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Published in: Systematic Reviews 1/2017

Open Access 01-12-2017 | Protocol

Trends in maternal and neonatal mortality in South Africa: a systematic review protocol

Authors: Damian J. Damian, Bernard Njau, Ester Lisasi, Sia E. Msuya, Andrew Boulle

Published in: Systematic Reviews | Issue 1/2017

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Abstract

Background

Measuring and monitoring progress towards Millennium Development Goals (MDG) 4 and 5 requires valid and reliable estimates of maternal and neonatal mortality. In South Africa, there are conflicting reports on the estimates of maternal and neonatal mortality, derived from both direct and indirect estimation techniques. This study aims to systematically review the estimates made of maternal and neonatal mortality in the period from 1990 to 2015 in South Africa and determine trends over this period.

Methods

For the purpose of this review, searches for eligible studies will be conducted in MEDLINE, Africa-Wide Information, African Index Medicus, African Journals Online, Scopus, Web of Science and CINAHL databases. Searches will be restricted to articles written in English and presenting data covering the period between 1990 and 2015. Reference lists of retrieved articles will also be screened for additional publications. Three independent reviewers will be involved in the study selection, data extractions and achieving consensus. Study quality and risk of bias will thereafter be assessed by two authors. The results will be presented as rates/ratio with their corresponding 95% confidence/uncertainty intervals.

Discussion

Identifying trends in maternal and neonatal mortality will help to track progress in MDGs 4 and 5 and will serve in evaluating interventions focusing on reducing maternal and child mortality in the country. This study will, in particular, provide the context for understanding inconsistencies in reported estimates of maternal and neonatal mortality by considering estimation methods, data sources and definitions used.

Systematic review registration

PROSPERO CRD42016042769
Appendix
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Metadata
Title
Trends in maternal and neonatal mortality in South Africa: a systematic review protocol
Authors
Damian J. Damian
Bernard Njau
Ester Lisasi
Sia E. Msuya
Andrew Boulle
Publication date
01-12-2017
Publisher
BioMed Central
Published in
Systematic Reviews / Issue 1/2017
Electronic ISSN: 2046-4053
DOI
https://doi.org/10.1186/s13643-017-0560-1

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