Understanding service users and other stakeholders' engagement in maternal and newborn health services research: A systematic review of evidence from low- and middle-income countries

Devendra Raj Singh; Rajeeb Kumar Sah; Bibha Simkhada; Zoe Darwin

doi:10.1371/journal.pone.0309888

Understanding service users and other stakeholders' engagement in maternal and newborn health services research: A systematic review of evidence from low- and middle-income countries

Devendra Raj Singh, Rajeeb Kumar Sah, Bibha Simkhada, Zoe Darwin

Research output: Contribution to journal › Review article › peer-review

Abstract

BACKGROUND: Stakeholder engagement is widely considered democratic, transparent, and essential in the shared decision-making process for improving health services. However, the integrated evidence of stakeholders' engagement activities in maternal and newborn health (MNH) services in the context of low- and middle-income countries (LMICs) is lacking. Therefore, this review aims to generate synthesised evidence of different practices for stakeholder engagements, characteristics of stakeholder engagements and outcomes of stakeholder engagements in improving the MNH services uptake and delivery.

METHODS: The systematic review reporting followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) checklist. The literature was searched in PubMed, CINAHL, PsycINFO, Science Direct and Scopus databases. The identified records were screened using Covidence software, and data were extracted from included records using a predefined template. The mixed methods appraisal tool was used to assess the quality of the included studies. The spectrum of stakeholder engagement provided by the International Association for Public Participation (IAP2) was used as a guiding framework for synthesising the evidence related to stakeholder engagement.

RESULTS: A total of 1473 records were identified through the initial search after removing the duplicates. Twenty-six studies were included in the final review. The review results related to service users and other stakeholders' engagement are presented under three overarching themes: (i) Methods and contexts of stakeholders' engagement, (ii) Outcomes of stakeholders' engagement, and (iii) Facilitators and barriers to stakeholders' engagement.

CONCLUSION: Various participatory approaches were utilised to engage the service users and other stakeholders in improving MNH service uptake and delivery. A wide range of service user- and provider-led outcomes were identified due to stakeholder engagement.

TRIAL REGISTRATION: PROSPERO registration number: CRD42022314613.

Original language	English
Article number	e0309888
Number of pages	24
Journal	PLoS One
Volume	19
Issue number	11
DOIs	https://doi.org/10.1371/journal.pone.0309888
Publication status	Published - 27 Nov 2024

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This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1371/journal.pone.0309888Licence: CC BY

Cite this

@article{ebb00128af7547e8ad580ee8b5e0ba0c,

title = "Understanding service users and other stakeholders' engagement in maternal and newborn health services research: A systematic review of evidence from low- and middle-income countries",

abstract = "BACKGROUND: Stakeholder engagement is widely considered democratic, transparent, and essential in the shared decision-making process for improving health services. However, the integrated evidence of stakeholders' engagement activities in maternal and newborn health (MNH) services in the context of low- and middle-income countries (LMICs) is lacking. Therefore, this review aims to generate synthesised evidence of different practices for stakeholder engagements, characteristics of stakeholder engagements and outcomes of stakeholder engagements in improving the MNH services uptake and delivery.METHODS: The systematic review reporting followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) checklist. The literature was searched in PubMed, CINAHL, PsycINFO, Science Direct and Scopus databases. The identified records were screened using Covidence software, and data were extracted from included records using a predefined template. The mixed methods appraisal tool was used to assess the quality of the included studies. The spectrum of stakeholder engagement provided by the International Association for Public Participation (IAP2) was used as a guiding framework for synthesising the evidence related to stakeholder engagement.RESULTS: A total of 1473 records were identified through the initial search after removing the duplicates. Twenty-six studies were included in the final review. The review results related to service users and other stakeholders' engagement are presented under three overarching themes: (i) Methods and contexts of stakeholders' engagement, (ii) Outcomes of stakeholders' engagement, and (iii) Facilitators and barriers to stakeholders' engagement.CONCLUSION: Various participatory approaches were utilised to engage the service users and other stakeholders in improving MNH service uptake and delivery. A wide range of service user- and provider-led outcomes were identified due to stakeholder engagement.TRIAL REGISTRATION: PROSPERO registration number: CRD42022314613.",

keywords = "Humans, Stakeholder Participation, Infant, Newborn, Developing Countries, Female, Pregnancy, Health Services Research, Maternal Health Services, Infant Health",

author = "Singh, {Devendra Raj} and Sah, {Rajeeb Kumar} and Bibha Simkhada and Zoe Darwin",

note = "Copyright: {\textcopyright} 2024 Singh et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.",

year = "2024",

month = nov,

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Understanding service users and other stakeholders' engagement in maternal and newborn health services research : A systematic review of evidence from low- and middle-income countries. / Singh, Devendra Raj ; Sah, Rajeeb Kumar ; Simkhada, Bibha et al.

