加纳免费孕产妇保健政策对孕产妇和婴儿保健的影响:范围审查》。

IF 2.4 Q2 HEALTH CARE SCIENCES & SERVICES
Health Services Insights Pub Date : 2024-09-03 eCollection Date: 2024-01-01 DOI:10.1177/11786329241274481
Emefa Awo Adawudu, Kizito Aidam, Elisha Oduro, Dennis Miezah, Allison Vorderstrasse
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引用次数: 0

摘要

加纳是第一个实施国家健康保险计划(NHIS)的撒哈拉以南国家。为了推进国家的全民健康保险(UHC)目标,加纳于 2008 年在国家健康保险计划下实施了免费孕产妇保健政策(FMHCP)计划。免费孕产妇保健政策旨在消除获得孕产妇和新生儿保健服务的经济障碍。本范围审查旨在对有关加纳国家医疗保险计划下的免费孕产妇保健政策对利用孕产妇和婴儿保健服务的影响的文献进行梳理。本综述使用关键术语检索了六个数据库,包括 CINAHL、PubMed、Sage Journals、Academic Search Premier、Science Direct 和 Medline。搜索后共检索到 175 项研究,经过不同阶段的筛选,最终有 23 篇文章被纳入本研究。本综述遵循了《系统和元分析扩展范围综述的首选报告项目》(PRISMA-ScR)中规定的报告指南。结果显示,产前护理、设施内分娩和产后护理服务的利用率总体有所提高。然而,在获得母婴保健服务方面,某些系统性问题依然存在。社会人口方面的不平等,如孕产妇的教育水平、居住地和经济状况,同样阻碍了孕产妇和婴儿保健服务的利用,如存在自付费用、距离医疗机构较远以及农村地区资源分配不均等问题。该国面临着消除现有障碍和不平等现象的艰巨任务,以确保实现全民保健目标。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Effects of Ghana's Free Maternal and Healthcare Policy on Maternal and Infant Healthcare: A Scoping Review.

Ghana was the first sub-Saharan country to implement a National Health Insurance Scheme (NHIS). In furtherance of the nation's Universal Health Coverage (UHC) goals, in 2008, Ghana actualized plans for a Free Maternal Healthcare Policy (FMHCP) under the NHIS. The FMHCP was aimed at removing financial barriers to accessing maternal and neonatal health services. This scoping review was conducted to map out the literature on the effects of the FMHCP under the NHIS on the utilization of maternal and infant health care in Ghana. Six databases including CINAHL, PubMed, Sage Journals, Academic Search Premier, Science Direct, and Medline were searched in conducting this review with key terms. A total of 175 studies were retrieved after the search and finally, 23 articles were included in the study after various stages of elimination. The review followed the reporting guidelines stated in the Preferred Reporting Items for Systematic and Meta-analyses Extensions for Scoping Reviews (PRISMA-ScR). The results showed an overall increase in the utilization of antenatal care, facility-based delivery, and postnatal care services. However, certain systemic issues persist regarding access to maternal and infant healthcare. Socio-demographic inequalities such as maternal level of education, place of residence, and economic status likewise barriers such as the existence of out-of-pocket payments, long distance to health facilities, and poor distribution of resources in rural areas hindered the utilization of maternal and infant healthcare. The country faces significant work to eliminate existing barriers and inequalities to ensure that it achieves its UHC goals.

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来源期刊
Health Services Insights
Health Services Insights HEALTH CARE SCIENCES & SERVICES-
CiteScore
3.60
自引率
0.00%
发文量
47
审稿时长
8 weeks
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