社区参与孕产妇和产周死亡监测和应对:一个现实的审查
Mary Mbuo1,2, Immaculate Okello3, Loveday Penn-Kekana4
1London School of Hygiene and Tropical Medicine, London, UK. mary.mbuo@soton.ac.uk.
BMC pregnancy and childbirth
|October 14, 2025
概括
社区参与孕产妇和产周死亡监测和应对 (MPDSR) 对于问责制和以人为中心的护理至关重要. 成功的策略需要采用系统方法,促进对话,信任和整合到卫生系统中,以防止死亡.
科学领域:
- 公共卫生 公共卫生
- 卫生系统研究 卫生系统研究
- 基于社区的干预措施
背景情况:
- 社区参与MPDSR可以提高问责制和以人为中心的护理在孕产妇和产周健康.
- 现有的文献缺乏对成功的社区参与策略,它们的背景,结果和MPDSR中的目标人群的全面理解.
研究的目的:
- 识别和完善程序理论,解释社区参与MPDSR的功能.
- 了解有效社区参与MPDSR的背景,机制和结果.
主要方法:
- 使用现实主义的复习方法来识别和完善程序理论.
- 在六个数据库和谷歌搜索了2004-2022年的文献,使用回归分析和上下文机制结果配置 (CMOCs).
主要成果:
- 综合了20个CMOC成五个程序理论,突出了担心责怪,对话,社会联系,激励和系统集成等因素.
- 发现,对责怪的恐惧阻碍了参与,而对话和信任则促进了合作和死亡报告.
结论:
- 成功的MPDSR社区参与需要采用集体系统方法,而不是孤立的干预.
- 创造促进对话,信任和尽量减少责怪的参与空间对于有效的MPDSR计划至关重要.
- 社区参与MPDSR是可行的跨不同的设置和收入水平.
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