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Health Promot Perspect. 2016;6(3): 119-127.
doi: 10.15171/hpp.2016.20
PMID: 27579255
PMCID: PMC5002878
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Systematic Review

An assessment of maternal, newborn and child health implementation studies in Nigeria: implications for evidence informed policymaking and practice

Chigozie Jesse Uneke 1*, Issiaka Sombie 2, Namoudou Keita 2, Virgil Lokossou 2, Ermel Johnson 2, Pierre Ongolo- Zogo 3

1 Knowledge Translation Platform, African Institute for Health Policy & Health Systems Studies, Ebonyi State University, PMB 053 Abakaliki Nigeria
2 Organisation Ouest Africaine de la Santé, 175, avenue Ouezzin Coulibaly, 01 BP 153 Bobo-Dioulasso 01, Burkina Faso
3 Hospital Central Yaounde, CDBPH Lawrence VERGNE Building 2nd Floor, Avenue Henry Dunant, Messa, Yaoundé, Cameroon
*Corresponding Author: Email: unekecj@yahoo.com

Abstract

Background: The introduction of implementation science into maternal, newborn and child health (MNCH) research has facilitated better methods to improve uptake of research findings into practices. With increase in implementation research related to MNCH world-wide, stronger scientific evidence are now available and have improved MNCH policies in many countries including Nigeria. The purpose of this study was to review MNCH implementation studies undertaken in Nigeria in order to understand the extent the evidence generated informed better policy.

Methods: This study was a systematic review. A MEDLINE Entrez PubMed search was performed in August 2015 and implementation studies that investigated MNCH in Nigeria from 1966 to 2015 in relation to health policy were sought. Search key words included Nigeria, health policy,maternal, newborn, and child health. Only policy relevant studies that were implementation or intervention research which generated evidence to improve MNCH in Nigeria were eligible and were selected.

Results: A total of 18 relevant studies that fulfilled the study inclusion criteria were identified out of 471 studies found. These studies generated high quality policy relevance evidence relating to task shifting, breastfeeding practices, maternal nutrition, childhood immunization, kangaroo mother care (KMC), prevention of maternal to child transmission of HIV, etc. These indicated significant improvements in maternal health outcomes in localities and health facilities where the studies were undertaken.

Conclusion: There is a dire need for more implementation research related to MNCH in low income settings because the priority for improved MNCH outcome is not so much the development of new technologies but solving implementation issues, such as how to scale up and evaluate interventions within complex health systems.


Citation: Uneke CJ, Sombie I, Keita N, Lokossou V, Johnson E, Ongolo-Zogo P. An assessment of maternal, newborn and child health implementation studies in Nigeria: implications for evidence informed policymaking and practice. Health Promot Perspect. 2016;6(3):119-127. doi: 10.15171/hpp.2016.20.
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Submitted: 13 May 2016
Revision: 26 Jun 2016
Accepted: 27 Jun 2016
ePublished: 10 Aug 2016
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