From: Innovative approaches for improving maternal and newborn health - A landscape analysis
Health system building block | Geographic region | Setting (urban, rural) | Type of study | Level of evidencea |
---|---|---|---|---|
Health service delivery | South Asia (26 %) | n = 74 | Interrupted time series- 5 | SIGN level 1: n = 18 |
Eastern and Southern Africa (23Â % ) | Cross-sectional- 4 | |||
West Africa (14 %) | Rural (34 %) | Pre-post- 7 | SIGN level 2: n = 1 | |
East Asia and Pacific (11Â %) | Urban (24Â %) | Pre-post with control area- 1 | ||
Latin America and Caribbean (9 %) | Rural and urban (1 %) | Report- 1 | SIGN level 3: n = 40 | |
North Africa and Middle East (8Â %) | Unspecified (41Â %) | Case study- 5 | ||
Unspecified (9 %) |  | RCT- 11 | SIGN level 4: n = 11 | |
cRCT- 1 | ||||
Qualitative study- 4 | B: n = 1 | |||
Costing study- 1 | ||||
Literature review- 1 | C: n = 3 | |||
Mixed methods study- 2 | ||||
Medical products and health technologies | South Asia (6 %) | n = 35 | Pre-post- 4 | SIGN level 1: n = 6 |
Eastern and Southern Africa (11Â %) | Narrative review- 9 | |||
North Africa and Middle East (6 %) | Rural (9 %) | Interrupted time series on | SIGN level 3: n = 4 | |
Unspecified (77Â %) | Urban (6Â %) | acceptance- 1 | ||
Unspecified (86 %) | Systematic review- 5 | SIGN level 4: n = 25 | ||
RCT- 1 | ||||
Health workforce | South Asia (31 %), | n = 59 | Pre-post- 17 | SIGN level 1: n = 11 |
East and Southern Africa (29Â %) | Pre-post with control group- 4 | |||
Latin America and Caribbean (10 %) | Rural (46 %) | Narrative description, feedback- 1 | SIGN level 3: n = 35 | |
East Asia and Pacific (7Â %) | Urban (24Â %) | |||
West Africa (7 %) | Unspecified (31 %) | RCT-2 | SIGN level 4: n = 13 | |
Central and Eastern Europe (3Â %) | Â | cRCT- 1 | Â | |
Unspecified (14Â %) | Systematic review- 6 | |||
Case study- 1 | ||||
Cross-sectional- 6 | ||||
Cross-sectional survey on satisfaction- 1 | ||||
Cross-sectional survey with control group- 1 | ||||
Costing study- 1 | ||||
Narrative review- 13 | ||||
Report- 2 | ||||
Interrupted time series- 1 | ||||
Study protocol- 1 | ||||
Health financing | South Asia (41 %) | n = 32 | Case study- 2 | SIGN level 1: n = 7 |
West and Central Africa (28Â %) | Interrupted time series and | |||
East and Southern Africa (19 %) | Rural (25 %) | qualitative- 1 | SIGN level 2: n = 1 | |
East Asia and Pacific (13Â %) | Urban (6Â %) | Protocol- 3 | ||
Rural and urban (59 %) | Cross sectional- 3 | SIGN level 3: n = 17 | ||
Unspecified (9Â %) | Cross sectional and qualitative- 1 | |||
RCT- 1 | SIGN level 4: n = 4 | |||
cRCT- 1 | ||||
Pre-post with control- 2 | A: n = 1 | |||
Pre-post- 1 | ||||
Qualitative- 3 | B: n = 1 | |||
Non-random controlled trial- 2 | ||||
Non-random controlled quasi experimental trial- 1 | C: n = 1 | |||
Interrupted time series- 7 | ||||
Interrupted time series with controls; and qualitative- 1 | ||||
Systematic review- 1 | ||||
Narrative review- 2 | ||||
Community ownership and participation | South Asia (66 %) | n = 35 | cRCT- 8 | SIGN level 1: n = 9 |
Eastern and Southern Africa (14Â %) | Narrative review- 6 | |||
East Asia and Pacific (11 %) | Rural (86 %) | Qualitative study- 4 | SIGN level 3: n = 13 | |
Latin America and the Caribbean (3Â %) | Urban (11Â %) | Systematic literature review- 1 | ||
West and Central Africa (3 %), | Unspecified (3 %) | Pre-post with control- 2 | SIGN level 4: n = 9 | |
Unspecified (3Â %) | Â | Pre-post- 6 | ||
Commentary- 1 | B: n = 1 | |||
Cross sectional survey and qualitative- 1 | C: n = 3 | |||
Study protocol- 2 | ||||
Cross sectional study- 2 | ||||
Leadership and governance | South Asia (38 %) | n = 24 | Pre-post- 1 | SIGN level 3: n = 5 |
East Asia and Pacific (17Â %) | Pre-post with comparison areas- 1 | |||
Eastern and Southern Africa (13 %) | Rural (33 %), | SIGN level 4: n = 17 | ||
Latin America and the Caribbean (13Â %) | Urban (4Â %) | Narrative review- 3 | ||
North Africa and Middle East (8 %) | Unspecified (63 %) | Policy analysis- 7 | B: n = 2 | |
West and Central Africa (8Â %), | Case study- 10 | |||
Unspecified (4Â %) | Report- 1 | |||
Qualitative study- 1 |