International Journal of Public Health (Apr 2023)

Community-Based Knowledge Translation Strategies for Maternal, Neonatal, and Perinatal Outcomes: A Systematic Review of Quantitative and Qualitative Data

  • Sandra Milena Montoya-Sanabria,
  • Yesika Tatiana Hernández-Sandoval,
  • Sergio Augusto Cáceres-Maldonado,
  • Diana Catalina Díaz-Barrero,
  • Angélica María Zapata-Matheus,
  • Dauris Lineth Mejia-Pérez,
  • Amaila De La Torre-Arias,
  • Yuldor Eduardo Caballero-Diaz,
  • Catalina González-Uribe,
  • María Teresa Domínguez-Torres,
  • Hong Lien Nguyen,
  • Juan José Yepes-Nuñez,
  • Juan José Yepes-Nuñez

DOI
https://doi.org/10.3389/ijph.2023.1605239
Journal volume & issue
Vol. 68

Abstract

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Objective: To identify and assess the effect of community-based Knowledge Translation Strategies (KTS) on maternal, neonatal, and perinatal outcomes.Methods: We conducted systematic searches in Medline, Embase, CENTRAL, CINAHL, PsycInfo, LILACS, Wholis, Web of Science, ERIC, Jstor, and Epistemonikos. We assessed the certainty of the evidence of the studies using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) framework.Results: We identified seven quantitative and seven qualitative studies. Quantitative findings suggest that there is a possible effect on reducing maternal mortality (RR 0.65; 95% CI, 0.48–0.87; moderate evidence certainty); neonatal mortality (RR 0.79; 95% CI 0.70–0.90; moderate evidence certainty); and perinatal mortality (RR 0.84; 95% CI 0.77–0.91; moderate evidence certainty) in women exposed to KTS compared to those who received conventional interventions or no intervention at all. Analysis of qualitative studies identified elements that allowed to generate benefit effects in improving maternal, neonatal, and perinatal outcomes.Conclusion: The KTS in maternal, neonatal, and perinatal outcomes might encourage the autonomy of communities despite that the certainty of evidence was moderate.

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