Evidence map›Paper›PMID 33656214›Full record

SynthesisJournal of clinical nursing2021

Community- based maternal and newborn interventions in Africa: Systematic review.

Clemence Nishimwe, Gugu G Mchunu, Dariya Mukamusoni

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of clinical nursing, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Review
  12. Article
  13. Article
  14. A Strategy for Reducing Maternal Mortality in Rural Kenya.International journal of women's health · 2023
    Article
  15. Article
  16. Article
  17. Mapping Maternal Health in the New Media Environment: A Scientometric Analysis.International journal of environmental research and public health · 2021
    Article
  18. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Clemence NishimweSchool of Nursing and Public Health, University of KwaZulu-Natal, Howard College, Durban, South Africa.ORCID https://orcid.org/0000-0001-5795-9800
Gugu G MchunuSchool of Nursing and Public Health, University of KwaZulu-Natal, Howard College, Durban, South Africa.
Dariya MukamusoniKibogora Polytechnic, Nyamasheke, Rwanda.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

AIM AND

objectivesThis review analysed the implementation and integration into healthcare systems of maternal and newborn healthcare interventions in Africa that include community health workers to reduce maternal and newborn deaths.

backgroundMost neonatal deaths (99%) occur in low- and middle-income countries, with approximately half happening at home. In resource-constrained settings, community-based maternal and newborn care is regarded as a sound programme for improving newborn survival. Health workers can play an important role in supporting families to adopt sound health practices, encourage delivery in healthcare facilities and ensure timeous referral. Maternal and newborn mortality is a major public health problem, particularly in sub-Saharan Africa, where the Millennium Development Goals 4, 5 and 6 were not achieved at the end of 2015.

methodsThe review includes quantitative, qualitative and mixed-method studies, with a data-based convergent synthesis design being used, and the results grouped into categories and trends. The review took into account the participants, interventions, context and outcome frameworks (PICO), and followed the adapted PRISMA format for reporting systematic reviews of the qualitative and quantitative evidence guide checklist.

resultsThe results from the 17 included studies focused on three themes: antenatal, delivery and postnatal care interventions as a continuum. The main components of the interventions were inadequate, highlighting the need for improved planning before each stage of implementation. A conceptual framework of planning and implementation was elaborated to improve maternal and newborn health.

conclusionThe systematic review highlight the importance of thoroughly planning before any programme implementation, and ensuring that measures are in place to enable continuity of services. RELEVANT TO THE CLINICAL PRACTICE: Conceptual framework of planning and implementation of maternal and newborn healthcare interventions by maternal community health workers.

Indexed as

Delivery of Health CareMaternal Health ServicesAfrica South of the SaharaCommunity Health WorkersFemaleHealth PromotionHumansInfant, NewbornPregnancyAfricamaternal community health workersmaternal/ newborn healthcarenurse/ midwifery primary health careprogram planning and implementationsystematic review

Identifiers

PMID33656214
PMCPMC8451830

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.