Scoping review protocol of service delivery-related interventions to improve maternal and newborn health in low-income and middle-income countries

Abstract

IntroductionThis review will explore the characteristics of service delivery-related interventions to improve maternal and newborn health in low-income and middle-income countries, comparing three common framing approaches of these interventions (referred to as archetypes), namely, quality improvement (QI), health system strengthening (HSS) and implementation science (IS), over the last 20 years.Methods and analysisThis study will review the literature on health service interventions from 2000 to 2020. This will be achieved by searching for English peer-reviewed articles in the following electronic databases EBSCOhost, PubMed, Web of Science, MASCOT/Wotro Map of Maternal Health Research and Google scholar. We will develop a systematic search strategy using a combination of keywords and Boolean operators AND/OR. Eligibility screening and data extraction will be conducted by two independent reviewers, and disagreements resolved by a third independent reviewer. Analyses will be conducted in two steps, a quantitative and a qualitative phase. The quantitative phase will provide a descriptive profile of papers, including the category (QI, HSS, IS, mixed or other) of papers. In the follow-up qualitative phase, all three reviewers will independently code for key concepts in a subset of papers, jointly selected as representing each archetype, and analysed in batches until concept saturation is achieved.Ethics and disseminationThis review does not require ethical approval. The results will be published as an article in a peer-reviewed journal and presented to stakeholders involved in implementing health system interventions in maternal and newborn.

Health Impact Evaluation of Aspirational Districts Program in India: Evidence from National Family Health Survey

“…While the above results could be seen as evidence towards ADP widening the inequality putting ADP in bad light, we could not be confident that these results are casual as we expect that the impact of Covid-19 pandemic are masked in our estimates. COVID-19 pandemic has been characterized by major disruptions in routine health services in both high-income countries and LMICs [59][60][61] , which has had a profound negative impact on the delivery as well as utilization of Reproductive, Maternal, Newborn, Child Health 15/22 (RMNCH) services globally as well as in India [62][63][64] . Multiple studies have found that women who have visited health facilities or have received advice from health workers are more likely to adopt early initiation of breast feeding [65][66][67] .…”

Measurement and projection of the burden of disease attributable to population aging in 188 countries, 1990-2050: A population-based study

“…Diverse forms of health system interventions and approaches are being implemented in low-income and lower-middle-income countries, mainly including quality improvement, health system strengthening, and implementation of science, towards improved maternal and new-born care. Low-income and lower-middle-income countries should fully consider the characteristics of the three common service delivery-related approaches and the possibilities for synergy between them to improve maternal and new-born outcomes [ 37 ].…”