Interventions integrating non-communicable disease prevention and reproductive, maternal, newborn, and child health

A systematic review

Kimiyo Kikuchi, Rakesh Ayer, Sumiyo Okawa, Mariko Nishikitani, Fumihiko Yokota, Masamine Jimba, Naoki Nakashima

研究成果: ジャーナルへの寄稿評論記事

抄録

Reproductive, maternal, newborn, and child health (RMNCH) care services could be critical entry points for preventing non-communicable diseases in women and children. In high-income countries, non-communicable diseases screening has been integrated into both the medical and public health systems. To integrate these services in low- and middle-income countries, it is necessary to closely examine its effectiveness and feasibility. In this systematic review, we evaluated the effectiveness of integrating gestational and non-gestational non-communicable diseases interventions and RMNCH care among women and children in low- and middle-income countries. This systematic review included randomized and quasi-randomized controlled trials published from 2000 to 2015. Participants included reproductive-age women, children < 5 years old, and RMNCH care providers. The included interventions comprised packaged care/services that integrated RMNCH services with non-communicable disease care. The outcomes were maternal and/or infant mortality and complications, as well as health care service coverage. We analyzed six studies from 7,949 retrieved articles. Yoga exercise (p < 0.01) and nutritional improvements (p < 0.05) were effective in reducing gestational hypertension and diabetes. Additionally, integrating cervical cancer and RMNCH services was useful for identifying potential cervical cancer cases. Interventions that integrate non-communicable disease care/screening and RMNCH care may positively impact the health of women and children in low- and middle-income countries. However, as primary evidence is scarce, further research on the effectiveness of integrating non-communicable disease prevention and RMNCH care is warranted. (Review Registration: PROSPERO International prospective register of systematic reviews (CRD42015023425).).

元の言語英語
ページ(範囲)116-125
ページ数10
ジャーナルBioScience Trends
12
発行部数2
DOI
出版物ステータス出版済み - 1 1 2018

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Reproductive Health
Health care
Health
Disease
Child Care
health
Delivery of Health Care
Screening
health care
Uterine Cervical Neoplasms
income
health care services
Public health
Child Health Services
Medical problems
Yoga
Infant Care
Pregnancy Induced Hypertension
health service
Gestational Diabetes

All Science Journal Classification (ASJC) codes

  • Health(social science)
  • Biochemistry, Genetics and Molecular Biology(all)

これを引用

Interventions integrating non-communicable disease prevention and reproductive, maternal, newborn, and child health : A systematic review. / Kikuchi, Kimiyo; Ayer, Rakesh; Okawa, Sumiyo; Nishikitani, Mariko; Yokota, Fumihiko; Jimba, Masamine; Nakashima, Naoki.

:: BioScience Trends, 巻 12, 番号 2, 01.01.2018, p. 116-125.

研究成果: ジャーナルへの寄稿評論記事

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