Types, reporting and acceptability of community-based interventions for stillbirth prevention in sub-Saharan Africa (SSA): a systematic review

Gwacham-Anisiobi, Uchenna; Boo, Yebeen Ysabelle; Oladimeji, Adetola; Kurinczuk, Jennifer J; Roberts, Nia; Opondo, Charles; Nair, Manisha

doi:10.1016/j.eclinm.2023.102133

Cited by 3 publications

(10 citation statements)

References 69 publications

(218 reference statements)

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“…Details of the inclusion and exclusion criteria used for the complete review is described in a separate paper. 17 Briefly, reports which described community-based interventions targeting stillbirth as a sole or part of a complex intervention, with or without a health facility-based component were included in the review project. However, in this part of the review, only the studies which assessed the effectiveness of the intervention/s on the incidence of stillbirths were included.…”

Section: Methodsmentioning

confidence: 99%

“…The full search strategy is shown in the Supplementary Material ( Appendix 1 ) and is also described in a previous paper. 17 The search was first conducted on December 16, 2021 by UGA and reviewed by NR. An updated search was conducted on July 7, 2023.…”

Section: Methodsmentioning

confidence: 99%

“… 16 Common types of community interventions in SSA include nutritional interventions, infection prevention and treatment, improving access to skilled childbirth and behavioural interventions. 17 …”

Section: Introductionmentioning

confidence: 99%

“…18 Furthermore, transferable insights from effective interventions across communities and countries in this region were often lost due to poor reporting of interventions and inadequate assessment of intervention acceptability. 17 …”

Section: Introductionmentioning

confidence: 99%

“…This article reports part of a wider systematic review undertaken by the authors to identify the types, reporting, effectiveness and acceptability of community-based prevention of stillbirths in SSA. The types, reporting and acceptability of the interventions were presented in a separate paper 17 ; this paper presents a narrative synthesis and meta-analysis of the effectiveness of community-based intervention, implemented alone or in conjunction with a hospital-based component, on the incidence of stillbirth in SSA.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Effects of community-based interventions for stillbirths in sub-Saharan Africa: a systematic review and meta-analysis

Gwacham-Anisiobi,

Boo,

Oladimeji

et al. 2024

eClinicalMedicine

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Effects of community-based interventions for stillbirths in sub-Saharan Africa: a systematic review and meta-analysis

Gwacham-Anisiobi,

Boo,

Oladimeji

et al. 2024

eClinicalMedicine

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Global efforts needed to address burden of preventable stillbirth

Khalil,

Samara,

Coutinho

et al. 2024

Ultrasound in Obstet & Gyne

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Spatial Access to Continuous Maternal and Perinatal Health Care Services in Low-Resource Settings: Cross-Sectional Study

Li,

Kanduma,

Ramiro

et al. 2024

JMIR Public Health Surveill

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Background Maternal and perinatal health are fundamental to human development. However, in low-resource settings such as sub-Saharan Africa (SSA), significant challenges persist in reducing maternal, newborn, and child mortality. To achieve the targets of the sustainable development goal 3 (SDG3) and universal health coverage (UHC), improving access to continuous maternal and perinatal health care services (CMPHS) has been addressed as a critical strategy. Objective This study aims to provide a widely applicable procedure to illuminate the current challenges in ensuring access to CMPHS for women of reproductive age. The findings are intended to inform targeted recommendations for prioritizing resource allocation and policy making in low-resource settings. Methods In accordance with the World Health Organization guidelines and existing literature, and taking into account the local context of CMPHS delivery to women of reproductive age in Mozambique, we first proposed the identification of CMPHS as the continuum of 3 independent service packages, namely antenatal care (ANC), institutional delivery (ID), and postnatal care (PNC). Then, we used the nearest-neighbor method (NNM) to assess spatial access to each of the 3 service packages. Lastly, we carried out an overlap analysis to identify 8 types of resource-shortage zones. Results The median shortest travel times for women of reproductive age to access ANC, ID, and PNC were 2.38 (IQR 1.38-3.89) hours, 3.69 (IQR 1.87-5.82) hours, and 4.16 (IQR 2.48-6.67) hours, respectively. Spatial barriers for women of reproductive age accessing ANC, ID, and PNC demonstrated large variations both among and within regions. Maputo City showed the shortest travel time and the best equity within the regions (0.46, IQR 0.26-0.69 hours; 0.74, IQR 0.47-1.04 hours; and 1.34, IQR 0.83-1.85 hours, respectively), while the provinces of Niassa (4.07, IQR 2.41-6.63 hours; 18.20, IQR 11.67-24.65 hours; and 7.69, IQR 4.74-13.05 hours, respectively) and Inhambane (2.69, IQR 1.49-3.91 hours; 4.43, IQR 2.37-7.16 hours; and 10.76, IQR 7.73-13.66 hours, respectively) lagged behind significantly in both aspects. In general, more than 51% of the women of reproductive age, residing in 83.25% of Mozambique’s land area, were unable to access any service package of CMPHS in time (within 2 hours), while only about 21%, living in 2.69% of Mozambique’s land area, including Maputo, could access timely CMPHS. Conclusions The spatial accessibility and equity of CMPHS in Mozambique present significant challenges in achieving SDG3 and UHC, especially in the Inhambane and Niassa regions. For Inhambane, policy makers should prioritize the implementation of a decentralization allocation strategy to increase coverage and equity through upgrading existing health care facilities. For Niassa, the cultivation of well-trained midwives who can provide door-to-door ANC and PNC at home should be prioritized, with an emphasis on strengthening communities’ engagement. The proposed 2-step procedure should be implemented in other low-resource settings to promote the achievement of SDG3.

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Types, reporting and acceptability of community-based interventions for stillbirth prevention in sub-Saharan Africa (SSA): a systematic review

Cited by 3 publications

References 69 publications

Effects of community-based interventions for stillbirths in sub-Saharan Africa: a systematic review and meta-analysis

Effects of community-based interventions for stillbirths in sub-Saharan Africa: a systematic review and meta-analysis

Global efforts needed to address burden of preventable stillbirth

Spatial Access to Continuous Maternal and Perinatal Health Care Services in Low-Resource Settings: Cross-Sectional Study

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