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非洲残疾妇女的围产期护理经历:一项定性系统评价方案

Perinatal care experiences of women living with disability in Africa: a qualitative systematic review protocol.

作者信息

Mekonen Dawit Gebeyehu, Snelgrove-Clarke Erna, Macdonald Danielle, Donnelly Catherine, Engeda Eshetu

机构信息

School of Rehabilitation Sciences, Queen's University, Kingston, ON, Canada.

University of Gondar, College of Medical and Health Sciences, Gondar, Ethiopia.

出版信息

JBI Evid Synth. 2025 Apr 1;23(4):772-780. doi: 10.11124/JBIES-23-00513. Epub 2025 Jan 7.

DOI:10.11124/JBIES-23-00513
PMID:39763369
Abstract

OBJECTIVE

This review will explore the perinatal care experiences of women living with disability in African countries.

INTRODUCTION

In many African countries, most women with disability face stigma and discrimination. They are also at risk of unwanted pregnancy and sexually transmitted diseases due to gender-based violence and sexual abuse. Qualitative studies on perinatal care experiences of women with disability in Africa indicate challenges such as social stereotypes, lack of access to health facilities, and insensitivity from health professionals. Synthesizing the qualitative findings about the perinatal care experiences of women with disability in Africa will provide insights into the needs of this population and identify gaps in health care practice.

INCLUSION CRITERIA

We will include all settings in which women with disability in Africa receive maternal health care services, such as hospitals, clinics, primary care, community health centers, and homes. We will consider studies published from 2008 onward that present qualitative data, including designs such as phenomenology, grounded theory, ethnography, action research, and feminist research.

METHODS

The review will be conducted in line with the JBI methodology for systematic reviews of qualitative evidence. The following databases will be searched: Global Health, CINHAL (EBSCOhost), MEDLINE (Ovid), Web of Science, Embase (Ovid), Sabinet African Journals, and PsycINFO (EBSCOhost). Theses and dissertations will be searched through ProQuest Dissertations and Theses and Google Scholar. Two independent reviewers will conduct study selection, critical appraisal, data extraction, and meta-aggregation. Confidence in the findings will be assessed in accordance with the ConQual approach.

REVIEW REGISTRATION

PROSPERO CRD42023431799.

摘要

目的

本综述将探讨非洲国家残疾妇女的围产期护理经历。

引言

在许多非洲国家,大多数残疾妇女面临耻辱和歧视。由于性别暴力和性虐待,她们还面临意外怀孕和性传播疾病的风险。关于非洲残疾妇女围产期护理经历的定性研究表明存在一些挑战,如社会刻板印象、难以获得医疗设施以及医护人员的冷漠。综合关于非洲残疾妇女围产期护理经历的定性研究结果,将有助于深入了解这一人群的需求,并找出医疗保健实践中的差距。

纳入标准

我们将纳入非洲残疾妇女接受孕产妇保健服务的所有场所,如医院、诊所、初级保健机构、社区卫生中心和家庭。我们将考虑2008年以后发表的呈现定性数据的研究,包括现象学、扎根理论、民族志、行动研究和女性主义研究等设计。

方法

本综述将按照JBI定性证据系统评价方法进行。将检索以下数据库:《全球健康》、CINHAL(EBSCOhost)、MEDLINE(Ovid)、《科学引文索引》、Embase(Ovid)、Sabinet非洲期刊和PsycINFO(EBSCOhost)。将通过ProQuest学位论文和谷歌学术搜索学位论文。两名独立评审员将进行研究选择、批判性评价、数据提取和元聚合。将根据ConQual方法评估研究结果的可信度。

综述注册

PROSPERO CRD42023431799。

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