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Mapping evidence on factors contributing to maternal and child mortality in sub-Saharan Africa: A scoping review
Ugochinyere I Nwagbara1, Emmanuella C Osuala2, Rumbidzai Chireshe1
1Discipline of Public Health Medicine, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa.
Insights
Maternal and child mortality is a critical issue in sub-Saharan Africa (SSA). This scoping review maps evidence on contributing factors to guide future research and interventions for reducing deaths in SSA.
Area of Science:
- Public Health
- Global Health
- Reproductive Health
Background:
- Maternal and child mortality rates in sub-Saharan Africa (SSA) are disproportionately high compared to high-income countries (HICs).
- Approximately 1 in 11 children in SSA die before age five, highlighting a significant public health crisis.
Purpose of the Study:
- To systematically map existing evidence on factors contributing to maternal and child mortality in sub-Saharan Africa.
- To identify research gaps in the current literature on maternal and child mortality in SSA.
Main Methods:
- A comprehensive scoping review of peer-reviewed and grey literature.
- Searches conducted across multiple databases including PubMed/MEDLINE, Google Scholar, Science Direct, and WHO library via EBSCOhost.
- Data extraction using a charting table and thematic content analysis with NVIVO version 10 software.
Main Results:
- The review is expected to synthesize current knowledge on the determinants of maternal and child mortality in SSA.
- Identification of key factors influencing mortality rates across the region.
Conclusions:
- This review will provide a foundational understanding of the evidence landscape concerning maternal and child mortality in SSA.
- Findings will inform the design of targeted primary studies and public health interventions to address this critical issue.
Background:
Maternal and child mortality remains a major public health issue in sub-Saharan Africa (SSA), with the region having the highest under-five mortality rates, where approximately 1 in 11 children, dies before the age of 5 years. This is nearly 15 times the average in high-income countries (HICs). This scoping review is aimed at mapping evidence on the factors contributing to maternal and child mortality in SSA.
Methods:
This study will be conducted using a scoping review to map existing literature on the factors contributing to maternal and child mortality in SSA. The search will comprise of peer-reviewed and grey literature, using the EBSCOhost platform. Keyword search from electronic databases such as PubMed/MEDLINE, Google Scholar, Science Direct and World Health Organization library, will be conducted. Information will be obtained from the included studies, using a data charting table. We will use NVIVO version 10 software to analyse the data, and the narrative account of the study will be presented by means of a thematic content analysis.
Discussion:
We expect to find relevant literature that can help us in mapping evidence on the factors contributing to maternal and child mortality in SSA. This study results are anticipated to identify research gaps and in turn, guide the design of future primary studies.
Systematic Review Protocol Registration:
Open Science Framework registration number (DOI 10.17605/OSF.IO/XF5VN).
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