Laboratory of Health Sciences and Technologies, Higher Institute of Health Sciences, Hassan First University of Settat, Settat, Morocco.
Department of Social and Behavioral Sciences, Richard M Fairbanks School of Public Health, Indiana University, Indianapolis, United States of America.
Pan Afr Med J. 2024 Apr 23;47:205. doi: 10.11604/pamj.2024.47.205.42499. eCollection 2024.
One crucial step to improving maternal health outcomes in any region is understanding the social determinants of maternal health, which vary significantly across the world´s geographical areas and within individual countries. The variability in these determinants is manifested in the Middle East and North Africa (MENA) region. Using a scoping review process, we identified articles analyzing social factors influencing maternal health outcomes in the MENA region. A total of 50 articles were included in this review. Several social factors impact independently or in association with maternal health outcomes or utilization of maternal health in the MENA region. These factors include: residing in an area of conflict, residing in a rural region, low accessibility and quality of health care, low level of education, antagonistic relationship with spouse and family-in-law, cultural practices such as female genital mutilation and early marriage, traditional practices, and beliefs, low household wealth, women´s financial security, women's bad childbirth history, and interpersonal violence. Multi-sector collaboration across governmental ministries, non-governmental organizations, local authorities, healthcare delivery programs, and community members is critical to creating long-term solutions in maternal health for MENA nations. Together they must address traditional practices harmful to women, poor accessibility, availability, and affordability of health services. To benefit women, a long-term commitment of organizations at local, national, and international levels to social investments in women´s education, financial status, and cultural norms is recommended for MENA nations.
改善任何地区产妇健康结果的一个关键步骤是了解产妇健康的社会决定因素，这些因素在世界各地区和各国之间存在显著差异。这些决定因素的可变性在中东和北非（MENA）地区表现得尤为明显。我们使用范围综述过程，确定了分析 MENA 地区影响产妇健康结果的社会因素的文章。本综述共纳入了 50 篇文章。有几个社会因素独立或与产妇健康结果或产妇健康利用有关，这些因素包括：居住在冲突地区、居住在农村地区、医疗保健的可及性和质量低、教育水平低、与配偶和姻亲的敌对关系、女性割礼和早婚等文化习俗、传统习俗和信仰、低家庭财富、妇女的财务安全、妇女不良的分娩史和人际暴力。政府各部门、非政府组织、地方当局、医疗保健提供计划和社区成员之间的多部门合作，对于为 MENA 国家创造长期的产妇健康解决方案至关重要。他们必须共同解决对妇女有害的传统习俗、卫生服务的可及性、可获得性和可负担性差的问题。为了使妇女受益，建议 MENA 国家的地方、国家和国际各级组织长期承诺对妇女教育、财务状况和文化规范进行社会投资。
