Applicability of the WHO maternal near miss tool in sub-Saharan Africa: a systematic review

BMC Pregnancy and Childbirth
Abera Kenay TuraJelle Stekelenburg

Abstract

Applicability of the World Health Organization (WHO) maternal near miss criteria in low-income settings is not systematically addressed in the literature. The objective of this review was to determine the applicability of the WHO maternal near miss tool in sub-Saharan Africa. We searched PubMed, Embase, Popline, CINAHL, AJOL, and Google scholar using key words for maternal near miss and sub-Saharan Africa. Studies which applied the WHO maternal near miss criteria, containing clear definitions, and published between January 1st, 2009 and December 31st, 2017 were included. Two authors independently extracted data. Quantitative analysis and narrative synthesis were conducted, and medians with interquartile range (IQR) were calculated for summarizing the findings. Methodological quality of the studies was assessed using the Estabrook's quality assessment and validity tool. Fifteen studies from nine countries comprising 227,077 participants were included. Median maternal near miss ratio was 24.2 (IQR: 12.4-35.8) per 1000 live births ranging from 4.4 in a population-based study in South Africa to 198 in a rural private hospital in Nigeria. Eight studies reported challenges in implementing the WHO maternal near miss tool, especially r...Continue Reading

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Citations

Sep 21, 2019·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Andrea B PembeClaudia Hanson
Apr 16, 2020·Paediatric and Perinatal Epidemiology·Marian Knight
Dec 3, 2020·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·Mohan Kumar M, Gitismita Naik
Oct 21, 2019·Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN·Marit L Bovbjerg
Nov 21, 2020·Journal of Global Health·Kim Jc VerschuerenKitty Wm Bloemenkamp
Mar 6, 2021·BMC Pregnancy and Childbirth·Shegaw Geze TenawAbera Kenay Tura
Mar 18, 2021·BMC Pregnancy and Childbirth·Tayue Tateke KebedeYemisirach Berhanu Sebsibe

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