| Title |
Systematic review of community participation interventions to improve maternal health outcomes in rural South Asia
|
|---|---|
| Published in |
BMC Pregnancy and Childbirth, August 2018
|
| DOI | 10.1186/s12884-018-1964-1 |
| Pubmed ID | |
| Authors |
Binod Bindu Sharma, Lisa Jones, Deborah Joanne Loxton, Debbie Booth, Roger Smith |
| Abstract |
This is a systematic review on the effectiveness of community interventions in improving maternal health care outcomes in South Asia. We searched electronic databases to June 2017. Randomised or cluster randomised studies in communities within rural/remote areas of Nepal, Bangladesh, India and Pakistan were included. Data were analysed as risk ratios (RR) or odds ratios (OR), and effects were adjusted for clustering. Meta-analyses were performed using random-effects and evidence quality was assessed. Eleven randomised trials were included from 5440 citations. Meta-analysis of all community interventions combined compared with control showed a small improvement in the number of women attending at least one antenatal care visit (RR 1.19, 95% CI 1.06 to 1.33). Two community mobilisation sub groups: home care using both male and female mobilisers, and education by community mobilisers, improved the number of women attending at least one antenatal visit. There was no difference in the number of women attending at least one antenatal visit for any other subgroup. There was no difference in the number of women attending 3 or more antenatal visits for all community interventions combined, or any community subgroup. Likewise, there was no difference in attendance at birth between all community interventions combined and control. Health care facility births were modestly increased in women's education groups (adjusted RR (1.15, 95% CI 1.11 to 1.20; 2 studies)). Risk of maternal deaths after 2 years (RR 0.63, 95% CI 0.24 to 1.64; 5 studies), and 3 years (RR 1.11, 95% CI 0.52 to 2.36; 2 studies), were no different between women's education groups and control. Community level mobilisation rather than health care messages at district level improved the numbers of women giving birth at health care facilities (RR1.09 (95%CI 1.06 to 1.13; 1 study)). Maternal health care knowledge scores improved in two community-based interventions, one involving education of male community members. Women's education interventions may improve the number of women seeking birth at a health care facility, but the evidence is of low quality. No impact on maternal mortality was observed Future research should explore the effectiveness of including male mobilisers. This systematic review is registered with PROSPERO CRD42016033201 . |
X Demographics
The data shown below were collected from the profiles of 2 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United Kingdom | 1 | 50% |
| Pakistan | 1 | 50% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 1 | 50% |
| Scientists | 1 | 50% |
Mendeley readers
The data shown below were compiled from readership statistics for 205 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 205 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Researcher | 27 | 13% |
| Student > Master | 27 | 13% |
| Student > Ph. D. Student | 20 | 10% |
| Student > Bachelor | 15 | 7% |
| Student > Doctoral Student | 9 | 4% |
| Other | 30 | 15% |
| Unknown | 77 | 38% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 34 | 17% |
| Nursing and Health Professions | 33 | 16% |
| Social Sciences | 19 | 9% |
| Environmental Science | 7 | 3% |
| Economics, Econometrics and Finance | 4 | 2% |
| Other | 17 | 8% |
| Unknown | 91 | 44% |
Attention Score in Context
This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 15 August 2018.
All research outputs
#17,987,106
of 23,099,576 outputs
Outputs from BMC Pregnancy and Childbirth
#3,375
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#238,112
of 331,118 outputs
Outputs of similar age from BMC Pregnancy and Childbirth
#89
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