Facilitators and barriers to facility-based delivery in low- and middle-income countries: a qualitative evidence synthesis.

ABSTRACT: High-quality obstetric delivery in a health facility reduces maternal and perinatal morbidity and mortality. This systematic review synthesizes qualitative evidence related to the facilitators and barriers to delivering at health facilities in low- and middle-income countries. We aim to provide a useful framework for better understanding how various factors influence the decision-making process and the ultimate location of delivery at a facility or elsewhere. We conducted a qualitative evidence synthesis using a thematic analysis. Searches were conducted in PubMed, CINAHL and gray literature databases. Study quality was evaluated using the CASP checklist. The confidence in the findings was assessed using the CERQual method. Thirty-four studies from 17 countries were included. Findings were

SUBMITTER: Bohren MA 

PROVIDER: S-EPMC4247708 | biostudies-literature | 2014 Sep

REPOSITORIES: biostudies-literature