{"created":"2023-05-15T12:55:53.876286+00:00","id":942,"links":{},"metadata":{"_buckets":{"deposit":"d2a918f5-5dd0-446a-8e6a-0e42a64ae4d7"},"_deposit":{"created_by":18,"id":"942","owners":[18],"pid":{"revision_id":0,"type":"depid","value":"942"},"status":"published"},"_oai":{"id":"oai:jicari.repo.nii.ac.jp:00000942","sets":["583","583:666"]},"author_link":["1307"],"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2015-09-30","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"27","bibliographicPageStart":"1","bibliographic_titles":[{"bibliographic_title":"PLOS ONE"},{"bibliographic_title":"PLOS ONE","bibliographic_titleLang":"en"}]}]},"item_10001_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"Background\nContinuum of care has the potential to improve maternal, newborn, and child health\n(MNCH) by ensuring care for mothers and children. Continuum of care in MNCH is widely\naccepted as comprising sequential time (from pre-pregnancy to motherhood and childhood)\nand space dimensions (from community-family care to clinical care). However, it is unclear\nwhich linkages of care could have a greater effect on MNCH outcomes. The objective of the\npresent study is to assess the effectiveness of different continuum of care linkages for\nreducing neonatal, perinatal, and maternal mortality in low- and middle-income countries.\nMethods\nWe searched for randomized and quasi-randomized controlled trials that addressed two or\nmore linkages of continuum of care and attempted to increase mothers’ uptake of antenatal\ncare, skilled birth attendance, and postnatal care. The outcome variables were neonatal,\nperinatal, and maternal mortality.\nResults\nOut of the 7,142 retrieved articles, we selected 19 as eligible for the final analysis. Of these\nstudies, 13 used packages of intervention that linked antenatal care, skilled birth attendance,\nand postnatal care. One study each used packages that linked antenatal care and skilled birth attendance or skilled birth attendance and postnatal care. Four studies used an\nintervention package that linked antenatal care and postnatal care. Among the packages\nthat linked antenatal care, skilled birth attendance, and postnatal care, a significant reduction\nwas observed in combined neonatal, perinatal, and maternal mortality risks (RR 0.83;\n95% CI 0.77 to 0.89, I2 79%). Furthermore, this linkage reduced combined neonatal, perinatal,\nand maternal mortality when integrating the continuum of care space dimension (RR\n0.85; 95% CI 0.77 to 0.93, I2 81%).\nConclusions\nOur review suggests that continuous uptake of antenatal care, skilled birth attendance, and\npostnatal care is necessary to improve MNCH outcomes in low- and middle-income countries.\nThe review was conclusive for the reduction of neonatal and perinatal deaths.\nAlthough maternal deaths were not significantly reduced, composite measures of all mortality\nwere. Thus, the evidence is sufficient to scale up this intervention package for the\nimprovement of MNCH outcomes.","subitem_description_type":"Abstract"}]},"item_10001_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"PLOS"}]},"item_10001_relation_14":{"attribute_name":"DOI","attribute_value_mlt":[{"subitem_relation_type_id":{"subitem_relation_type_id_text":"10.1371/journal.pone.0139288","subitem_relation_type_select":"DOI"}}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"Kikuchi, Kimiyo","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"1307","nameIdentifierScheme":"WEKO"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2018-06-14"}],"displaytype":"detail","filename":"embrace5file.pdf","filesize":[{"value":"2.3 MB"}],"format":"application/pdf","licensetype":"license_8","mimetype":"application/pdf","url":{"label":"embrace5file","url":"https://jicari.repo.nii.ac.jp/record/942/files/embrace5file.pdf"},"version_id":"a062ec1c-7890-41ca-9cbb-d185ef05cfcc"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"eng"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"Effective Linkages of Continuum of Care for Improving Neonatal, Perinatal, and Maternal Mortality: A Systematic Review and Meta-Analysis","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"Effective Linkages of Continuum of Care for Improving Neonatal, Perinatal, and Maternal Mortality: A Systematic Review and Meta-Analysis"},{"subitem_title":"Effective Linkages of Continuum of Care for Improving Neonatal, Perinatal, and Maternal Mortality: A Systematic Review and Meta-Analysis","subitem_title_language":"en"}]},"item_type_id":"10001","owner":"18","path":["583","666"],"pubdate":{"attribute_name":"公開日","attribute_value":"2018-06-14"},"publish_date":"2018-06-14","publish_status":"0","recid":"942","relation_version_is_last":true,"title":["Effective Linkages of Continuum of Care for Improving Neonatal, Perinatal, and Maternal Mortality: A Systematic Review and Meta-Analysis"],"weko_creator_id":"18","weko_shared_id":-1},"updated":"2023-05-15T13:10:47.819209+00:00"}