PDF(Pubmed)
Abstract：
Strengthening healthcare systems is a practical approach to enhance healthcare delivery and services. Although there has been a rise in the number of health systems strengthening (HSS) interventions in sub-Saharan Africa (SSA), there is limited evidence on the causal effect of these activities on child survival. Furthermore, the findings reported so far have been varied, and how they relate to each other remains unclear. This systematic review study aims to assess all available evidence to understand the impact of HSS activities on child survival in SSA.
We developed a search strategy to retrieve all relevant studies from electronic databases such as PubMed/MEDLINE, Web of Science, and African Journals Online. We will use a combination of search terms such as \"under-five mortality,\" \"child mortality,\" \"infant mortality,\" \"neonatal mortality,\" \"child survival,\" and \"health systems strengthening.\" The review will include studies that establish a causal relationship between HSS interventions and child survival. This will include studies with designs such as randomized controlled trials and quasi-experimental and methods like difference-in-difference. Two reviewers will independently screen all citations, abstracts, and full-text data and a third reviewer will act as a tiebreaker in case of disagreements. The primary outcome of interest is the impact of HSS activities on under-five survival. We will evaluate the quality of each study using the Bradford Hill criteria for causation.
Our systematic review will identify and evaluate all relevant evidence that establishes a causal relationship between HSS activities and the survival of children under five years in SSA. The review\'s findings regarding the impact of HSS activities on child survival could be of significant interest to the donor community and policy actors in the region. We also anticipate that the review\'s conclusions could serve as a valuable guide for the development of future health system interventions and strategies in SSA.
PROSPERO CRD42022333913.
We developed a search strategy to retrieve all relevant studies from electronic databases such as PubMed/MEDLINE, Web of Science, and African Journals Online. We will use a combination of search terms such as \"under-five mortality,\" \"child mortality,\" \"infant mortality,\" \"neonatal mortality,\" \"child survival,\" and \"health systems strengthening.\" The review will include studies that establish a causal relationship between HSS interventions and child survival. This will include studies with designs such as randomized controlled trials and quasi-experimental and methods like difference-in-difference. Two reviewers will independently screen all citations, abstracts, and full-text data and a third reviewer will act as a tiebreaker in case of disagreements. The primary outcome of interest is the impact of HSS activities on under-five survival. We will evaluate the quality of each study using the Bradford Hill criteria for causation.
Our systematic review will identify and evaluate all relevant evidence that establishes a causal relationship between HSS activities and the survival of children under five years in SSA. The review\'s findings regarding the impact of HSS activities on child survival could be of significant interest to the donor community and policy actors in the region. We also anticipate that the review\'s conclusions could serve as a valuable guide for the development of future health system interventions and strategies in SSA.
PROSPERO CRD42022333913.
摘要：
背景：加强医疗保健系统是增强医疗保健提供和服务的实用方法。尽管撒哈拉以南非洲（SSA）加强卫生系统（HSS）干预措施的数量有所增加，关于这些活动对儿童生存的因果影响的证据有限。此外，到目前为止报告的调查结果各不相同，它们之间的关系还不清楚。这项系统评价研究旨在评估所有可用证据，以了解HSS活动对SSA儿童生存的影响。
方法：我们开发了一种搜索策略，从PubMed/MEDLINE等电子数据库中检索所有相关研究，WebofScience,非洲期刊在线我们将使用搜索词的组合，例如“五岁以下儿童死亡率”，“\”儿童死亡率，\“\”婴儿死亡率，新生儿死亡率，\"\"儿童生存，“和”卫生系统加强。“该审查将包括建立HSS干预措施与儿童生存之间因果关系的研究。这将包括设计的研究，如随机对照试验和准实验和方法，如差异差异。两名审稿人将独立筛选所有引文，摘要,全文数据和第三审稿人将在出现分歧时充当决胜局。感兴趣的主要结果是HSS活动对五岁以下儿童生存的影响。我们将使用BradfordHill因果关系标准来评估每个研究的质量。
结论：我们的系统评价将确定并评估所有相关证据，这些证据建立了HSS活动与SSA中5岁以下儿童的生存率之间的因果关系。关于HSS活动对儿童生存的影响的审查结果可能会引起该地区捐助界和政策行为者的极大兴趣。我们还预计，审查的结论可以作为SSA未来卫生系统干预措施和策略发展的有价值的指导。
背景：PROSPEROCRD4202233913.
方法：我们开发了一种搜索策略，从PubMed/MEDLINE等电子数据库中检索所有相关研究，WebofScience,非洲期刊在线我们将使用搜索词的组合，例如“五岁以下儿童死亡率”，“\”儿童死亡率，\“\”婴儿死亡率，新生儿死亡率，\"\"儿童生存，“和”卫生系统加强。“该审查将包括建立HSS干预措施与儿童生存之间因果关系的研究。这将包括设计的研究，如随机对照试验和准实验和方法，如差异差异。两名审稿人将独立筛选所有引文，摘要,全文数据和第三审稿人将在出现分歧时充当决胜局。感兴趣的主要结果是HSS活动对五岁以下儿童生存的影响。我们将使用BradfordHill因果关系标准来评估每个研究的质量。
结论：我们的系统评价将确定并评估所有相关证据，这些证据建立了HSS活动与SSA中5岁以下儿童的生存率之间的因果关系。关于HSS活动对儿童生存的影响的审查结果可能会引起该地区捐助界和政策行为者的极大兴趣。我们还预计，审查的结论可以作为SSA未来卫生系统干预措施和策略发展的有价值的指导。
背景：PROSPEROCRD4202233913.
