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Assessment of Interventions in Primary Health Care for Improved Maternal, New-born and Child Health in Sub-Saharan Africa: A Systematic Review

Author

Listed:
  • Friday E. Okonofua
  • Lorretta F. C. Ntoimo
  • Oluwadamilola A. Adejumo
  • Wilson Imongan
  • Rosemary N. Ogu
  • Seun O. Anjorin

Abstract

Primary health care (PHC) holds great potentials to improve maternal, newborn, and child health (MNCH) outcomes. However, there has been limited documentation of its effects on increasing universal access to maternal, newborn, and child health services in sub-Saharan Africa. Also, not adequately known are the most effective interventions to improve the delivery of PHC services in the region. The objective of this study was to conduct a systematic review of empirical evidence of interventions that improved access and quality of PHC services for maternal, newborn, and child health in sub-Saharan Africa. The protocol was registered on Prospero (Registration number CRD42019126029). Using terms related to primary health care and MNCH, we searched African Journals Online (AJOL), PubMed/Medline, Popline, ScienceDirect, Google Scholar, WHO Repository (IRIS), Directory of Open Access Journals (DOAJ), Cochrane Library, and reference lists for studies published in English between 2000 and 2019. Studies were included in the search if they reported interventions, and strategies implemented to improve quality and access to primary health care for maternal, newborn, and child health in sub-Saharan Africa. A total of 25 studies were included in the review. Effective interventions included financial incentives, task-shifting, community-directed engagements, training of providers, mobile health, cost-sharing, and supportive supervision among others. The result of this review contributes useful insight to guide the reformation, and development of new policies and programs for improving access and quality of primary health care delivery in sub-Saharan Africa, particularly to improve maternal and child health in the region. However, strategies to scale and sustain the successes need to be in place.

Suggested Citation

  • Friday E. Okonofua & Lorretta F. C. Ntoimo & Oluwadamilola A. Adejumo & Wilson Imongan & Rosemary N. Ogu & Seun O. Anjorin, 2022. "Assessment of Interventions in Primary Health Care for Improved Maternal, New-born and Child Health in Sub-Saharan Africa: A Systematic Review," SAGE Open, , vol. 12(4), pages 21582440221, October.
    • Handle: RePEc:sae:sagope:v:12:y:2022:i:4:p:21582440221134222
    DOI: 10.1177/21582440221134222
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    References listed on IDEAS

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    1. Mary B Adam & Maria Dillmann & Mei-kuang Chen & Simon Mbugua & Joram Ndung’u & Priscilla Mumbi & Eunice Waweru & Peter Meissner, 2014. "Improving Maternal and Newborn Health: Effectiveness of a Community Health Worker Program in Rural Kenya," PLOS ONE, Public Library of Science, vol. 9(8), pages 1-8, August.
    2. Mokrzycka, Anna & Kowalska-Bobko, Iwona & Sagan, Anna & Włodarczyk, W. Cezary, 2016. "The 2014 primary health care reform in Poland: Short-term fixes instead of a long-term strategy," Health Policy, Elsevier, vol. 120(11), pages 1226-1232.
    3. Anstey Watkins, Jocelyn Olivia Todd & Goudge, Jane & Gómez-Olivé, Francesc Xavier & Griffiths, Frances, 2018. "Mobile phone use among patients and health workers to enhance primary healthcare: A qualitative study in rural South Africa," Social Science & Medicine, Elsevier, vol. 198(C), pages 139-147.
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