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Strategies to Increase Rural Maternal Utilization of Skilled Health Personnel for Childbirth Delivery in Low- and Middle-Income Countries: A Narrative Review

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dc.contributor.author Nelson, Jeanette R.
dc.contributor.author Ess, Rebekah H.
dc.contributor.author Dickerson, Ty T.
dc.contributor.author Gren, Lisa H.
dc.contributor.author Benson, L. Scott
dc.contributor.author Manortey, Stephen
dc.contributor.author Alder, Stephen C.
dc.date.accessioned 2023-02-14T12:41:19Z
dc.date.available 2023-02-14T12:41:19Z
dc.date.issued 2022-03-22
dc.identifier.citation Jeanette R. Nelson, Rebekah H. Ess, Ty T. Dickerson, Lisa H. Gren, L. Scott Benson, Stephen O. Manortey & Stephen C. Alder (2022) Strategies to increase rural maternal utilization of skilled health personnel for childbirth delivery in low- and middle-income countries: a narrative review, Global Health Action, 15:1, DOI: 10.1080/16549716.2022.2058170 en_US
dc.identifier.uri https://www.tandfonline.com/doi/full/10.1080/16549716.2022.2058170
dc.identifier.uri http://41.204.63.118:8080/xmlui/handle/123456789/44
dc.description Research Article en_US
dc.description.abstract Background: Skilled attendance at birth is considered key to accomplishing Sustainable Development Goal (SDG) 3.1 aimed at reducing maternal mortality. Many maternal deaths can be prevented if a woman receives care by skilled health personnel. Maternal utilization of skilled health delivery services in rural areas in low- and middle-income countries is 70% compared to 90% in urban areas. Previous studies have found community-based interven-tions may increase rural maternal uptake of skilled health delivery services, but evidence is lacking on which strategies are most effective.Objective: To review the effectiveness of community-based strategies to increase rural maternal utilization of skilled health personnel for childbirth delivery in low-and middle- income countries.Methods: We conducted a narrative review. PubMed, CINAHL, Cochrane Library, and PsycINFO databases were searched for articles from database inception through 13 November 2019. Key search terms were pre-determined. Information was extracted on studies meeting our inclusion criteria: cluster and randomized trials, rural setting, reproductive aged women, community engagement, low- and middle-income countries. Studies were considered effective if statistically significant (p < 0.05). A narrative synthesis was conducted.Results: Ten cluster randomized trials out of 5,895 candidate citations met the inclusion criteria. Strategies included home-based visits, women’s groups, and combined approaches. Out of the ten articles, only three studies were found to significantly increase maternal uptake of skilled health personnel for delivery, and each used a different strategy. The results are inconclusive as to which strategies are most effective. Limitations of this review include heterogeneity and generalizability of studies.Conclusions: This research suggests that different strategies may be effective at improving maternal utilization of skilled health personnel for delivery in certain rural settings while ineffective in others. More research is warranted to better understand the context in which strategies may be effective and under what conditions. en_US
dc.language.iso en en_US
dc.publisher Global Health Action (Taylor and Francis) en_US
dc.relation.ispartofseries Volume 15;Number 1
dc.subject Intervention en_US
dc.subject Community- based en_US
dc.subject Pregnancy en_US
dc.subject Maternal Health Services en_US
dc.subject Developing Country en_US
dc.title Strategies to Increase Rural Maternal Utilization of Skilled Health Personnel for Childbirth Delivery in Low- and Middle-Income Countries: A Narrative Review en_US
dc.type Article en_US


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