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Open Access 01-12-2013 | Protocol

A protocol for a systematic review of birth preparedness and complication readiness programs

Authors: Andrea Solnes Miltenburg, Yadira Roggeveen, Marianne van Elteren, Laura Shields, Joske Bunders, Jos van Roosmalen, Jelle Stekelenburg

Published in: Systematic Reviews | Issue 1/2013

Abstract

Background

One of the effective strategies for reducing the number of maternal deaths is delivery by a skilled birth attendant. Low utilization of skilled birth attendants has been attributed to delay in seeking care, delay in reaching a health facility and delay in receiving adequate care. Health workers could play a role in helping women prepare for birth and anticipate complications, in order to reduce delays. There is little evidence to support these birth preparedness and complication readiness (BP/CR) programs; however, BP/CR programs are frequently implemented. The objective of this review is to assess the effect of BP/CR programs on increasing skilled birth attendance in low-resource settings.

Methods

Due to the complexity of BP/CR programs and the need to understand why certain programs are more effective than others, we will combine both quantitative and qualitative studies in this systematic review. Search terms were selected with the assistance of a health information specialist. Three reviewers will independently select and assess studies for quality. Data will be extracted by one reviewer and checked for accuracy and completeness by a second reviewer. Discussion between the reviewers will resolve disagreements. If disagreements remain, a third party will be consulted. Data analysis will be carried out in accordance with the BP/CR matrix, developed by the Johns Hopkins Program for International Education in Gynecology and Obstetrics (JHPIEGO). Study data will be grouped and analyzed by quality and study design and regrouped according to type of intervention strategy.

Discussion

This review will provide: 1) an insight into existing BP/CR programs, 2) recommendations on effective elements of the different approaches, 3) proposals for concrete action plans for health professionals in the field of reproductive health in resource-poor settings and 4) an overview of existing knowledge gaps requiring further research.

Systematic review registration

PROSPERO registration no.: CRD42012003124

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Title: A protocol for a systematic review of birth preparedness and complication readiness programs
Authors: Andrea Solnes Miltenburg
Yadira Roggeveen
Marianne van Elteren
Laura Shields
Joske Bunders
Jos van Roosmalen
Jelle Stekelenburg
Publication date: 01-12-2013
Publisher: BioMed Central
Published in: Systematic Reviews / Issue 1/2013
Electronic ISSN: 2046-4053
DOI: https://doi.org/10.1186/2046-4053-2-11

Keynote webinar | Spotlight on medication adherence

Springer Medicine

A protocol for a systematic review of birth preparedness and complication readiness programs

Abstract

Background

Methods

Discussion

Systematic review registration

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Discussion

Systematic review registration

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