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Health system-related barriers to prenatal care management in low- and middle-income countries: a systematic review of the qualitative literature

BACKGROUND: Appropriate prenatal care (PNC) is essential for improving maternal and infant health; nevertheless, millions of women in low- and middle-income countries (LMICs) do not receive it properly. The objective of this review is to identify and summarize the qualitative studies that report on...

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Autores principales: Mohseni, Mohammad, Mousavi Isfahani, Haleh, Moosavi, Ahmad, Dehghanpour Mohammadian, Elham, Mirmohammadi, Fatemeh, Ghazanfari, Fatemeh, Ahmadi, Shiler
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cambridge University Press 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9972358/
https://www.ncbi.nlm.nih.gov/pubmed/36843095
http://dx.doi.org/10.1017/S1463423622000706
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author Mohseni, Mohammad
Mousavi Isfahani, Haleh
Moosavi, Ahmad
Dehghanpour Mohammadian, Elham
Mirmohammadi, Fatemeh
Ghazanfari, Fatemeh
Ahmadi, Shiler
author_facet Mohseni, Mohammad
Mousavi Isfahani, Haleh
Moosavi, Ahmad
Dehghanpour Mohammadian, Elham
Mirmohammadi, Fatemeh
Ghazanfari, Fatemeh
Ahmadi, Shiler
author_sort Mohseni, Mohammad
collection PubMed
description BACKGROUND: Appropriate prenatal care (PNC) is essential for improving maternal and infant health; nevertheless, millions of women in low- and middle-income countries (LMICs) do not receive it properly. The objective of this review is to identify and summarize the qualitative studies that report on health system-related barriers in PNC management in LMICs. METHODS: This systematic review was conducted in 2022. A range of electronic databases including PubMed, Web of Knowledge, CINHAL, SCOPUS, Embase, and Science Direct were searched for qualitative studies conducted in LMICs. The reference lists of eligible studies also were hand searched. The studies that reported health system-related barrier of PNC management from the perspectives of PNC stakeholders were considered for inclusion. Study quality assessment was performed applying the Critical Appraisal Skills Programme (CASP) checklist, and thematic analyses performed. RESULTS: Of the 32 included studies, 25 (78%) were published either in or after 2013. The total population sample included 1677 participants including 629 pregnant women, 122 mothers, 240 healthcare providers, 54 key informed, 164 women of childbearing age, 380 community members, and 88 participants from other groups (such as male partners and relatives). Of 32 studies meeting inclusion criteria, four major themes emerged: (1) healthcare provider-related issues; (2) service delivery issues; (3) inaccessible PNC; and (4) poor PNC infrastructure. CONCLUSION: This systematic review provided essential findings regarding PNC barriers in LMICs to help inform the development of effective PNC strategies and public policy programs.
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spelling pubmed-99723582023-03-01 Health system-related barriers to prenatal care management in low- and middle-income countries: a systematic review of the qualitative literature Mohseni, Mohammad Mousavi Isfahani, Haleh Moosavi, Ahmad Dehghanpour Mohammadian, Elham Mirmohammadi, Fatemeh Ghazanfari, Fatemeh Ahmadi, Shiler Prim Health Care Res Dev Review BACKGROUND: Appropriate prenatal care (PNC) is essential for improving maternal and infant health; nevertheless, millions of women in low- and middle-income countries (LMICs) do not receive it properly. The objective of this review is to identify and summarize the qualitative studies that report on health system-related barriers in PNC management in LMICs. METHODS: This systematic review was conducted in 2022. A range of electronic databases including PubMed, Web of Knowledge, CINHAL, SCOPUS, Embase, and Science Direct were searched for qualitative studies conducted in LMICs. The reference lists of eligible studies also were hand searched. The studies that reported health system-related barrier of PNC management from the perspectives of PNC stakeholders were considered for inclusion. Study quality assessment was performed applying the Critical Appraisal Skills Programme (CASP) checklist, and thematic analyses performed. RESULTS: Of the 32 included studies, 25 (78%) were published either in or after 2013. The total population sample included 1677 participants including 629 pregnant women, 122 mothers, 240 healthcare providers, 54 key informed, 164 women of childbearing age, 380 community members, and 88 participants from other groups (such as male partners and relatives). Of 32 studies meeting inclusion criteria, four major themes emerged: (1) healthcare provider-related issues; (2) service delivery issues; (3) inaccessible PNC; and (4) poor PNC infrastructure. CONCLUSION: This systematic review provided essential findings regarding PNC barriers in LMICs to help inform the development of effective PNC strategies and public policy programs. Cambridge University Press 2023-02-27 /pmc/articles/PMC9972358/ /pubmed/36843095 http://dx.doi.org/10.1017/S1463423622000706 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.
spellingShingle Review
Mohseni, Mohammad
Mousavi Isfahani, Haleh
Moosavi, Ahmad
Dehghanpour Mohammadian, Elham
Mirmohammadi, Fatemeh
Ghazanfari, Fatemeh
Ahmadi, Shiler
Health system-related barriers to prenatal care management in low- and middle-income countries: a systematic review of the qualitative literature
title Health system-related barriers to prenatal care management in low- and middle-income countries: a systematic review of the qualitative literature
title_full Health system-related barriers to prenatal care management in low- and middle-income countries: a systematic review of the qualitative literature
title_fullStr Health system-related barriers to prenatal care management in low- and middle-income countries: a systematic review of the qualitative literature
title_full_unstemmed Health system-related barriers to prenatal care management in low- and middle-income countries: a systematic review of the qualitative literature
title_short Health system-related barriers to prenatal care management in low- and middle-income countries: a systematic review of the qualitative literature
title_sort health system-related barriers to prenatal care management in low- and middle-income countries: a systematic review of the qualitative literature
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9972358/
https://www.ncbi.nlm.nih.gov/pubmed/36843095
http://dx.doi.org/10.1017/S1463423622000706
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