체계적 문헌고찰을 통한 개발도상국 내 출산전문인력 접근성에 대한 문제점과 해결책 분석 - 근거중심보건정책을 중심으로

소개글

체계적 문헌고찰을 통한 개발도상국 내 출산전문인력 접근성에 대한 문제점과 해결책 분석 - 근거중심보건정책을 중심으로에 대한 보고서 자료입니다.

목차

Ⅰ. Introduction ........................................................................... 1
1. Background ..................................................................................... 1
2. Purpose ............................................................................................ 5

Ⅱ. Literature Review ................................................................ 8

Ⅲ. Methodology ..................................................................... 14
1. Study Design and Study Question ................................................. 14
2. Selection Criteria ........................................................................... 16
3. Sources and Strategy ..................................................................... 17
4. Study Selection .............................................................................. 21
5. Data Extraction .............................................................................. 21
6. Assessment of risk of bias ............................................................. 22
7. Conceptual Framework and Data Synthesis .................................. 23

Ⅳ. Results ............................................................................... 27
1. Study Selection .............................................................................. 27
2. Risk of bias within included studies .............................................. 29
3. General description of included studies ........................................ 31
4. Barriers to accessing SBAs ........................................................... 36
5. Strategies to enhance access to SBAs ........................................... 71

Ⅴ. Discussion ........................................................................... 92
1. Implications ................................................................................... 92
2. Policy Recommendations ............................................................ 108


iv

Ⅵ. Conclusion ....................................................................... 113
1. Strengths and Limitations ............................................................ 113
2. Conclusion ................................................................................... 115

Bibliography .......................................................................... 117
Abstract in Korean ............................................................... 143

본문내용

ABSTRACT
Despite the WHO's recommendation for discontinuing the use of Traditional Birth
Attendants (TBAs) at delivery and ensuring that at least one Skilled Birth
Attendants (SBAs) are present at childbirth, a significant number of women in Low
and Middle-Income Countries (LMICs) continue to rely on TBAs. This trend
persists even though TBAs are linked to half of all maternal deaths in these
regions, highlighting the critical need for skilled attendance at birth to enhance
maternal and newborn health outcomes. The importance of SBA attendance at
delivery and the barriers that women face in accessing SBA services in LMICs
have been explored. Yet, the challenge remains to effectively integrate this
evidence into a comprehensive framework that can inform the development of
targeted public health interventions from a perspective of Evidence Based Public
Health (EBPH).
This study aims to bridge this gap by systematically examining the barriers
preventing women in LMICs from accessing SBA services, utilizing the integrated
frameworks developed by Peters et al. and Ensor & Cooper and conducting a
systematic review. The framework categorizes these barriers into four
dimensions—accessibility, affordability, availability, and acceptability—and
analyzes them through both supply and demand perspectives. The findings of this
study will further propose effective health interventions, categorized as financial
and non-monetary, designed to address these barriers from both the demand and
supply sides.
Keyword : Skilled Birth Attendants, Midwife, Traditional Birth Attendants,
Facility Based Delivery, Maternal health, Evidence Based Public Health

키워드

서울대학교,   서울대,   국제대학원,   국제학,   석사,   master,   thesis,   졸업논문,   논문,   박사,   국제협력,   개발협력,   국제개발