尽管过去几十年来孕产妇死亡率的下降取得了重大进展,但孕产妇死亡率仍然是一个持续存在的公共卫生问题。到2020年,全球孕产妇死亡率(MMR)为每100,000例活产中223例死亡,表明在20年内下降了34.3%,低收入国家(LICs)和中低收入国家(LMICs)承担了主要负担。有效实施基于设施的未遂病例审查(NMCR),由世界卫生组织(WHO)批准,面临阻碍进步的挑战,通过范围审查探索实施战略至关重要。本范围审查旨在确定和描述低收入和中低收入国家采用的实施战略,以促进基于设施的NMCR的实施。
■范围审查将遵循Arksey和O'Malley的方法论框架,涉及五个阶段:确定研究问题,选择相关研究,选择数据,绘制图表,并总结结果。像PubMed这样的电子数据库,Embase,WebofScience,EBSCOhost-CINAHLUltimate,OvidMEDLINE将被搜索,辅以引文跟踪。Rayyan将用于筛选和删除重复项,使用Google表格进行数据图表。两名独立审稿人将进行盲检,资格评估,和包容阶段。审稿人将使用试点表格独立进行系统数据提取,通过团队讨论和共识解决差异。
■审查将确定和描述所采用的实施策略,以促进在LIC和LMIC中实施基于设施的未遂病例审查。
■本次审查的结果将有助于理解LIC和LMIC中基于设施的NMCR的实施策略。该审查可以帮助设计干预措施/计划,以降低孕产妇死亡率和知识产品。
UNASSIGNED: Maternal mortality remains a persistent public health concern despite significant strides in reduction over the past few decades, with a global maternal mortality ratio (MMR) of 223 deaths per 100,000 live births in 2020, indicating a 34.3% decline over 20 years, with Low income countries (LICs) and Lower Middle-Income Countries (LMICs) bearing the major burden. Effective implementation of facility-based near-miss
case reviews (NMCR), endorsed by the World Health Organization (WHO), faces challenges hindering progress, making exploring implementation strategies through a scoping review essential. This scoping review aims to identify and characterize implementation strategies employed in Low and Lower Middle- Income Countries to facilitate the implementation of facility-based NMCR.
UNASSIGNED: The scoping review will follow Arksey and O\'Malley\'s methodological framework, involving five stages: identifying the research question, selecting relevant studies, selecting data, charting, and summarizing the results. Electronic databases like PubMed, Embase, Web of Science, EBSCOhost - CINAHL Ultimate, and Ovid MEDLINE will be searched, supplemented by citation tracking. Rayyan will be used to screen and remove duplicates, with data charting conducted using Google Sheets. Two independent reviewers will conduct blinded screening, eligibility assessment, and inclusion phases. Reviewers will conduct Systematic data extraction independently using piloted forms, with discrepancies resolved through team discussion and consensus.
UNASSIGNED: The review will identify and characterize implementation strategies employed to facilitate the implementation of facility-based near-miss
case reviews in LICs and LMICs.
UNASSIGNED: The findings of this review will contribute to the understanding of implementing strategies for facility-based NMCR in LICs and LMICs. The review can help in designing interventions/programs to reduce maternal mortality and knowledge products.