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Implementation Outcomes of Policy and Programme Innovations to Prevent Obstetric Haemorrhage in Low- and Middle-income Countries: a Systematic Review by Ryan, Nessa; Vieira, Dorice; Goffman, Dena; Bloch, Evan M; Akaba, Godwin O; Dâmello, Brenda S; Egekeze, Chioma; Snyder, Anya; Lyimo, Magdalena; Nnodu, Obiageli; Peprah, Emmanuel is a Medicine article available to read on EtoBox.

What is Implementation Outcomes of Policy and Programme Innovations to Prevent Obstetric Haemorrhage in Low- and Middle-income Countries: a Systematic Review about?

## Abstract Globally, obstetric haemorrhage (OH) remains the leading cause of maternal mortality. Much of the associated mortality is ascribed to challenges surrounding deployment of innovations rather than lack of availability. In low- and middle-income countries (LMICs), where the burden is highest, there is a growing interest in implementation research as a means to bridge the ‘know–do’ gap between proven interventions and their reliable implementation at scale. In this systematic review, we identified and synthesized qualitative and quantitative data across the implementation outcomes of OH prevention innovations in LMICs using a taxonomy developed by Proctor et al. We also identified service outcomes for the included innovations, as well as implementation strategies and implementation facilitators and barriers. Eligible studies were empirical, focused on the implementation of OH prevention programmes or policies and occurred in an LMIC. Eight databases were searched. Two authors independently assessed studies for selection and extracted data; the first author resolved discrepancies. Narrative synthesis was used to analyse and interpret the findings. Studies were predominantly

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Author

Ryan, Nessa; Vieira, Dorice; Goffman, Dena; Bloch, Evan M; Akaba, Godwin O; Dâmello, Brenda S; Egekeze, Chioma; Snyder, Anya; Lyimo, Magdalena; Nnodu, Obiageli; Peprah, Emmanuel

Publisher

Oxford University Press; Oxford University Press (OUP) (ISSN 0268-1080)

Published

2020

Language

EN

Field

Medicine (Health Sciences)