传统助产士、社区健康发展队伍以及母亲提供培训，并提供孕产妇和新生儿护理所需的资源。
总之，质量改进策略包括社区参与、健康教育、移动健康、数据驱动方法以及卫生系统强化。未来的研究应关注物理环境、文化、可持续性、成本效益以及干预措施的长期影响。还应考虑医疗保健提供者的知识、技能、态度、满意度以及对指南的遵守情况。
