Integrated Maternal Care Strategies in Low- and Middle-Income Countries: A Systematic Review
Background and aim: Ineffective organisation of care leads to increased morbidity and mortality in neonates and their mothers. We aimed to identify and describe strategies used in low- and middle-income countries that attempt to deliver coherent, coordinated, and continuous services (i.e., integrate...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Ubiquity Press
2022-06-01
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| Series: | International Journal of Integrated Care |
| Subjects: | |
| Online Access: | https://www.ijic.org/articles/6254 |
| _version_ | 1818466126575697920 |
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| author | Laura van der Werf Silvia Evers Laura Prieto-Pinto Daniel Samacá-Samacá Aggie Paulus |
| author_facet | Laura van der Werf Silvia Evers Laura Prieto-Pinto Daniel Samacá-Samacá Aggie Paulus |
| author_sort | Laura van der Werf |
| collection | DOAJ |
| description | Background and aim: Ineffective organisation of care leads to increased morbidity and mortality in neonates and their mothers. We aimed to identify and describe strategies used in low- and middle-income countries that attempt to deliver coherent, coordinated, and continuous services (i.e., integrated care) and how the various strategies affect the organisation of care. Methods: We conducted a systematic literature review to identify, appraise, and synthesise relevant evidence about strategies for integrating maternal care in low- and middle-income countries, searching multiple electronic databases. Results: Fourteen studies met our inclusion criteria. We identified five types of integration strategies: 1) organisational, 2) service/professional, 3) functional, 4) organisational combined with normative strategies, and 5) clinical combined with functional integration strategies. The most frequent types of strategies were organisational, and service/professional integration strategies. We did not identify any publications describing systemic integration strategies implemented in low- and middle-income countries. Conclusions: Most types of strategies described in theory have been implemented and studied in low- and middle-income countries. Our findings suggest that different types of strategies may lead to comparable organisational outcomes. For example, organisational integration strategies and professional or service integration strategies may similarly influence inter-organisational collaboration. Inter-organisational collaboration may play a particularly important role in the context of maternal care integration. |
| first_indexed | 2024-04-13T20:54:17Z |
| format | Article |
| id | doaj.art-3a06cd9e231d41628d44578840f1878b |
| institution | Directory Open Access Journal |
| issn | 1568-4156 |
| language | English |
| last_indexed | 2024-04-13T20:54:17Z |
| publishDate | 2022-06-01 |
| publisher | Ubiquity Press |
| record_format | Article |
| series | International Journal of Integrated Care |
| spelling | doaj.art-3a06cd9e231d41628d44578840f1878b2022-12-22T02:30:22ZengUbiquity PressInternational Journal of Integrated Care1568-41562022-06-012210.5334/ijic.62545991Integrated Maternal Care Strategies in Low- and Middle-Income Countries: A Systematic ReviewLaura van der Werf0Silvia Evers1Laura Prieto-Pinto2Daniel Samacá-Samacá3Aggie Paulus4Department of Health Services Research, Care and Public Health Research Institute (CAPHRI), Faculty of Health Medicine and Life Sciences, Maastricht University, P.O. Box 616, 6200 MD MaastrichtDepartment of Health Services Research, Care and Public Health Research Institute (CAPHRI), Faculty of Health Medicine and Life Sciences, Maastricht University, P.O. Box 616, 6200 MD Maastricht; Centre for Economic Evaluation and Machine Learning, Netherlands Institute of Mental Health and Addiction, Trimbos Institute, UtrechtMSc Clinical Epidemiology, Universidad Nacional de ColombiaMSc Clinical Epidemolgy student, Universidad Nacional de ColombiaDepartment of Health Services Research, Care and Public Health Research Institute (CAPHRI), Faculty of Health Medicine and Life Sciences, Maastricht University, P.O. Box 616, 6200 MD MaastrichtBackground and aim: Ineffective organisation of care leads to increased morbidity and mortality in neonates and their mothers. We aimed to identify and describe strategies used in low- and middle-income countries that attempt to deliver coherent, coordinated, and continuous services (i.e., integrated care) and how the various strategies affect the organisation of care. Methods: We conducted a systematic literature review to identify, appraise, and synthesise relevant evidence about strategies for integrating maternal care in low- and middle-income countries, searching multiple electronic databases. Results: Fourteen studies met our inclusion criteria. We identified five types of integration strategies: 1) organisational, 2) service/professional, 3) functional, 4) organisational combined with normative strategies, and 5) clinical combined with functional integration strategies. The most frequent types of strategies were organisational, and service/professional integration strategies. We did not identify any publications describing systemic integration strategies implemented in low- and middle-income countries. Conclusions: Most types of strategies described in theory have been implemented and studied in low- and middle-income countries. Our findings suggest that different types of strategies may lead to comparable organisational outcomes. For example, organisational integration strategies and professional or service integration strategies may similarly influence inter-organisational collaboration. Inter-organisational collaboration may play a particularly important role in the context of maternal care integration.https://www.ijic.org/articles/6254integrated carematernal health servicesintegrated delivery of health carecontinuity of patient carematernal-child health servicescare coordination |
| spellingShingle | Laura van der Werf Silvia Evers Laura Prieto-Pinto Daniel Samacá-Samacá Aggie Paulus Integrated Maternal Care Strategies in Low- and Middle-Income Countries: A Systematic Review International Journal of Integrated Care integrated care maternal health services integrated delivery of health care continuity of patient care maternal-child health services care coordination |
| title | Integrated Maternal Care Strategies in Low- and Middle-Income Countries: A Systematic Review |
| title_full | Integrated Maternal Care Strategies in Low- and Middle-Income Countries: A Systematic Review |
| title_fullStr | Integrated Maternal Care Strategies in Low- and Middle-Income Countries: A Systematic Review |
| title_full_unstemmed | Integrated Maternal Care Strategies in Low- and Middle-Income Countries: A Systematic Review |
| title_short | Integrated Maternal Care Strategies in Low- and Middle-Income Countries: A Systematic Review |
| title_sort | integrated maternal care strategies in low and middle income countries a systematic review |
| topic | integrated care maternal health services integrated delivery of health care continuity of patient care maternal-child health services care coordination |
| url | https://www.ijic.org/articles/6254 |
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