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Published in: BMC Pregnancy and Childbirth 1/2017

Open Access 01-12-2017 | Research article

The role of Community Mobilization in maternal care provision for women in sub-Saharan Africa- A systematic review of studies using an experimental design

Authors: Choolwe Muzyamba, Wim Groot, Sonila M. Tomini, Milena Pavlova

Published in: BMC Pregnancy and Childbirth | Issue 1/2017

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Abstract

Background

While the role of community mobilization in improving maternal health outcomes of HIV positive women in sub-Saharan Africa is continuously emphasized, little is known about how legitimate these claims are. The aim of this study is to systematically review the empirical evidence on this issue.

Methods

A systematic search was conducted in PuBMed, Scopus, Web of Science, MEDLINE, COCHRANE, Allied Health Literature, and Cumulative Index to Nursing.

Results

Our search identified 14 publications on the role of community mobilization in maternal care provision in sub-Saharan Africa, including both HIV negative women and women with HIV, that have used experimental research designs. Regarding HIV negative women, literature has demonstrated that community mobilization is a useful strategy for promoting both positive maternal process results and maternal health outcomes. Most of the literature on women with HIV has focused only on demonstrating the causal link between community mobilization and process results. There has been very little focus on demonstrating the causal link between community mobilization and maternal outcomes for women living with HIV. Overall, the results show that while there is some empirical evidence on a causal link between community mobilization and maternal health outcomes for HIV negative women, this kind of evidence is still missing for HIV positive women. Moreover, as shown by the studies, community mobilization as a maternal health strategy is still in its infancy.

