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A systematic review of Demand-based & Supply-based Interventions on continuum of maternal and child healthcare in south Asian countries

  • Sumirtha GandhiEmail author
  • Shruthi Ramesh
  • Umakant Dash
  • Suresh M. Babu
Review Article
  • 24 Downloads

Abstract

Aim

In this study, we conduct a systematic review of literature to understand the effectiveness of interventions on continuum of maternal and child healthcare services, the inter-linkages across different levels of continuum of care and the impact of continuum of care on child mortality in South Asian countries from 2000 to 2017.

Methods

The Electronic databases like, Popline, PubMed, Science Direct, Scopus, Web of Science, EBSCO and Google Scholar were systematically scrutinised to obtain relevant papers. A total of 19 papers were shortlisted for the final analysis. As per our knowledge, this is the first study which conceptualises the continuum of maternal health care framework through demand-based and supply-based interventions. In addition to this, we also present pathway models collating the evidence of continuum of maternal health care services in improving maternal and child health. Furthermore, both narrative synthesis approach and theme-wise categorisation approach is adopted to analyse the selected studies.

Results

Our findings reveal a strong relationship between Demand-based & Supply-based interventions and continuum of maternal and child healthcare. Demand-based intervention (i.e. training health workers, spreading awareness through flip-charts, and folk dance) is effective in improving the CoC, while, Supply-based interventions (i.e. building hospitals, providing medicines and other equipment) strengthens the CoC in the context of South Asian countries. It also divulges strong inter-linkages across the CoC interventions.

Conclusion

Hence, the policy makers and public agencies should emphasize more on strengthening Demand-based & Supply-based interventions that would strengthen the interlinkages across CoC.

Keywords

Continuum of Maternal Health Care Services Child Mortality Sustainable development goals South Asian Countries 

Abbreviations

ANC

Antenatal Care

ANM

Auxiliary Nurse Midwife

CoC

Continuum of Maternal and Child Healthcare Services

CHWs

Community Health Workers

IFA

Iron and Folic Acid

IMNCI

Integrated Management of Neonatal and Childhood Illness

LHWs

Lady Health Workers –

MNCH

Maternal Neonatal and Child Health

m health

Mobile Health

PNC

PostNatal Care

RMNCH

Reproductive Maternal Neonatal and Child Health

SBA

Skilled Birth Attendant

SDGs

Sustainable Development Goals

TBAs

Traditional Birth Attendants

TT

Tetanus Toxoid

Notes

Contributors statement

SG and SR conceived the idea of the paper, conducted the analysis and wrote the first draft of the paper. UD and SBM contributed to data analysis and revision of the manuscript. All authors approved the final version of the manuscript.

Funding

There is no funding taken from Institution or Government organization to conduct this research. This research is conducted independently.

Compliance with ethical standards

Conflict of interest

“None Declared”.

Declarations

There is no potential conflict of interest between any institutions and governmental organizations and NGOs.

Ethical approval

This study did not require ethical approval as it was a retrospective analysis collating journal articles published in leading journals.

Supplementary material

10389_2019_1148_MOESM1_ESM.docx (25 kb)
ESM 1 (DOCX 24 kb)

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2020

Authors and Affiliations

  • Sumirtha Gandhi
    • 1
    Email author
  • Shruthi Ramesh
    • 2
  • Umakant Dash
    • 1
  • Suresh M. Babu
    • 1
  1. 1.Department of Humanities and Social Sciences (HSS)Indian Institute of Technology (IIT)MadrasIndia
  2. 2.Harris School Of Public PolicyUniversity of ChicagoChicagoUSA

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