Factors affecting the implementation of task-sharing interventions for perinatal depression in low- and middle-income countries: A systematic review and qualitative metasynthesis

Zhu, Yuan; Ma, Jiayuan; Wang, Qing; Xu, Yue; Xu, Guihua; Du, Shizheng

doi:10.1016/j.jad.2022.01.005

Cited by 5 publications

(2 citation statements)

References 37 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Being recognised for the value of their work in the community was motivating for these HWs who reported taking pride in their work and that it enhanced their status within the community. However, while a previous review [ 85 ] has highlighted the benefits of recruiting HWs from local communities, our synthesis found that this was not always a mediator of positive perceptions of task shifting. We found that HWs needed to be emotionally resilient to navigate the boundary between community expectations for meeting health needs and concerns about maintaining confidentiality whilst also working within the bounds of their task shifted roles.…”

Section: Discussioncontrasting

confidence: 64%

Perspectives of health workers engaging in task shifting to deliver health care in low-and-middle-income countries: a qualitative evidence synthesis

Coales

Jennings

Afaq

et al. 2023

Global Health Action

View full text Add to dashboard Cite

Background Low- and middle-income countries (LMICs) are experiencing growing demand for healthcare services yet face a persistent shortage in access to specialist health workers (SHWs). Task shifting is an approach used to address this gap in service provision. Specific healthcare tasks are shifted to other, larger cadres of non-specialist health workers (NSHWs), including lay health workers with SHWs potentially taking on supervisory roles. Previous studies demonstrate that task shifting is both clinically and economically effective, however the impact of task shifting on health workers (HWs) is not fully understood. Objective The aim of this synthesis is to generate new knowledge about what influences HWs perspectives of benefits and costs of engaging in task shifting. Methods A qualitative evidence synthesis (QES) of peer-reviewed literature using databases CINAHL, the Cochrane Database of Systematic Reviews, Psych INFO, MEDLINE, EMBASE, Epistimonikos, Web of Science (science and social science citation index), Scopus LILACS, the African Index Medicus and Google Scholar. Eligible studies were those that included qualitative data about HWs perspectives of task shifting in LMICs. Information from eligible studies was extracted into a Google Sheet, and the data gathered were analysed thematically. Results Fifty-four studies were included in the QES. Results were organised under three themes, ‘the cultural environment in which task shifting is employed’, ‘access to resources for task shifting’ and ‘alignment with personal values and beliefs, self-efficacy and personal emotional resilience’. Conclusion This is the first review bringing together views about task shifting from the perspective of different cadres of HWs drawn from diverse healthcare, geographical and country settings in LMICs. Task shifting is a complex process which relies upon the active engagement of HWs. Taking into consideration factors that influence HWs perspectives, such as their personal characteristics, preparatory training, and ongoing access to resources, is important for informing how task shifted healthcare initiatives are designed and delivered to successfully widen access to healthcare in LMICs.

show abstract

Section: Discussioncontrasting

confidence: 64%

Perspectives of health workers engaging in task shifting to deliver health care in low-and-middle-income countries: a qualitative evidence synthesis

Coales

Jennings

Afaq

et al. 2023

Global Health Action

View full text Add to dashboard Cite

show abstract

“…We will conduct a meta-synthesis to analyze the data in the studies. Based on the researchers' full understanding of the framework, the deductive method is adopted for integration (46)(47)(48). We will use the framework method and CFIR to encode and analyze the qualitative data (49).…”

Section: Data Synthesismentioning

confidence: 99%

Barriers and facilitators to using procedural pain treatments in pediatric patients: protocol for a systematic review and meta-synthesis

Yan

Kang

et al. 2023

Preprint

View full text Add to dashboard Cite

Background The incidence of procedural pain is high in pediatric patients. Poorly treated pain will contribute to a variety of short-term and long-term adverse effects in children. There are many evidence-based effective pain treatments for reducing procedural pain, such as topical anesthetics, skin-to-skin care, sweet solutions, and breastfeeding; however, in clinical settings, the rate of using these effective procedural pain treatments is still very low. This systematic review aims to synthesize the barriers and facilitators to the implementation of effective procedural pain treatments in pediatric patients. Methods Primary studies will be included if they report any barriers or facilitators to procedural pain treatments in pediatric patients. There are no restrictions on the year and language of publication of studies. Both published studies and grey literature will be identified. We will search published studies through Medline(OVID), EMBASE, CINAHL, PsycINFO, Web of Science, and Scopus. Grey literature will be searched through Google Scholar, OpenGrey, e-theses online service, ProQuest, WorldCat, Networked Digital Library of Theses and Dissertations, Open Access Theses and Dissertations, and public health organization websites. The Mixed Methods Appraisal Tool will be used to assess all studies' quality. The Consolidated Framework for Implementation Research will be used as a theoretical framework to code the barriers and facilitators in each study. A meta-synthesis method will be used to synthesize the findings across studies. Discussion In this review, the CFIR framework will be used to systematically collect and analyze barriers and facilitators to procedural pain management in pediatric patients. The mixed studies review is necessary to include the heterogeneity of different studies to give us a more complete picture of the context in which the intervention was implemented. The next step could be to develop interventions that target these factors to better improve clinical outcomes for patients. Systematic review registration CRD42022322319

show abstract

Addressing the challenges of integrating care for perinatal depression in primary care in Nigeria

Oladeji,

Ayinde,

Bello

et al. 2024

Soc Psychiatry Psychiatr Epidemiol

View full text Add to dashboard Cite

Factors affecting the implementation of task-sharing interventions for perinatal depression in low- and middle-income countries: A systematic review and qualitative metasynthesis

Cited by 5 publications

References 37 publications

Perspectives of health workers engaging in task shifting to deliver health care in low-and-middle-income countries: a qualitative evidence synthesis

Perspectives of health workers engaging in task shifting to deliver health care in low-and-middle-income countries: a qualitative evidence synthesis

Barriers and facilitators to using procedural pain treatments in pediatric patients: protocol for a systematic review and meta-synthesis

Addressing the challenges of integrating care for perinatal depression in primary care in Nigeria

Contact Info

Product

Resources

About