A systematic review of essential obstetric and newborn care capacity building in rural sub-Saharan Africa.

摘要: Background Progress in maternal survival sub-Saharan Africa has been poor since the Millennium Declaration. Objectives This systematic review aims to investigate presence and rigour of evidence for effective capacity building Essential Obstetric Newborn Care (EONC) reduce mortality rural, Africa, where ratios are highest globally. Search strategy MEDLINE (1990–January 2014), EMBASE Cochrane Library were included our search. Key developing world issues The Lancet British Journal Obstetrics Gynaecology, African Ministry Health websites, WHO reproductive health library searched by hand. Selection criteria Studies investigating essential obstetric newborn care packages basic comprehensive facilities, at community institutional level, rural included. Studies if they reported on healthcare worker performance, access care, behavioural change, emergency care. Data collection analysis Data extracted all relevant studies independently appraised using structured abstraction appraisal tools. Main results There is moderate support training workers differing cadres provision services case-fatality rates Africa. Community schemes that sensitise enable result a modest rise facility birth skilled attendance this setting. Authors' conclusion Essential merit as an intervention package