Conclusion

Given the gaps identified in our review, we recommend further research with the aim of providing sound evidence on the role of community mobilization in improving maternal health outcomes of women with HIV in sub-Saharan Africa.
Literature
1.
go back to reference WHO. World Health Statistics 2013. Geneva: WHO; 2013. WHO. World Health Statistics 2013. Geneva: WHO; 2013.
2.
go back to reference WHO. Child health and development. Geneva; WHO; 2015. WHO. Child health and development. Geneva; WHO; 2015.
3.
go back to reference UNAIDS. Report on the Global HIV/AIDS Epidemic 2013. Geneva: UNAIDS; 2013. UNAIDS. Report on the Global HIV/AIDS Epidemic 2013. Geneva: UNAIDS; 2013.
4.
go back to reference Kendall T, Langer A. Critical maternal health knowledge gaps in low- and middle-income countries for the post-2015 era. Reprod Health. 2015:1–4. Kendall T, Langer A. Critical maternal health knowledge gaps in low- and middle-income countries for the post-2015 era. Reprod Health. 2015:1–4.
5.
go back to reference Kendall T, Dane I, Cooper D, Dilmitis S, Kaida A. Eliminating Preventable HIV-Related Maternal Mortality in Sub-Saharan Africa: What Do We Need to Know? J Acquir Immune Defic Syndr. 2014;1(64):250–8.CrossRef Kendall T, Dane I, Cooper D, Dilmitis S, Kaida A. Eliminating Preventable HIV-Related Maternal Mortality in Sub-Saharan Africa: What Do We Need to Know? J Acquir Immune Defic Syndr. 2014;1(64):250–8.CrossRef
6.
go back to reference Kendall T, Danel I. Research and Evaluation Agenda for HIV and Maternal Health in Sub-Saharan Africa. Women and Health Initiative Working Paper No. 1. Boston: Women and Health Initiative, Harvard School of Public Health; 2004. Kendall T, Danel I. Research and Evaluation Agenda for HIV and Maternal Health in Sub-Saharan Africa. Women and Health Initiative Working Paper No. 1. Boston: Women and Health Initiative, Harvard School of Public Health; 2004.
7.
go back to reference Lindegren M, Kennedy C, Bain-Brickley D. Cochrane Database Systematic Review. In: Integration of HIV/AIDS services with maternal, neonatal and child health, nutrition, and family planning services; 2012.CrossRef Lindegren M, Kennedy C, Bain-Brickley D. Cochrane Database Systematic Review. In: Integration of HIV/AIDS services with maternal, neonatal and child health, nutrition, and family planning services; 2012.CrossRef
8.
go back to reference Colbourn T, Nambiar B, Bondo A, Makwenda C, Tsetekani E. Effects of quality improvement in health facilities and community mobilization through women's groups on maternal, neonatal and perinatal mortality in three districts of Malawi: MaiKhanda, a cluster randomized controlled effectiveness trial. Int Health. 2013;5(3):180–95.CrossRefPubMedPubMedCentral Colbourn T, Nambiar B, Bondo A, Makwenda C, Tsetekani E. Effects of quality improvement in health facilities and community mobilization through women's groups on maternal, neonatal and perinatal mortality in three districts of Malawi: MaiKhanda, a cluster randomized controlled effectiveness trial. Int Health. 2013;5(3):180–95.CrossRefPubMedPubMedCentral
9.
10.
go back to reference Rifkin SB, Pridmore P. Partners in Planning: Information, Participation and Empowerment. New York: Macmillan Education; 2001. Rifkin SB, Pridmore P. Partners in Planning: Information, Participation and Empowerment. New York: Macmillan Education; 2001.
11.
go back to reference Abdool-Karim Q, AbouZhar C, Dehne K. HIV and maternal mortality: turning the tide. Lancet. 2010;375:1948–9.CrossRefPubMed Abdool-Karim Q, AbouZhar C, Dehne K. HIV and maternal mortality: turning the tide. Lancet. 2010;375:1948–9.CrossRefPubMed
12.
go back to reference Hanson C. The Epidemiology of Maternal Mortality in Southern Tanzania. London: London School of Hygiene and Tropical Medicine; 2013. Hanson C. The Epidemiology of Maternal Mortality in Southern Tanzania. London: London School of Hygiene and Tropical Medicine; 2013.
13.
go back to reference Ackerman GL, K Kiragu. Lessons learnt from promising practices in community engagement for the elimination of new HIV infections in children by 2015 and keeping their mothers alive: summary of a desk review. J Int AIDS Soc. 2012;15(12). Ackerman GL, K Kiragu. Lessons learnt from promising practices in community engagement for the elimination of new HIV infections in children by 2015 and keeping their mothers alive: summary of a desk review. J Int AIDS Soc. 2012;15(12).
