在低收入和中等收入国家加强设施交付的干预措施:范围审查
Etsuko Nishimura1,2, Kaori Ochiai3, Erika Ota4
1Faculty of Nursing, Komazawa Women's University, 238 Sakahama, Inagi City, Tokyo, 206-8511, Japan. 20dn008@slcn.ac.jp.
Maternal and child health journal
|December 6, 2024
概括
有效的干预措施,如集体产前护理 (ANC),分娩计划,优惠券,现金转账 (CCT),激励和短信,在低收入和中等收入国家 (LMICs) 显著增加了设施分娩. 这些策略使妇女能够选择以设施为基础的分娩.
科学领域:
- 全球健康 全球健康
- 生殖健康 生殖健康
- 孕产妇健康 孕产妇健康
背景情况:
- 在低收入和中等收入国家 (LMICs) 减少孕产妇和新生儿死亡率方面,提供设施至关重要.
- 关于促进LMIC设施交付的有效干预措施的证据需要系统地绘制和合成.
研究的目的:
- 识别和映射旨在提高LMIC设施交付的干预措施的证据.
- 综合有关促进机构分娩的各种干预措施有效性的研究结果.
主要方法:
- 在2020年12月的PubMed,EMBASE和CENTRAL数据库中进行了全面的文献搜索.
- 手动参考列表搜索相关审查和研究.
- 标题,摘要和全文的独立选由两个审稿人进行,包括9项试验,涉及29,892名女性.
主要成果:
- 其中包括9个来自尼泊尔的试验和8个来自各种非洲国家 (肯尼亚,乌干达,尼日利亚,坦桑尼亚,赞比亚) 的试验.
- 确定的有效干预措施包括组产前护理 (ANC),分娩计划,全额优惠券,有条件现金转移 (CCT),非货币激励和短信服务 (SMS).
结论:
- 集团ANC,出生计划,优惠券,CCT,非货币激励和SMS显著增加了设施分娩的可能性.
- 这些干预措施代表了改善LMICs母亲健康结果的可行策略.
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