In: PLoS One, Vol. 19, No. 11, e0309888, 27.11.2024.

Research output: Contribution to journal › Review article › peer-review

TY - JOUR

T1 - Understanding service users and other stakeholders' engagement in maternal and newborn health services research

T2 - A systematic review of evidence from low- and middle-income countries

AU - Singh, Devendra Raj

AU - Sah, Rajeeb Kumar

AU - Simkhada, Bibha

AU - Darwin, Zoe

N1 - Copyright: © 2024 Singh et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

PY - 2024/11/27

Y1 - 2024/11/27

N2 - BACKGROUND: Stakeholder engagement is widely considered democratic, transparent, and essential in the shared decision-making process for improving health services. However, the integrated evidence of stakeholders' engagement activities in maternal and newborn health (MNH) services in the context of low- and middle-income countries (LMICs) is lacking. Therefore, this review aims to generate synthesised evidence of different practices for stakeholder engagements, characteristics of stakeholder engagements and outcomes of stakeholder engagements in improving the MNH services uptake and delivery.METHODS: The systematic review reporting followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) checklist. The literature was searched in PubMed, CINAHL, PsycINFO, Science Direct and Scopus databases. The identified records were screened using Covidence software, and data were extracted from included records using a predefined template. The mixed methods appraisal tool was used to assess the quality of the included studies. The spectrum of stakeholder engagement provided by the International Association for Public Participation (IAP2) was used as a guiding framework for synthesising the evidence related to stakeholder engagement.RESULTS: A total of 1473 records were identified through the initial search after removing the duplicates. Twenty-six studies were included in the final review. The review results related to service users and other stakeholders' engagement are presented under three overarching themes: (i) Methods and contexts of stakeholders' engagement, (ii) Outcomes of stakeholders' engagement, and (iii) Facilitators and barriers to stakeholders' engagement.CONCLUSION: Various participatory approaches were utilised to engage the service users and other stakeholders in improving MNH service uptake and delivery. A wide range of service user- and provider-led outcomes were identified due to stakeholder engagement.TRIAL REGISTRATION: PROSPERO registration number: CRD42022314613.

AB - BACKGROUND: Stakeholder engagement is widely considered democratic, transparent, and essential in the shared decision-making process for improving health services. However, the integrated evidence of stakeholders' engagement activities in maternal and newborn health (MNH) services in the context of low- and middle-income countries (LMICs) is lacking. Therefore, this review aims to generate synthesised evidence of different practices for stakeholder engagements, characteristics of stakeholder engagements and outcomes of stakeholder engagements in improving the MNH services uptake and delivery.METHODS: The systematic review reporting followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) checklist. The literature was searched in PubMed, CINAHL, PsycINFO, Science Direct and Scopus databases. The identified records were screened using Covidence software, and data were extracted from included records using a predefined template. The mixed methods appraisal tool was used to assess the quality of the included studies. The spectrum of stakeholder engagement provided by the International Association for Public Participation (IAP2) was used as a guiding framework for synthesising the evidence related to stakeholder engagement.RESULTS: A total of 1473 records were identified through the initial search after removing the duplicates. Twenty-six studies were included in the final review. The review results related to service users and other stakeholders' engagement are presented under three overarching themes: (i) Methods and contexts of stakeholders' engagement, (ii) Outcomes of stakeholders' engagement, and (iii) Facilitators and barriers to stakeholders' engagement.CONCLUSION: Various participatory approaches were utilised to engage the service users and other stakeholders in improving MNH service uptake and delivery. A wide range of service user- and provider-led outcomes were identified due to stakeholder engagement.TRIAL REGISTRATION: PROSPERO registration number: CRD42022314613.

KW - Humans

KW - Stakeholder Participation

KW - Infant, Newborn

KW - Developing Countries

KW - Female

KW - Pregnancy

KW - Health Services Research

KW - Maternal Health Services

KW - Infant Health

U2 - 10.1371/journal.pone.0309888

DO - 10.1371/journal.pone.0309888

M3 - Review article

C2 - 39602415

VL - 19

JO - PLoS One

JF - PLoS One

SN - 1932-6203

IS - 11

M1 - e0309888

ER -