Mihiretu Alemayehu, Bereket Yakob, Nelisiwe Khuzwayo
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引用次数: 0
Abstract
Objective: This scoping review aimed to map the evidence of effective coverage (EC) of EmONC (Emergency Obstetric and Neonatal Care) services and associated factors in Africa.
Methodology: The review used PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analysis extension for Scoping Reviews) checklist to select, appraise, and report the findings. We searched four databases (PubMed, Web of Science, Google Scholar, and Scopus) and grey literature published between Jan 01, 2011 - Dec 31, 2020. The search terms included "emergency", "obstetric", "newborn", "effective coverage", and "quality" with Boolean terms, AND and OR. The review was conducted using title, abstract, and full-article screenings. The results were analyzed thematically using NVivo v12 qualitative research data analysis software.
Results: Of the 1811 searched studies, 32 met the eligibility criteria for review. The majority of the studies were from East (56.3%) and Western (28.1%) Africa. Most studies were cross-sectional, had targeted health facilities, and combined two or more data collection techniques. The thematic analysis yielded three themes: EmONC service utilization, quality of EmONC service, and factors associated with the quality of EmONC services. The review showed a scarcity of evidence and variations regarding the crude coverage, quality of care, and factors affecting the quality of EmONC services in Africa.
Conclusion: The review reported that the utilization of EmONC services was below the WHO-recommended 100% in all studies, though some reported improvements over time. Disparities in EmONC services quality were paramount across studies and contexts. However, the methodological and analytical incongruity across studies brought difficulties in tracing and comparing the progress made in EmONC services utilizations.
Registration: This scoping review protocol was first registered on the Open Science Framework (OSF) on Aug 27, 2021 (https://osf.io/khcte/).
目的:本范围审查旨在绘制非洲EmONC(紧急产科和新生儿护理)服务有效覆盖(EC)及其相关因素的证据。方法:本综述使用PRISMA-ScR(系统评价首选报告项目和范围评价的元分析扩展)检查表来选择、评估和报告研究结果。我们检索了四个数据库(PubMed、Web of Science、Google Scholar和Scopus)和2011年1月1日至2020年12月31日之间发表的灰色文献。搜索词包括“紧急情况”、“产科”、“新生儿”、“有效覆盖范围”和“质量”，带有布尔术语“与”和“或”。本综述采用标题、摘要和全文筛选。采用NVivo v12定性研究数据分析软件对结果进行专题分析。结果:在检索的1811项研究中，32项符合审查的资格标准。大多数研究来自非洲东部(56.3%)和西部(28.1%)。大多数研究是横断面的，以卫生设施为目标，并结合了两种或两种以上的数据收集技术。专题分析产生了三个主题:EmONC服务利用率、EmONC服务质量和与EmONC服务质量相关的因素。审查显示，关于非洲EmONC服务的基本覆盖范围、护理质量和影响质量的因素缺乏证据和差异。结论:该综述报告称，EmONC服务的使用率在所有研究中都低于世卫组织推荐的100%，尽管一些研究报告随着时间的推移有所改善。EmONC服务质量的差异在研究和背景中是最重要的。然而，各种研究在方法和分析上的不一致给追踪和比较EmONC服务利用方面取得的进展带来了困难。注册:该范围审查协议于2021年8月27日首次在开放科学框架(OSF)上注册(https://osf.io/khcte/)。
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