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Vulnerability in maternal, new-born, and child health in low- and middle-income countries: Findings from a scoping review

OBJECTIVES: To identify and synthesise prevailing definitions and indices of vulnerability in maternal, new-born and child health (MNCH) research and health programs in low- and middle-income countries. DESIGN AND SETTING: Scoping review using Arksey and O’Malley’s framework and a Delphi survey for...

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Autores principales: Makinde, Olusesan Ayodeji, Uthman, Olalekan A., Mgbachi, Ifeanyi C., Ichegbo, Nchelem Kokomma, Sule, Fatima Abdulaziz, Olamijuwon, Emmanuel O., Okusanya, Babasola O.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9651566/
https://www.ncbi.nlm.nih.gov/pubmed/36367865
http://dx.doi.org/10.1371/journal.pone.0276747
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author Makinde, Olusesan Ayodeji
Uthman, Olalekan A.
Mgbachi, Ifeanyi C.
Ichegbo, Nchelem Kokomma
Sule, Fatima Abdulaziz
Olamijuwon, Emmanuel O.
Okusanya, Babasola O.
author_facet Makinde, Olusesan Ayodeji
Uthman, Olalekan A.
Mgbachi, Ifeanyi C.
Ichegbo, Nchelem Kokomma
Sule, Fatima Abdulaziz
Olamijuwon, Emmanuel O.
Okusanya, Babasola O.
author_sort Makinde, Olusesan Ayodeji
collection PubMed
description OBJECTIVES: To identify and synthesise prevailing definitions and indices of vulnerability in maternal, new-born and child health (MNCH) research and health programs in low- and middle-income countries. DESIGN AND SETTING: Scoping review using Arksey and O’Malley’s framework and a Delphi survey for consensus building. PARTICIPANTS: Mothers, new-borns, and children living in low- and middle-income countries were selected as participants. OUTCOMES: Vulnerability as defined by the authors was deduced from the studies. RESULTS: A total of 61 studies were included in this scoping review. Of this, 22 were publications on vulnerability in the context of maternal health and 40 were on new-born and child health. Definitions used in included studies can be broadly categorised into three domains: biological, socioeconomic, and environmental. Eleven studies defined vulnerability in the context of maternal health, five reported on the scales used to measure vulnerability in maternal health and only one study used a validated scale. Of the 40 included studies on vulnerability in child health, 19 defined vulnerability in the context of new-born and/or child health, 15 reported on the scales used to measure vulnerability in child health and nine reported on childhood vulnerability indices. As it was difficult to synthesise the definitions, their keywords were extracted to generate new candidate definitions for vulnerability in MNCH. CONCLUSION: Included studies paid greater attention to new-born/ child vulnerability than maternal vulnerability, with authors defining the terms differently. A definition which helps in improving the description of vulnerability in MNCH across various programs and researchers was arrived at. This will further help in streamlining research and interventions which can influence the design of high impact MNCH programs. SCOPING REVIEW REGISTRATION: The protocol for this review was registered in the open science framework at the registered address (https://osf.io/jt6nr).
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spelling pubmed-96515662022-11-15 Vulnerability in maternal, new-born, and child health in low- and middle-income countries: Findings from a scoping review Makinde, Olusesan Ayodeji Uthman, Olalekan A. Mgbachi, Ifeanyi C. Ichegbo, Nchelem Kokomma Sule, Fatima Abdulaziz Olamijuwon, Emmanuel O. Okusanya, Babasola O. PLoS One Research Article OBJECTIVES: To identify and synthesise prevailing definitions and indices of vulnerability in maternal, new-born and child health (MNCH) research and health programs in low- and middle-income countries. DESIGN AND SETTING: Scoping review using Arksey and O’Malley’s framework and a Delphi survey for consensus building. PARTICIPANTS: Mothers, new-borns, and children living in low- and middle-income countries were selected as participants. OUTCOMES: Vulnerability as defined by the authors was deduced from the studies. RESULTS: A total of 61 studies were included in this scoping review. Of this, 22 were publications on vulnerability in the context of maternal health and 40 were on new-born and child health. Definitions used in included studies can be broadly categorised into three domains: biological, socioeconomic, and environmental. Eleven studies defined vulnerability in the context of maternal health, five reported on the scales used to measure vulnerability in maternal health and only one study used a validated scale. Of the 40 included studies on vulnerability in child health, 19 defined vulnerability in the context of new-born and/or child health, 15 reported on the scales used to measure vulnerability in child health and nine reported on childhood vulnerability indices. As it was difficult to synthesise the definitions, their keywords were extracted to generate new candidate definitions for vulnerability in MNCH. CONCLUSION: Included studies paid greater attention to new-born/ child vulnerability than maternal vulnerability, with authors defining the terms differently. A definition which helps in improving the description of vulnerability in MNCH across various programs and researchers was arrived at. This will further help in streamlining research and interventions which can influence the design of high impact MNCH programs. SCOPING REVIEW REGISTRATION: The protocol for this review was registered in the open science framework at the registered address (https://osf.io/jt6nr). Public Library of Science 2022-11-11 /pmc/articles/PMC9651566/ /pubmed/36367865 http://dx.doi.org/10.1371/journal.pone.0276747 Text en © 2022 Makinde et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Makinde, Olusesan Ayodeji
Uthman, Olalekan A.
Mgbachi, Ifeanyi C.
Ichegbo, Nchelem Kokomma
Sule, Fatima Abdulaziz
Olamijuwon, Emmanuel O.
Okusanya, Babasola O.
Vulnerability in maternal, new-born, and child health in low- and middle-income countries: Findings from a scoping review
title Vulnerability in maternal, new-born, and child health in low- and middle-income countries: Findings from a scoping review
title_full Vulnerability in maternal, new-born, and child health in low- and middle-income countries: Findings from a scoping review
title_fullStr Vulnerability in maternal, new-born, and child health in low- and middle-income countries: Findings from a scoping review
title_full_unstemmed Vulnerability in maternal, new-born, and child health in low- and middle-income countries: Findings from a scoping review
title_short Vulnerability in maternal, new-born, and child health in low- and middle-income countries: Findings from a scoping review
title_sort vulnerability in maternal, new-born, and child health in low- and middle-income countries: findings from a scoping review
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9651566/
https://www.ncbi.nlm.nih.gov/pubmed/36367865
http://dx.doi.org/10.1371/journal.pone.0276747
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