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 - Publisher 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
UR - http://www.scopus.com/inward/record.url?scp=85211000658&partnerID=8YFLogxK
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 -
