A systematic review of Demand-based &amp; Supply-based Interventions on continuum of maternal and child healthcare in south Asian countries

Gandhi, Sumirtha; Ramesh, Shruthi; Dash, Umakant; Babu, Suresh M

doi:10.1007/s10389-019-01148-3

Cited by 5 publications

(6 citation statements)

References 26 publications

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“…In addition, needs assessments are important for programme planning (Li, Sun, et al., 2022a). The research approach of identifying needs first before constructing an intervention programme is consistent with other studies (Gandhi et al., 2020). In our study, we refined three supports aiming at the actual needs of women undergoing TOPFA.…”

Section: Discussionmentioning

confidence: 62%

“…Demand-based interventions have high pertinence and clinical practical meaning in identifying the differences in individual psychological needs. Gandhi et al (2020) emphasized that demand-based interventions effectively improve continuum of maternal care services. A phenomenological study (Atienza-Carrasco et al, 2020) on congenital foetal anomalies suggested that healthcare professionals should assess individual needs and choose an optimal approach to ease the grieving process.…”

Section: Backg Rou N Dmentioning

confidence: 99%

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Psychosocial intervention programme based on the needs of women undergoing termination of pregnancy for foetal anomalies: A modified Delphi study

Wang,

Huang,

Xie

et al. 2024

Nursing Open

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AimTo construct a psychosocial intervention programme for women diagnosed with foetal anomalies based on their needs in China.DesignA three round‐modified Delphi survey from September to November 2020.MethodsIn Round 1, based on literature review and qualitative interviews, a face‐to‐face meeting with eight taskforce members was conducted to generate the initial intervention indicators. In Round 2 and 3, 15 experts and three stakeholders (women undergoing termination of pregnancy for foetal anomalies) were invited by email to evaluate the importance of the indicators and built the final psychosocial intervention programme.ResultsThe response rate for both two rounds is 100%. The experts' authority coefficient was 0.86. The Kendall W value of the two rounds ranged between 0.191 and 0.339. A needs‐based psychosocial intervention programme was established, including four periods (denial, confirmation, decision‐making and recovery), three needs‐based supports (information, social and acceptance commitment therapy) and 27 intervention indicators. The mean value of the importance of each index was 4.00–5.00. Further research is required to evaluate whether this programme is realistic and effective for the target audiences.

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Section: Discussionmentioning

confidence: 62%

Section: Backg Rou N Dmentioning

confidence: 99%

Psychosocial intervention programme based on the needs of women undergoing termination of pregnancy for foetal anomalies: A modified Delphi study

Wang,

Huang,

Xie

et al. 2024

Nursing Open

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“…The global guidelines of MNCH and PCPNC proposed by WHO 5,25 Existing literatures 7,9,13,14,29,31,32,35,40 From the perspective of spatial distribution, the healthcare facilities that delivered three service packages tended to be clustered around areas with relatively high population density in Mozambique. In contrast, sparsely populated areas also have fewer healthcare facilities (Fig.…”

Section: Three Service Packagesmentioning

confidence: 99%

“…Striving to bridge such gap embedded in healthcare policies, the continuum of care (CoC) towards maternal, newborn, and child health (MNCH) has been proposed by World Health Organization (WHO) as an essential strategy to reduce worldwide burden of maternal, neonatal and children deaths via the integration of different health service packages throughout lifecycles 6 . The framework of CoC established in accordance with the speci c needs of women and neonates via continuous provision of maternal and perinatal healthcare services (CMPHS) throughout lifecycles involves the integration of three service delivery packages, including antenatal care (ANC), institutional delivery (ID), and postnatal care (PNC) 7 . ANC plays a pivotal role in protecting the health of women and their unborn children at an early stage.…”

Section: Introductionmentioning

confidence: 99%

Spatial accessibility of continuous maternal and perinatal healthcare services in Mozambique

