Review question: what are the experiences of African women regarding medically assisted birth in public hospitals in African countries?a | ||||
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Finding 1: women feel that they are forced into having a medically assisted birth by medical staff in hospital settings | ||||
Dimensions of context to consider as specified in the question and protocol | Assessment of relevance of each study contributing to the finding mapped against the review question context | |||
Direct relevance | Indirect relevance | Partial relevance | Uncertain relevance | |
Time: 2000––present | Study 1 Study 2 | Study 3 Study 4 | Study 5 Study 6 | |
Place (country): African countries | Study 1 Study 2 Study 3 Study 4 Study 5 Study 6 | |||
Phenomenon of interest: African women’s experiences of medically assisted birth in public hospitals in African countries | Study 1 Study 2 Study 3 Study 4 Study 5 Study 6 | |||
Health system: publicly funded health services | Study 2 | Study 1 Study 5 Health system private | Study 3 Study 6 Health system includes public/private mix | Study 4 Health system unclear |
Population/perspective: African women’s perspectives African women’s perspectives | Study 1 Participants include non-African women giving birth in African countries | |||
Population/perspective: African women’s perspectives Professional perspectives of women’s experiences | Study 2 Study 3 Study 4 Study 5 | |||
Population/perspective: African women’s perspectives Fathers’ perspectives of women’s experiences | Study 6 | |||
CERQual assessment of relevanceb | Serious concerns about relevance because the health systems within which women were treated in the contributing studies varied from the context of the synthesis question. In four studies the timeframe overlapped or was different. Five studies reported other actors’ interpretations of women’s experiences. Only one small study included the perspectives of women and some of the women’s views contributed to the synthesis were not African but they experienced the same issues giving birth in hospitals in African countries as African women. |