14.
go back to reference Campbell C, Cornish F. How can community health programmes build enabling environments for transformative communication? Experiences from India and South Africa. AIDS and Behavior. 2012;16(4):847–57.CrossRefPubMed Campbell C, Cornish F. How can community health programmes build enabling environments for transformative communication? Experiences from India and South Africa. AIDS and Behavior. 2012;16(4):847–57.CrossRefPubMed
15.
go back to reference Lassi ZS, Das JK, Salam RA, Bhutta ZA. Evidence from community level inputs to improve quality of care for maternal and newborn health: interventions and findings. Reprod Health. 2014;11(2). Lassi ZS, Das JK, Salam RA, Bhutta ZA. Evidence from community level inputs to improve quality of care for maternal and newborn health: interventions and findings. Reprod Health. 2014;11(2).
16.
go back to reference WHO. Declaration-of-Alma-Ata International Conference on Primary Health Care, Alma-Ata, USSR 1978. Alma-Ata: World Health Organization; 1978. WHO. Declaration-of-Alma-Ata International Conference on Primary Health Care, Alma-Ata, USSR 1978. Alma-Ata: World Health Organization; 1978.
17.
go back to reference Lewycka S, Mwansambo C, Rosato M, Kazembe P, Phiri T, Mganga A, Chapota H. Effect of women's groups and volunteer peer counselling on rates of mortality, morbidity, and health behaviours in mothers and children in rural Malawi (MaiMwana): a factorial, cluster-randomised controlled trial. Lancet. 2013;381:1721–35.CrossRefPubMedPubMedCentral Lewycka S, Mwansambo C, Rosato M, Kazembe P, Phiri T, Mganga A, Chapota H. Effect of women's groups and volunteer peer counselling on rates of mortality, morbidity, and health behaviours in mothers and children in rural Malawi (MaiMwana): a factorial, cluster-randomised controlled trial. Lancet. 2013;381:1721–35.CrossRefPubMedPubMedCentral
18.
go back to reference Ibrahim S, Omer M, Amin I, Babiker A, Rushwan H. The role of the village midwife in detection of high risk pregnancies and newborns. Int J Gynecol Obstet. 1992;39(2):117–22.CrossRef Ibrahim S, Omer M, Amin I, Babiker A, Rushwan H. The role of the village midwife in detection of high risk pregnancies and newborns. Int J Gynecol Obstet. 1992;39(2):117–22.CrossRef
19.
go back to reference Lippman SA, Maman S, MacPhail C, Twine R, Peacock D, Kahn K, Pettifor A. Conceptualizing Community Mobilization for HIV Prevention: Implications for HIV Prevention Programming in the African Context. PLOSE ONE. 2013;8(10):e78208.CrossRef Lippman SA, Maman S, MacPhail C, Twine R, Peacock D, Kahn K, Pettifor A. Conceptualizing Community Mobilization for HIV Prevention: Implications for HIV Prevention Programming in the African Context. PLOSE ONE. 2013;8(10):e78208.CrossRef
20.
go back to reference Campbell C. Community mobilisation in the 21st century: Updating our theory of social change. J Health Psychol. 2014;19(1):46–59.CrossRefPubMed Campbell C. Community mobilisation in the 21st century: Updating our theory of social change. J Health Psychol. 2014;19(1):46–59.CrossRefPubMed
21.
go back to reference Rosato M, Mwansambo CW, Kazembe PN, Phiri T, Soko QS, Lewycka S, Beata SV, Kunyenge E. Women’s groups’ perceptions of maternal health issues in rural Malawi. Lancet. 2006;368(9542):1180–8.CrossRefPubMed Rosato M, Mwansambo CW, Kazembe PN, Phiri T, Soko QS, Lewycka S, Beata SV, Kunyenge E. Women’s groups’ perceptions of maternal health issues in rural Malawi. Lancet. 2006;368(9542):1180–8.CrossRefPubMed
22.
go back to reference CHMI. Zambulance. Lusaka: Center for Health Market Innovations; 2015. CHMI. Zambulance. Lusaka: Center for Health Market Innovations; 2015.
23.
