School of Human and Health Sciences, University of Huddersfield, Huddersfield, United Kingdom.
PLoS One. 2024 Nov 27;19(11):e0309888. doi: 10.1371/journal.pone.0309888. eCollection 2024.
Stakeholder engagement is widely considered democratic, transparent, and essential in the shared decision-making process for improving health services. However, the integrated evidence of stakeholders' engagement activities in maternal and newborn health (MNH) services in the context of low- and middle-income countries (LMICs) is lacking. Therefore, this review aims to generate synthesised evidence of different practices for stakeholder engagements, characteristics of stakeholder engagements and outcomes of stakeholder engagements in improving the MNH services uptake and delivery.
The systematic review reporting followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) checklist. The literature was searched in PubMed, CINAHL, PsycINFO, Science Direct and Scopus databases. The identified records were screened using Covidence software, and data were extracted from included records using a predefined template. The mixed methods appraisal tool was used to assess the quality of the included studies. The spectrum of stakeholder engagement provided by the International Association for Public Participation (IAP2) was used as a guiding framework for synthesising the evidence related to stakeholder engagement.
A total of 1473 records were identified through the initial search after removing the duplicates. Twenty-six studies were included in the final review. The review results related to service users and other stakeholders' engagement are presented under three overarching themes: (i) Methods and contexts of stakeholders' engagement, (ii) Outcomes of stakeholders' engagement, and (iii) Facilitators and barriers to stakeholders' engagement.
Various participatory approaches were utilised to engage the service users and other stakeholders in improving MNH service uptake and delivery. A wide range of service user- and provider-led outcomes were identified due to stakeholder engagement.
PROSPERO registration number: CRD42022314613.
利益相关者的参与被广泛认为是民主、透明的，对于改善卫生服务的共同决策过程至关重要。然而，在中低收入国家（LMICs）的背景下，关于利益相关者参与产妇和新生儿健康（MNH）服务的综合证据仍然缺乏。因此，本综述旨在总结不同实践中利益相关者参与的证据，利益相关者参与的特征以及利益相关者参与对改善 MNH 服务利用率和提供的结果。
系统综述报告遵循了系统评价和荟萃分析的首选报告项目（PRISMA）清单。文献在 PubMed、CINAHL、PsycINFO、Science Direct 和 Scopus 数据库中进行了检索。使用 Covidence 软件筛选已识别的记录，并使用预定义模板从纳入的记录中提取数据。使用混合方法评估工具评估纳入研究的质量。国际公众参与协会（IAP2）提供的利益相关者参与范围作为综合利益相关者参与相关证据的指导框架。
经过初步搜索并去除重复项后，共确定了 1473 条记录。最终综述纳入了 26 项研究。现将与服务用户和其他利益相关者参与相关的综述结果呈现为三个总体主题：（i）利益相关者参与的方法和背景；（ii）利益相关者参与的结果；（iii）利益相关者参与的促进因素和障碍。
为了改善 MNH 服务的利用率和提供，采用了各种参与方法来吸引服务用户和其他利益相关者。由于利益相关者的参与，确定了广泛的服务用户和提供者主导的结果。
PROSPERO 注册号：CRD42022314613。
