Access to care solutions in healthcare for obstetric care in Africa: A systematic review
| Autor: | Francis M. Sakita, Anjni Joiner, Megan von Isenburg, Nayara Malheiros Caruzzo, João Ricardo Nickenig Vissoci, Austin Lee, Lee Van Vleet, Thais Ramirez, Lekshmi Kumar, Phindile Chowa, Ramu Kharel, Lindy Reynolds, Anna Q Yaffee, Catherine A. Staton |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Emergency Medical Services
Critical Care and Emergency Medicine Databases Factual Science Maternal Health 030231 tropical medicine Psychological intervention MEDLINE Transportation CINAHL Health Services Accessibility 03 medical and health sciences Labor and Delivery 0302 clinical medicine Health care medicine Emergency medical services Medicine and Health Sciences Outpatient clinic Humans 030212 general & internal medicine Health Systems Strengthening Multidisciplinary Health Care Policy business.industry Obstetrics and Gynecology Communication in Health Care medicine.disease Health Care Systematic review Health Care Facilities Africa Physical access Birth Medicine Women's Health Engineering and Technology Medical emergency business Research Article |
| Zdroj: | PLoS ONE PLoS ONE, Vol 16, Iss 6, p e0252583 (2021) |
| ISSN: | 1932-6203 |
| Popis: | Background Emergency Medical Services (EMS) systems exist to reduce death and disability from life-threatening medical emergencies. Less than 9% of the African population is serviced by an emergency medical services transportation system, and nearly two-thirds of African countries do not have any known EMS system in place. One of the leading reasons for EMS utilization in Africa is for obstetric emergencies. The purpose of this systematic review is to provide a qualitative description and summation of previously described interventions to improve access to care for patients with maternal obstetric emergencies in Africa with the intent of identifying interventions that can innovatively be translated to a broader emergency context. Methods The protocol was registered in the PROSPERO database (International Prospective Register of Systematic Reviews) under the number CRD42018105371. We searched the following electronic databases for all abstracts up to 10/19/2020 in accordance to PRISMA guidelines: PubMed/MEDLINE, Embase, CINAHL, Scopus and African Index Medicus. Articles were included if they were focused on a specific mode of transportation or an access-to-care solution for hospital or outpatient clinic care in Africa for maternal or traumatic emergency conditions. Exclusion criteria included in-hospital solutions intended to address a lack of access. Reference and citation analyses were performed, and a data quality assessment was conducted. Data analysis was performed using a qualitative metasynthesis approach. Findings A total of 6,457 references were imported for screening and 1,757 duplicates were removed. Of the 4,700 studies that were screened against title and abstract, 4,485 studies were excluded. Finally, 215 studies were assessed for full-text eligibility and 152 studies were excluded. A final count of 63 studies were included in the systematic review. In the 63 studies that were included, there was representation from 20 countries in Africa. The three most common interventions included specific transportation solutions (n = 39), community engagement (n = 28) and education or training initiatives (n = 27). Over half of the studies included more than one category of intervention. Interpretation Emergency care systems across Africa are understudied and interventions to improve access to care for obstetric emergencies provides important insight into existing solutions for other types of emergency conditions. Physical access to means of transportation, efforts to increase layperson knowledge and recognition of emergent conditions, and community engagement hold the most promise for future efforts at improving emergency access to care. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|