Community-based interventions for improving maternal health and for reducing maternal health inequalities in high-income countries: a systematic map of research

Globalization and Health

Victor Becerril³  Emily Vargas⁵  Angéline Serre¹  Josephine Kavanagh⁴  Francisco Becerra⁶  Martha Perry² 

[1] Euroquality, 2, Place de la Bourse, Bordeaux, 33000, France;Health Action Partnership International (HAPI), Unit 31A, Eurolinks Business Centre, 49 Effra Road, Brixton, London SW2 1BZ, UK;National Institute of Public Health (Instituto Nacional de Salud Pública), Av. Universidad No. 655 Colonia Santa María Ahuacatitlán, Cerrada Los Pinos y Caminera, Cuernavaca, C.P. 62100, México;Institute of Education, University of London, 20 Bedford Way, London, WC1H 0AL, UK;National Institute of Public Health (Instituto Nacional de Salud Pública), Av. Universidad No. 655 Colonia Santa María Ahuacatitlán, Cerrada Los Pinos y Caminera, Cuernavaca, C.P. 62100, Mor, México;Council of Health Research and Development (COHRED), 1-5 Route des Morillons, Geneva 2, 1211, Switzerland

关键词: Systematic review;    High income country;    Inequality;    Maternal health;   

Others  :  1221223
DOI  :  10.1186/s12992-014-0063-y

 received in 2014-04-14, accepted in 2014-07-27,  发布年份 2015

【 摘 要 】

Background

This review is part of a European Commission project, MASCOT, aimed at reducing maternal and child health inequalities. The purpose was to identify and describe the literature on community-based interventions on maternal health in high-income countries (HIC) and conceptually map the literature according to country focus, topics addressed, nature of the intervention and the intervention provider, and interventions designed to address inequalities in maternal health.

Methods

The research protocol for this review was based on a low-income country (LMIC) systematic review protocol within the MASCOT Project. We searched PubMED and CINAHL databases for literature published between January 2000 and April 2013. OECD countries were used to determine the HIC and different terms were used to refer to community based interventions, defined as those “delivered in community settings or any activities occurring outside of health facilities”.

Results

119 publications were selected for inclusion in this mapping study. 95 (80%) were Randomised Control Trials (RCTs) and 24 (20%) were systematic reviews (SRs). We categorised the study topics according to the main interventions covered: breastfeeding assistance and promotion, preventing and treating post-natal depression, interventions to support and build capacity around parenting and child care, antenatal interventions preparing women for birth, postnatal planning of future births and control trials around changing maternal behaviours. The home was used as the most common setting to implement these interventions and health professionals accounted for the largest group of intervention providers.

Conclusions

This review maps and brings knowledge on the type of studies and topics being addressed in community based interventions around maternal health in HICs. It opens the opportunity for further studies on interventions’ effectiveness and knowledge transfer to LMICs settings.

【 授权许可】

   
2014 Perry et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

【 参考文献 】

• [1]World Health Organization: Health Impact Assessment (HIA). 2013.
• [2]Commission on Social Determinants of Health (CSDH): Closing the gap in a generation. health equity through action on the social determinants of health. 2008.
• [3]MASCOT: Multilateral Assocition for Studying Health Inequalities and Enhancing North–south and South Cooperation. 2013.
• [4]The European Union Mascot project and the Netherlands-funded Wotro project: Health system and community-based interventions for improving maternal health and for reducing maternal health inequalities in low- and middle-income countries: a two-stage mixed-methods research synthesis.Syst Rev Prot 2013, [Online].
• [5]The World Bank: Data Hign income: OECD. 2013.
• [6]Lewin S, Munabi-Babigumira S, Glenton C, Daniel K, Bosch-Capblanch X, van Wyk B, Odgaard-Jenses J, Johansen M, Aja GN, Zwarenstein M, Scheel IB: Lay health workers in primary and community health care for maternal and child health and the management of infectious diseases. Cochrane Database Syst Rev 2010, 17(3):CD004015.
• [7]IHME: Global Burden of Disease. 2013.
• [8]IHME: Global Burden of Disease Heatmap. 2013.
• [9]World Health Organization: Mental Health: Depression. 2012.
• [10]Ammerman R, Edwards H, Altaye M, Teerers A, Stevens J, Van Ginkel J: Treatment of depressed mothers in home visiting: impact on psychological distress and social functioning. Child Abuse Negl 2013, 37(8):544-554.
• [11]Katz K, Rodan M, Milligan R, Tan S, Courtney L, Gantz M: Efficacy of a randomized cell phone-based counseling intervention in postponing subsequent pregnancy among teen mothers. Matern Child Health J 2011, 15(Suppl 1):S42-S53.
• [12]Jolly K, Ingram L, Freemantle N, Khan K, Chambers J, Hamburger R: Effect of a peer support service on breast-feeding continuation in the UK: a randomised controlled trial. Midwifery 2012, 28(6):740-745.
• [13]World Health Organization: Young People: health risks and solutions. Fact Sheet. 2011.
• [14]Ferrest J: Timing of reproductive life stages. Obstet Gynecol 1993, 82:105-111.
• [15]Klein J: Committee on adolescence. adolescent pregnancy: current trends and issues. Pediatrics 2005, 116(1):281-286.
• [16]Hogan M, Foreman K, Naghavi M, Ahn S, Wang M, Makela S, Lopez A, Lozano R, Murray C: Maternal mortality for 181 countries, 1980–2008: a systematic analysis of progress towards Millennium Development Goals. Lancet 2010, 375(9726):1609-1623.