Upper West Regional Health Directorate, Ghana Health Service, Wa, Upper West Region, Ghana.
Department of Health Services, Policy, Planning, Management and Economics, University for Development Studies, Tamale, Northern Region, Ghana.
BMJ Open. 2024 Sep 30;14(9):e080527. doi: 10.1136/bmjopen-2023-080527.
Perinatal mortality is a major public health issue in sub-Saharan Africa, with Ghana experiencing consistently high rates. This poses challenges for achieving the maternal and child health-related sustainability development goals by 2030. While some studies have explored factors behind perinatal mortality in Ghana, a comprehensive analysis considering multifactorial predictors remains absent. This scoping review, guided by Anderson's framework of healthcare utilisation, aims to address this. The primary objective is to map the predictors of perinatal mortality in Ghana using Anderson's framework. It aims to identify interpersonal, social structural and health beliefs as predisposing factors; evaluate access to healthcare, social support and health literacy as enabling factors; and outline maternal and foetal conditions as need factors, concluding with identified knowledge gaps.
The Cochrane handbook for systematic reviews of interventions will be used to guide the conduct of this review. Four main electronic databases, PubMed, Web of Science, Scopus and Cumulative Index for Nursing and Allied Health Literature, will be searched. Eligible studies will be charted and synthesised, focussing on Anderson's primary domains: predisposing factors, enabling factors and need factors. Studies published in the English language from January 2000 to June 2024 will be included in the study to cover the most recent factors associated with perinatal mortality in Ghana.
This review will rely on already published peer-reviewed articles and therefore will not require ethical approval. The review results will be disseminated through peer-reviewed scientific publications and annual health services review conferences in Ghana.
CRD42024564968.
围产期死亡率是撒哈拉以南非洲的一个主要公共卫生问题，加纳的死亡率一直居高不下。这给 2030 年实现与母婴健康相关的可持续发展目标带来了挑战。虽然一些研究已经探讨了加纳围产期死亡率背后的因素，但缺乏综合考虑多因素预测因素的分析。本范围综述以安德森的医疗保健利用框架为指导，旨在解决这一问题。主要目的是使用安德森的框架来绘制加纳围产期死亡率的预测因素图。旨在确定人际关系、社会结构和健康信念作为倾向因素；评估获得医疗保健、社会支持和健康素养的情况作为促成因素；并概述母婴状况作为需求因素，并确定已识别的知识空白。
将使用 Cochrane 干预系统评价手册来指导本综述的进行。将在四个主要电子数据库（PubMed、Web of Science、Scopus 和 Cumulative Index for Nursing and Allied Health Literature）中进行搜索。将对合格的研究进行图表绘制和综合分析，重点关注安德森的主要领域：倾向因素、促成因素和需求因素。纳入的研究将发表于 2000 年 1 月至 2024 年 6 月期间的英文期刊，以涵盖与加纳围产期死亡率相关的最新因素。
本综述将依赖已发表的同行评议文章，因此不需要伦理批准。综述结果将通过同行评议的科学出版物和加纳年度卫生服务审查会议进行传播。
PROSPERO 注册号：CRD42024564968。