Kanduma²,

Ramiro³

et al. 2023

Preprint

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Maternal and perinatal healthcare remain insufficient in impoverished regions such as sub-Saharan Africa (SSA), and removing geographic barriers to access continuous maternal and perinatal healthcare services (CMPHS) has been addressed as a critical strategy. Based on the framework of maternal, neonatal, and child health (MNCH) proposed by WHO, access to CMPHS in Mozambique was assessed as the integration of three independent service packages, namely antenatal care (ANC), institutional delivery (ID), and postnatal care (PNC). We perform a spatial overlap analysis to identify eight types of multi-level healthcare access zones and reveal the geographic barriers for women of reproductive age (WoRA) reaching CMPHS. We find that access to reaching ANC, ID, and PNC varied significantly, with access to ANC being the best and PNC being the worst. More than 51% of the WoRA were not able to access any service package as part of CMPHS, while only about 21% could access CMPHS in a timely manner. Similar research should be carried out in SSA countries to identify resource shortage area and successful experiences should be learned to broad CMPHS coverage with particular focus.

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“…For instance, restrictive gender roles and inequalities negatively impact the health of women and children by limiting women's capacity by influencing decision-making power regarding age at marriage, birth spacing, and limited access to and control over resources (e.g., finances, information, transport, and supplies) [12,13,[17][18][19][20][21][22][23]. The role of gender in antenatal, delivery, and postnatal care utilization has also been demonstrated in various countries [15,[24][25][26][27][28][29][30] such as Uganda [15], Kenya [25], and Ethiopia [26,27]. Studies from Nepal [28], Cameroon [29], and Nepal [30].…”

Section: Introductionmentioning

confidence: 99%

Structural, programmatic, and sociocultural intersectionality of gender influencing access-uptake of reproductive, maternal, and child health services in developing regions of Ethiopia: A qualitative study

Koricha

Teshome²,

Binu³

et al. 2023

PLoS ONE

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Background Gender remains a critical social factor in reproductive, maternal, and child health and family planning (RMNCH/FP) care. However, its intersectionality with other social determinants of the RMNCH remains poorly documented. This study aimed to explore the influence of gender intersectionality on the access uptake of RMNCH/FP in Developing Regional States (DRS) in Ethiopia. Methods We conducted a qualitative study to explore the intersectionality of gender with other social and structural factors and its influence on RMNCH/FP use in 20 selected districts in four DRS of Ethiopia. We conducted 20 Focus Group Discussions (FGDs) and 32 in-depth and key informant interviews (IDIs/KIIs) among men and women of reproductive age who were purposively selected from communities and organizations in different settings. Audio-recorded data were transcribed verbatim and analyzed thematically. Findings Women in the DRS were responsible for the children and families’ health care and information, and household chores, whereas men mainly engaged in income generation, decision making, and resource control. Women who were overburdened with household chores were not involved in decision-making, and resource control was less likely to incur transport expenses and use RMNCH/FP services. FP was less utilized than antenatal, child, and delivery services in the DRS,as it was mainly affected by the sociocultural, structural, and programmatic intersectionality of gender. The women-focused RMNCH/FP education initiatives that followed the deployment of female frontline health extension workers (HEWs) created a high demand for FP among women. Nonetheless, the unmet need for FP worsened as a result of the RMNCH/FP initiatives that strategically marginalized men, who often have resource control and decision-making virtues that emanate from the sociocultural, religious, and structural positions they assumed. Conclusions Structural, sociocultural, religious, and programmatic intersectionality of gender shaped access to and use of RMNCH/FP services. Men’s dominance in resource control and decision-making in sociocultural-religious affairs intersected with their poor engagement in health empowerment initiatives that mainly engaged women set the key barrier to RMNCH/FP uptake. Improved access to and uptake of RMNCH would best result from gender-responsive strategies established through a systemic understanding of intersectional gender inequalities and through increased participation of men in RMNCH programs in the DRS of Ethiopia.

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A systematic review of Demand-based & Supply-based Interventions on continuum of maternal and child healthcare in south Asian countries

Cited by 5 publications

References 26 publications

Psychosocial intervention programme based on the needs of women undergoing termination of pregnancy for foetal anomalies: A modified Delphi study

Psychosocial intervention programme based on the needs of women undergoing termination of pregnancy for foetal anomalies: A modified Delphi study

Spatial accessibility of continuous maternal and perinatal healthcare services in Mozambique

Structural, programmatic, and sociocultural intersectionality of gender influencing access-uptake of reproductive, maternal, and child health services in developing regions of Ethiopia: A qualitative study

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