go back to reference Altman L, Kuhlmann AKS, Galavotti C. Understanding the black box: A systematic review ofthe measurement of the community mobilization process in evaluations of interventions targeting sexual, reproductive, and maternal health. Eval Program Plann. 2015;49:86–97.CrossRefPubMed Altman L, Kuhlmann AKS, Galavotti C. Understanding the black box: A systematic review ofthe measurement of the community mobilization process in evaluations of interventions targeting sexual, reproductive, and maternal health. Eval Program Plann. 2015;49:86–97.CrossRefPubMed
24.
go back to reference Hooijmans CR, Ritskes-Hoitinga M. Progress in Using Systematic Reviews of Animal Studies to Improve Translational Research. PlosOne. 2013; Hooijmans CR, Ritskes-Hoitinga M. Progress in Using Systematic Reviews of Animal Studies to Improve Translational Research. PlosOne. 2013;
25.
go back to reference Howard-Grabman L, Storti C, Hummer P, Pooler B. Demystifying community mobilisation: an effective strategy to improve maternal and newborn health. Geneva: USAID; 2007. Howard-Grabman L, Storti C, Hummer P, Pooler B. Demystifying community mobilisation: an effective strategy to improve maternal and newborn health. Geneva: USAID; 2007.
26.
go back to reference Mant J. Process versus Outcome indicators in the assesment of quality health care. Int J Qual Health Care. 2001;13(6):475–80.CrossRefPubMed Mant J. Process versus Outcome indicators in the assesment of quality health care. Int J Qual Health Care. 2001;13(6):475–80.CrossRefPubMed
27.
go back to reference Akpala C. An evaluation of the knowledge and practices of trained traditional birth attendants in Bodinga, Sokoto State, Nigeria. Am J Trop Med Hyg. 1994;97(1):46–50. Akpala C. An evaluation of the knowledge and practices of trained traditional birth attendants in Bodinga, Sokoto State, Nigeria. Am J Trop Med Hyg. 1994;97(1):46–50.
28.
go back to reference Hodder I. The contextual analysis of symbolic meanings. In: Pearce SM, editor. Interpreting Objects and Collections. London: Routledge; 1994. p. 12–3. Hodder I. The contextual analysis of symbolic meanings. In: Pearce SM, editor. Interpreting Objects and Collections. London: Routledge; 1994. p. 12–3.
29.
go back to reference PRISMA. Transparent reporting of systematic reviews and meta analysis. Oxford: Oxford University Press; 2015. PRISMA. Transparent reporting of systematic reviews and meta analysis. Oxford: Oxford University Press; 2015.
30.
go back to reference Rotheram-Borus M, Richter L, van Heerden A, van Rooyen H, Tomlinson M. A cluster randomized controlled trial evaluating the efficacy of peer mentors to support South African women living with HIV and their infants. PloSe One. 2014;9(1). Rotheram-Borus M, Richter L, van Heerden A, van Rooyen H, Tomlinson M. A cluster randomized controlled trial evaluating the efficacy of peer mentors to support South African women living with HIV and their infants. PloSe One. 2014;9(1).
31.
go back to reference Kaayaa SF, Blanderb J, Antelmanc G, Cypriana F, Emmonsd KM, Matsumotoe K. Randomized controlled trial evaluating the effect of an interactive group counseling intervention for HIV-positive women on prenatal depression and disclosure of HIV status. AIDS Care. 2013;25(7). Kaayaa SF, Blanderb J, Antelmanc G, Cypriana F, Emmonsd KM, Matsumotoe K. Randomized controlled trial evaluating the effect of an interactive group counseling intervention for HIV-positive women on prenatal depression and disclosure of HIV status. AIDS Care. 2013;25(7).
32.
go back to reference Richter L, Rotheram-Borus MJ, Van Heerden A, Stein A, Tomlinson M, Harwood JM, Rochat T, Van-Rooyen H, Comulada W, Tang Z. Pregnant women living with HIV (WLH) supported at clinics by peer WLH: a cluster randomized controlled trial. AIDS Behavior. 2014;18(4):706–15. Richter L, Rotheram-Borus MJ, Van Heerden A, Stein A, Tomlinson M, Harwood JM, Rochat T, Van-Rooyen H, Comulada W, Tang Z. Pregnant women living with HIV (WLH) supported at clinics by peer WLH: a cluster randomized controlled trial. AIDS Behavior. 2014;18(4):706–15.
33.
go back to reference Dehne K, Wacker J, Cowley J. Training birth attendants in the Sahel. World Health Forum. 1995;16(4):415–9.PubMed Dehne K, Wacker J, Cowley J. Training birth attendants in the Sahel. World Health Forum. 1995;16(4):415–9.PubMed
34.
