低收入和中等收入国家有效的妊娠前咨询服务的核心建议 - - 范围审查
Fitriana Murriya Ekawati1, Anis Widyasari2, Harti Rahmi Aunurul Lisa3
1Department of Family and Community Medicine, Universitas Gadjah Mada, Indonesia.
概括
在低收入和中等收入国家 (LMICs) 缺乏全面的孕前护理模式. 本次审查确定了制定有效的孕前护理和咨询服务的关键建议,强调平台,核心原则和妇女赋权,以改善孕产妇健康结果.
科学领域:
- 全球健康 全球健康
- 孕产妇健康 孕产妇健康
- 公共卫生政策 公共卫生政策
背景情况:
- 现有的怀孕前护理指南主要针对高收入国家.
- 低收入和中等收入国家 (LMICs) 承受着不成比例的孕产妇死亡率负担.
- 对于LMICs来说,有必要提供特定背景的预孕护理和咨询建议.
研究的目的:
- 识别和综合现有的设计,模型或建议,用于怀孕前护理和咨询服务.
- 调整这些发现以适应LMICs独特的背景.
- 为在资源有限的环境中制定有效的孕前护理策略提供信息.
主要方法:
- 在五个主要数据库 (2013-2023) 进行系统的文献搜索.
- 包含详细介绍在LMIC或来自LMIC的怀孕前护理设计,模型或建议的文章.
- 排除单次选服务或没有特定模型/建议的评估.
- 使用诱导方法对符合条件的文章进行主题分析.
主要成果:
- 九篇文章符合纳入标准,主要是中等质量的评论和社论.
- 怀孕前护理建议的三个新兴主题是:平台 (设置),核心原则 (查和管理) 和妇女赋权.
- 赋予妇女权力对于使有关怀孕计划的知情决策至关重要.
结论:
- 在LMICs中,已建立的怀孕前护理模式存在重大差距.
- 审查的结果将指导研究,以开发适合的孕前护理在LMICs.
- 促进获得平等和妇女赋权对于在LMICs成功实施怀孕前护理至关重要.
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