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Implementation Strategies for Maternal Near-Miss Case Reviews in LICs and LMICs: A scoping review protocol
Vaibhav Agavane1, Ramya Krishna B M1, Pragati B Hebbar1
1Institute of Public Health Bengaluru, Bengaluru, Karnataka, India.
This scoping review identifies strategies for implementing facility-based near-miss case reviews in low and lower-middle-income countries. Findings will aid in designing interventions to reduce maternal mortality.
Area of Science:
- Public Health
- Maternal Health
- Healthcare Implementation Science
Background:
- Maternal mortality remains a critical global health issue, particularly in low and lower-middle-income countries (LICs and LMICs).
- Facility-based near-miss case reviews (NMCR), recommended by the WHO, face implementation challenges in these regions.
- A scoping review is essential to understand effective implementation strategies for NMCR in resource-limited settings.
Purpose of the Study:
- To identify and characterize implementation strategies for facility-based near-miss case reviews (NMCR).
- To focus specifically on strategies utilized within Low and Lower-Middle-Income Countries (LICs and LMICs).
- To inform the development of interventions aimed at reducing maternal mortality through improved NMCR implementation.
Main Methods:
- Adherence to Arksey and O'Malley's methodological framework for scoping reviews.
- Comprehensive search of major electronic databases (PubMed, Embase, Web of Science, CINAHL, Ovid MEDLINE) and citation tracking.
- Utilized Rayyan for screening, Google Sheets for data charting, and employed blinded, independent review processes with consensus for discrepancies.
Main Results:
- The review will identify and characterize diverse implementation strategies for facility-based NMCR.
- Focus on strategies applicable and effective within the specific contexts of LICs and LMICs.
- Characterization of strategies to understand their facilitators and barriers in practice.
Conclusions:
- Findings will enhance understanding of NMCR implementation in resource-limited settings.
- Results will guide the design of targeted interventions and programs to reduce maternal mortality.
- Contribute to the generation of evidence-based knowledge products for maternal health improvement.
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