go back to reference Schaider J, Ngonyani S, Tomlin S, Rydman R, Roberts R. International maternal mortality reduction: outcome of traditional birth attendant education and intervention in Angola. J Med Syst. 1999;23(2):99–105.CrossRefPubMed Schaider J, Ngonyani S, Tomlin S, Rydman R, Roberts R. International maternal mortality reduction: outcome of traditional birth attendant education and intervention in Angola. J Med Syst. 1999;23(2):99–105.CrossRefPubMed
35.
go back to reference Perez F, Aung KD, Ndoro T, Engelsmann B, Dabis F. Participation of traditional birth attendants in prevention of mother-to-child transmission of HIV services in two rural districts in Zimbabwe: a feasibility study. BMC Public Health. 2008;401(8). Perez F, Aung KD, Ndoro T, Engelsmann B, Dabis F. Participation of traditional birth attendants in prevention of mother-to-child transmission of HIV services in two rural districts in Zimbabwe: a feasibility study. BMC Public Health. 2008;401(8).
36.
go back to reference Schmid T, Kanenda O, Ahluwalia I, Kouletio M. Transportation for Maternal Emergencies in Tanzania: Empowering Communities Through Participatory Problem Solving. American Journal of Public Health. 2001;91(10):1589–90.CrossRefPubMedPubMedCentral Schmid T, Kanenda O, Ahluwalia I, Kouletio M. Transportation for Maternal Emergencies in Tanzania: Empowering Communities Through Participatory Problem Solving. American Journal of Public Health. 2001;91(10):1589–90.CrossRefPubMedPubMedCentral
37.
go back to reference Wangalwa G, Cudjoe B, Wamalwa D, Machira Y, Ofware P, Ndirangu M, Ilako F. Effectiveness of Kenya's Community Health Strategy in delivering community-based maternal and newborn health care in Busia County, Kenya: non-randomized pre-test post test study. Pan Afr Med J. 2012;13(1). Wangalwa G, Cudjoe B, Wamalwa D, Machira Y, Ofware P, Ndirangu M, Ilako F. Effectiveness of Kenya's Community Health Strategy in delivering community-based maternal and newborn health care in Busia County, Kenya: non-randomized pre-test post test study. Pan Afr Med J. 2012;13(1).
38.
go back to reference Kidane G, Morrow R. Teaching mothers to provide home treatment of malaria in Tigray, Ethiopia: a randomised trial. Lancet. 2000;356(9229):550–5.CrossRefPubMed Kidane G, Morrow R. Teaching mothers to provide home treatment of malaria in Tigray, Ethiopia: a randomised trial. Lancet. 2000;356(9229):550–5.CrossRefPubMed
39.
go back to reference Shamba DD, Schellenberg J, Penfold SC, Mashasi I, Mrisho M, Manzi F, Marchant T, Tanner M, Mshinda H, Schellenberg D, Hill Z. Clean home-delivery in rural Southern Tanzania: barriers, influencers, and facilitators. J Health Popul and Nutr. 2013;31(1):110–7.CrossRef Shamba DD, Schellenberg J, Penfold SC, Mashasi I, Mrisho M, Manzi F, Marchant T, Tanner M, Mshinda H, Schellenberg D, Hill Z. Clean home-delivery in rural Southern Tanzania: barriers, influencers, and facilitators. J Health Popul and Nutr. 2013;31(1):110–7.CrossRef
40.
go back to reference Torpey K, Kabaso M, Kasonde P, Dirks R, Bweupe M, Thompson C. Increasing the uptake of prevention of mother-to-child transmission of HIV services in a resource-limited setting. BMC Health Serv Res. 2010;10(29). Torpey K, Kabaso M, Kasonde P, Dirks R, Bweupe M, Thompson C. Increasing the uptake of prevention of mother-to-child transmission of HIV services in a resource-limited setting. BMC Health Serv Res. 2010;10(29).
41.
go back to reference Campbell C, Mzaidume Y. How can HIV be prevented in South Africa? A social perspective. Br Med J. 2002;324:229–32.CrossRef Campbell C, Mzaidume Y. How can HIV be prevented in South Africa? A social perspective. Br Med J. 2002;324:229–32.CrossRef
42.
go back to reference Campbell C, Cornish F. Towards a “fourth generation” of approaches to HIV/AIDS management: creating contexts for effective community mobilisation. AIDS care. 2010;22(1):569–79. Campbell C, Cornish F. Towards a “fourth generation” of approaches to HIV/AIDS management: creating contexts for effective community mobilisation. AIDS care. 2010;22(1):569–79.
43.
go back to reference O'Gorman DA, Nyirenda LJ, Theobald SJ. Prevention of mother-to-child transmission of HIV infection: Views and perceptions about swallowing nevirapine in rural Lilongwe, Malaw. BMC Public Health 2. 2010;10(34). O'Gorman DA, Nyirenda LJ, Theobald SJ. Prevention of mother-to-child transmission of HIV infection: Views and perceptions about swallowing nevirapine in rural Lilongwe, Malaw. BMC Public Health 2. 2010;10(34).
