Improving maternal health literacy among low-income pregnant women: A systematic review

Narra J Pub Date : 2024-08-08 DOI:10.52225/narra.v4i2.886
Ema W. Ningrum, Lely Lusmilasari, E. Huriyati, Tiara Marthias, Mubasyisyir Hasanbasri
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Abstract

Previous studies on maternal health have highlighted the need to improve health literacy, particularly among women from lower socioeconomic backgrounds. Some crucial factors for improving maternal health literacy are midwife capacity and systems support that can help ensure women's ability and motivation to access timely health services. However, the extent of roles midwives need and the system that must be developed require further elaboration. The aim of this systematic review was to investigate approaches for enhancing maternal health literacy in low-income pregnant women. Using Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, the systematic search was conducted on two databases: PubMed and ScienceDirect. All English articles published from 2011 to 2023 were searched using the keywords pregnant, antenatal, prenatal, perinatal, midwife, health literacy, midwife-led care, helpline, and photo novel. Of the 1539 articles, 15 were included for final assessment. The results suggest that improving maternal health literacy among low-income pregnant women is related to empowering these women, midwives as frontline care providers engaging with them, and the health care system as a health literacy organization. In conclusion, improving the healthcare system and strengthening midwives' leadership as proximal caregivers is crucial for improving maternal health literacy among low-income pregnant mothers. These efforts could be realized with support from government roles, educational institutions, and professional associations.
提高低收入孕妇的孕产妇健康素养:系统回顾
以往关于孕产妇保健的研究强调了提高保健素养的必要性,尤其是社会经济背景较差的妇女。提高孕产妇保健知识水平的一些关键因素是助产士的能力和系统支持,这有助于确保妇女有能力和动力及时获得保健服务。然而,助产士需要在多大程度上发挥作用,以及必须建立怎样的系统,还需要进一步阐述。本系统综述旨在研究提高低收入孕妇健康素养的方法。根据系统综述和元分析首选报告项目(PRISMA)指南,在两个数据库中进行了系统检索:PubMed 和 ScienceDirect。使用关键词 "怀孕"、"产前"、"产前"、"围产期"、"助产士"、"健康素养"、"助产士主导的护理"、"帮助热线 "和 "图片小说 "检索了 2011 年至 2023 年发表的所有英文文章。在 1539 篇文章中,有 15 篇被纳入最终评估。结果表明,提高低收入孕妇的孕产妇健康素养与增强这些妇女的能力、助产士作为与她们接触的一线护理人员以及医疗保健系统作为健康素养组织有关。总之,改善医疗保健系统,加强助产士作为近端护理人员的领导力,对于提高低收入孕产妇的健康素养至关重要。这些努力可以在政府角色、教育机构和专业协会的支持下实现。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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