在撒哈拉以南非洲 (SSA) 预防死产的社区干预措施的类型,报告和可接受性:系统性审查
Uchenna Gwacham-Anisiobi1, Yebeen Ysabelle Boo1, Adetola Oladimeji2
1National Perinatal Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, United Kingdom.
EClinicalMedicine
|August 18, 2023
概括
撒哈拉以南非洲地区为预防死产而进行的社区干预措施显示,报告的完整性各不相同. 对女性接受干预的整体探索对于加强影响和减少研究浪费至关重要.
科学领域:
- 公共卫生 公共卫生
- 全球健康 全球健康
- 生殖健康 生殖健康
背景情况:
- 在撒哈拉以南非洲 (SSA),以社区为基础的干预越来越多地用于预防死产.
- 然而,它们的性质,报告和可接受性尚未得到充分评估.
- 完整的报告是必不可少的,以避免研究浪费由于实施不善或不可接受的干预措施.
研究的目的:
- 系统地审查基于社区的干预措施,以预防SSA的死产.
- 评估干预报告的完整性.
- 探索与干预可接受性相关的主题.
主要方法:
- 从SSA (2000-2023) 进行的定量和定性研究的系统审查.
- 搜索了八个数据库和四个灰色文献来源.
- 评估了干预类型,报告完整性 (TIDier检查清单) 和可接受性主题;研究质量得到了评估.
主要成果:
- 包括来自18个SSA国家的34项研究,确定了四种干预类型 (营养,感染预防,熟练护理人员,健康知识/行为).
- 使用了9个实施策略,包括移动健康和妇女团体.
- 报告的完整性各不相同,强度,剂量,定制和修改报告较低. 干预措施通常是可以接受的,但可接受性探索是有限的.
结论:
- 在SSA,有各种基于社区的干预措施用于预防死产.
- 不完整的干预描述阻碍了可复制性和扩大规模.
- 彻底探索女性和家庭之间的干预接受度对于增强影响至关重要.
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