关键词: India Maternal health services Non-medical determinants Scoping review Social determinants

来  源:   DOI:10.1007/s13224-023-01892-3   PDF(Pubmed)

Abstract:
UNASSIGNED: The Maternal Mortality Rate (MMR) is one of the most important health indicators of a country. In India, MMR has decline from 130 to 113 per 100,000 live births between 2014 and 2018, however, there are wide disparities in utilization of maternal health services (MHS) among different states and across different socioeconomic groups within the states. Although the government is providing MHS through various health programs in India, there are several non medical factors leading to the underutilization of MHS services.
UNASSIGNED: To map and summarise the non-medical determinants of access and quality of MHS in India.
UNASSIGNED: We are conducting a scoping review of the published literature from 2000 till date in databases such as PubMed, Cochrane, Science Direct and CINAHL by including eligible qualitative as well as quantitative studies conducted in India. Data extraction and analysis will be conducted through a narrative integrative synthesis approach to summarize the non-medical determinants of access and quality of MHS in India and understand their mechanisms of influence.At the third SPINE20 summit 2022 which took place in Bali, Indonesia, in August 2022, 17 associations endorsed its recommendations.
UNASSIGNED: We will summarise the non-medical determinants that influence the access and quality of MHS.
UNASSIGNED: This scoping review would help to understand and summarise the existing non-medical determinants of access and quality of MHS, highlight the research gaps and suggest potential modalities for improvement of access and quality of MHS.
摘要:
孕产妇死亡率(MMR)是一个国家最重要的健康指标之一。在印度,2014年至2018年期间,MMR从每100,000例活产中的130例下降到113例,然而,在不同州之间以及各州内不同社会经济群体之间,孕产妇保健服务(MHS)的利用存在很大差异。尽管政府在印度通过各种健康计划提供MHS,有几个非医疗因素导致MHS服务利用不足。
绘制和总结印度MHS的获取和质量的非医学决定因素。
我们正在对从2000年至今在PubMed等数据库中发表的文献进行范围审查,科克伦,ScienceDirect和CINAHL,包括在印度进行的合格定性和定量研究。数据提取和分析将通过叙事综合方法进行,以总结印度MHS的获取和质量的非医学决定因素,并了解其影响机制。在巴厘岛举行的2022年SPINE20第三次峰会上,印度尼西亚,2022年8月,17个协会批准了其建议。
我们将总结影响MHS访问和质量的非医学决定因素。
这项范围审查将有助于理解和总结现有的MHS获取和质量的非医学决定因素,强调研究差距,并提出改善MHS获取和质量的潜在方式。
公众号