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Effects of women’s economic empowerment interventions on antenatal care outcomes: a systematic review

OBJECTIVES: Early and adequate antenatal care (ANC) has been shown to reduce maternal morbidity and mortality globally. Increasing evidence suggests that women’s economic empowerment (WEE) is a critical factor that may influence uptake of ANC during pregnancy. However, existing literature lacks a co...

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Autores principales: Suh, Heezy, Kalai, Shiri, Trivedi, Niki, Underwood, Carol, Hendrickson, Zoé Mistrale
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10016312/
https://www.ncbi.nlm.nih.gov/pubmed/36914184
http://dx.doi.org/10.1136/bmjopen-2022-061693
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author Suh, Heezy
Kalai, Shiri
Trivedi, Niki
Underwood, Carol
Hendrickson, Zoé Mistrale
author_facet Suh, Heezy
Kalai, Shiri
Trivedi, Niki
Underwood, Carol
Hendrickson, Zoé Mistrale
author_sort Suh, Heezy
collection PubMed
description OBJECTIVES: Early and adequate antenatal care (ANC) has been shown to reduce maternal morbidity and mortality globally. Increasing evidence suggests that women’s economic empowerment (WEE) is a critical factor that may influence uptake of ANC during pregnancy. However, existing literature lacks a comprehensive synthesis of studies on WEE interventions and their effects on ANC outcomes. This systematic review analyses WEE interventions at the household, community and national levels and their effects on ANC outcomes in low-income and middle-income countries, where the majority of maternal deaths occur. METHODS: Six electronic databases were systematically searched as well as 19 websites of relevant organisations. Studies published in English and after 2010 were included. RESULTS: Following abstract and full-text review, 37 studies were included in this review. Seven studies used an experimental study design, 26 studies used a quasi-experimental study design, 1 study used an observational design and 1 study was a systematic review with meta-analysis. Thirty-one included studies evaluated a household-level intervention, and six studies evaluated a community-level intervention. No included studies examined a national-level intervention. CONCLUSION: Most included studies on household-level and community-level interventions found a positive association between the intervention and the number of ANC visits women received. This review emphasises the need for more WEE interventions that empower women at the national level, for the expansion of the definition of WEE to be more inclusive of the multidimensionality of WEE interventions and the social determinants of health, and the standardisation of ANC outcome measurement globally.
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spelling pubmed-100163122023-03-16 Effects of women’s economic empowerment interventions on antenatal care outcomes: a systematic review Suh, Heezy Kalai, Shiri Trivedi, Niki Underwood, Carol Hendrickson, Zoé Mistrale BMJ Open Public Health OBJECTIVES: Early and adequate antenatal care (ANC) has been shown to reduce maternal morbidity and mortality globally. Increasing evidence suggests that women’s economic empowerment (WEE) is a critical factor that may influence uptake of ANC during pregnancy. However, existing literature lacks a comprehensive synthesis of studies on WEE interventions and their effects on ANC outcomes. This systematic review analyses WEE interventions at the household, community and national levels and their effects on ANC outcomes in low-income and middle-income countries, where the majority of maternal deaths occur. METHODS: Six electronic databases were systematically searched as well as 19 websites of relevant organisations. Studies published in English and after 2010 were included. RESULTS: Following abstract and full-text review, 37 studies were included in this review. Seven studies used an experimental study design, 26 studies used a quasi-experimental study design, 1 study used an observational design and 1 study was a systematic review with meta-analysis. Thirty-one included studies evaluated a household-level intervention, and six studies evaluated a community-level intervention. No included studies examined a national-level intervention. CONCLUSION: Most included studies on household-level and community-level interventions found a positive association between the intervention and the number of ANC visits women received. This review emphasises the need for more WEE interventions that empower women at the national level, for the expansion of the definition of WEE to be more inclusive of the multidimensionality of WEE interventions and the social determinants of health, and the standardisation of ANC outcome measurement globally. BMJ Publishing Group 2023-03-13 /pmc/articles/PMC10016312/ /pubmed/36914184 http://dx.doi.org/10.1136/bmjopen-2022-061693 Text en © Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Public Health
Suh, Heezy
Kalai, Shiri
Trivedi, Niki
Underwood, Carol
Hendrickson, Zoé Mistrale
Effects of women’s economic empowerment interventions on antenatal care outcomes: a systematic review
title Effects of women’s economic empowerment interventions on antenatal care outcomes: a systematic review
title_full Effects of women’s economic empowerment interventions on antenatal care outcomes: a systematic review
title_fullStr Effects of women’s economic empowerment interventions on antenatal care outcomes: a systematic review
title_full_unstemmed Effects of women’s economic empowerment interventions on antenatal care outcomes: a systematic review
title_short Effects of women’s economic empowerment interventions on antenatal care outcomes: a systematic review
title_sort effects of women’s economic empowerment interventions on antenatal care outcomes: a systematic review
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10016312/
https://www.ncbi.nlm.nih.gov/pubmed/36914184
http://dx.doi.org/10.1136/bmjopen-2022-061693
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