Maternal nutritional supplement delivery in developing countries: a scoping review
Maternal nutritional supplement delivery in developing countries: a scoping review
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DOI：
10.1186/s40795-019-0270-2
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发表时间：
2019-02-11
期刊：
影响因子：
2
通讯作者：
Petrucka, P.
中科院分区：
文献类型：
--
作者：
McKerricher, L.;Petrucka, P.
低收入国家的孕产妇营养不良与儿童的不良结局有着不可分割的联系。发展中国家缺乏监测和评估孕产妇营养计划的政策，这导致了产前补充分娩方法有效性数据收集方面的差距。这项范围审查的目的是检查和确定发展中国家产妇营养补充剂的交付方法。方法对包括孟加拉国、埃塞俄比亚、印度、肯尼亚和尼泊尔在内的低收入国家的孕产妇补充计划的实施方法进行范围审查。在六个数据库中进行了系统搜索；CINAHL（护理与联合健康累积索引）、MEDLINE、Web of Science、PubMed、Scopus和FSTA（食品科学与技术摘要）。结果在6个数据库中进行系统检索，得到510个不重复的结果；（CINAHL: 42, Medline: 112, Web of Science: 77, PubMed: 46, Scopus: 179, FSTA: 38，其他记录：16）。剔除重复后的结果（n=308），对这些结果进行筛选，并根据研究问题识别和选择相关研究（n=12）。对12篇全文文章进行了合格性评估，其中8项研究因不符合范围审查标准而被排除。从剩下的四项研究中提取数据并绘制图表。对调查结果进行了整理和总结。确定了三种交付方式：1。志愿产妇营养教育工作者向孕妇家中提供补品；2. 孕妇从学校、保健/地方中心或乡村市场获得产妇补品；和3。这位孕妇收到了一张补贴食品配给卡。结论：提供孕产妇营养补充剂的障碍包括缺乏训练有素的专业志愿者，对志愿者的支持和指导有限，以及设备、用品和建筑的高成本。发展中国家的孕妇在获得孕产妇补充计划方面面临许多障碍，包括贫困、农村偏远、交通不便、社会地位低下、传统、文化和宗教习俗。改善方案实施所需的战略包括提前邀请提供产前补充、增加伙伴关系、关注少女健康、带薪产假、增加对志愿者的培训和奖励，以及注重产前教育和咨询服务的自助团体。
BackgroundMaternal under-nutrition in low-income countries has been inextricably linked to negative child outcomes. Developing countries lack policies for monitoring and evaluating maternal nutritional programs, which has led to a gap in data collection regarding the effectiveness of prenatal supplement delivery methods. The objective of this scoping review is to examine and determine the delivery methods of maternal nutritional supplements in developing countries.MethodsScoping review of maternal supplement programs delivery methods in low-income countries including Bangladesh, Ethiopia, India, Kenya, and Nepal are examined. A systematic search was performed in six databases; CINAHL (Cumulative Index to Nursing & Allied Health), MEDLINE, Web of Science, PubMed, Scopus, and FSTA (Food Science and Technology Abstracts).ResultsA systematic search performed in six databases yielded a total of 510 un-duplicated results; (CINAHL: 42, Medline: 112, Web of Science: 77, PubMed: 46, Scopus: 179, FSTA: 38, and additional records: 16). Results after duplicates were removed (n=308), these results were screened, and relevant studies based on the research question identified and selected (n=12). The 12 full-text articles were assessed for eligibility and 8 of these studies were excluded for not meeting the scoping review criteria. Data was extracted and charted from the four remaining studies. The findings were collated and summarized.Three modes of delivery were identified: 1. Volunteer maternal nutrition educator delivered supplements to the pregnant woman's home; 2. The pregnant woman received a maternal supplements from school, health/local center, or village market; and 3. The pregnant woman received a ration card for subsidized food.ConclusionsBarriers in delivering maternal supplements included lack of trained professional volunteers, limited support and guidance provided to volunteers, and a high cost of equipment, supplies, and buildings. Pregnant women in developing countries faced many obstacles in accessing maternal supplement programs including poverty, rural isolation, limited transportation, low social status, traditional, cultural, and religious practices. Strategies required to improve program delivery involved an earlier invitation to prenatal supplements, increase in partnerships, a focus on adolescent girls' health, paid maternal leave, increase in training and incentives for volunteers, and self-help groups focused on prenatal education and counseling services.