44.
go back to reference Lippmann Q, Mofolo I, Bobrow E, Maida A, Kamanga E. Exploring the feasibility of engaging Traditional Birth Attendants in a prevention of mother to child HIV transmission program in Lilongwe, Malawi. Malawi Med J. 2012;24(4):79–80.PubMedPubMedCentral Lippmann Q, Mofolo I, Bobrow E, Maida A, Kamanga E. Exploring the feasibility of engaging Traditional Birth Attendants in a prevention of mother to child HIV transmission program in Lilongwe, Malawi. Malawi Med J. 2012;24(4):79–80.PubMedPubMedCentral
45.
go back to reference Cornish F, Priego-Hernandez J, Campbell C, Mburu G. The impact of Community Mobilisation on HIV Prevention in Middle and Low Income Countries: A Systematic Review and Critique. AIDS Behavior. 2014;18:2110–34.CrossRefPubMedPubMedCentral Cornish F, Priego-Hernandez J, Campbell C, Mburu G. The impact of Community Mobilisation on HIV Prevention in Middle and Low Income Countries: A Systematic Review and Critique. AIDS Behavior. 2014;18:2110–34.CrossRefPubMedPubMedCentral
46.
go back to reference Tripathy P, Nair N, Mahapatra R, Rath S, Gope RK. Community mobilisation with women’s groups facilitated by Accredited Social Health Activists (ASHAs) to improve maternal and newborn health in underserved areas of Jharkhand and Orissa: study protocol for a cluster-randomised controlled trial. Trials. 2011;12(182):2–12. Tripathy P, Nair N, Mahapatra R, Rath S, Gope RK. Community mobilisation with women’s groups facilitated by Accredited Social Health Activists (ASHAs) to improve maternal and newborn health in underserved areas of Jharkhand and Orissa: study protocol for a cluster-randomised controlled trial. Trials. 2011;12(182):2–12.
47.
go back to reference Rifkin S, Pridmore P. Partners in Planning. Oxford: Macmillan; 2001. Rifkin S, Pridmore P. Partners in Planning. Oxford: Macmillan; 2001.
48.
go back to reference McKenzie J, Neiger B, Thackeray R. Planning, Implementing & Evaluationg Health Promotion Program. 6th ed. Boston: Pearson Education; 2013. McKenzie J, Neiger B, Thackeray R. Planning, Implementing & Evaluationg Health Promotion Program. 6th ed. Boston: Pearson Education; 2013.
49.
go back to reference Watson-Thompson J, Fawcett SB, Schultz JA. A Framework for Community Mobilization to Promote Healthy Youth Development. Am J Prev Med. 2008;34(3):S72–81.CrossRefPubMed Watson-Thompson J, Fawcett SB, Schultz JA. A Framework for Community Mobilization to Promote Healthy Youth Development. Am J Prev Med. 2008;34(3):S72–81.CrossRefPubMed
50.
go back to reference Kim-Ju G, Mark GY, Cohen DR, Garcia-Santiago O, Nguyen P. Community Mobilization and Its Application to Youth Violence Prevention. Am J Prev Med. 2008;34(3):S5–S12.CrossRefPubMed Kim-Ju G, Mark GY, Cohen DR, Garcia-Santiago O, Nguyen P. Community Mobilization and Its Application to Youth Violence Prevention. Am J Prev Med. 2008;34(3):S5–S12.CrossRefPubMed
51.
go back to reference Nahar T, Azad K, Aumon BH, Younes L, Shaha S, Kuddus A. Scaling up community mobilisation through women's groups for maternal and neonatal health: experiences from rural Bangladesh. BMC Pregnancy Childbirth. 2012;12(5). Nahar T, Azad K, Aumon BH, Younes L, Shaha S, Kuddus A. Scaling up community mobilisation through women's groups for maternal and neonatal health: experiences from rural Bangladesh. BMC Pregnancy Childbirth. 2012;12(5).
52.
go back to reference MERCY-CORPS. COMMUNITY MOBILIZATION Approach. Portland: MERCY-CORPS; 2009. MERCY-CORPS. COMMUNITY MOBILIZATION Approach. Portland: MERCY-CORPS; 2009.
Metadata
Title
The role of Community Mobilization in maternal care provision for women in sub-Saharan Africa- A systematic review of studies using an experimental design
Authors
Choolwe Muzyamba
Wim Groot
Sonila M. Tomini
Milena Pavlova
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Pregnancy and Childbirth / Issue 1/2017
Electronic ISSN: 1471-2393
DOI
https://doi.org/10.1186/s12884-017-1458-6

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