Human Resources for Health in Maternal, Neonatal and - HRH ...

Human Resources for Health in Maternal, Neonatal and - HRH ... Human Resources for Health in Maternal, Neonatal and - HRH ...

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The review protocol Specific resources such as databases and meta-indexes were searched in order to obtain materials. Documents were identified using specific keywords and combinations of these. The usefulness of these documents was then assessed according to criteria which were based upon relevance to the review questions. Search strategy The Cochrane handbook for the systematic review of interventions (Higgins 2008) was consulted for guidance on searching for studies. The handbook recommends that the search process be clearly documented. In line with this, the full strategy for each search and the total number of hits retrieved by each search strategy was recorded. A table outlining where all material was retrieved is available at Appendix 3 and a summary is given at Table 9 below. This approach enables others to replicate the search with similar results. The search strategy adopted six approaches. 1. Subject specific and specialized databases were identified and searched. 2. Relevant non-indexed and indexed journals were identified. Those not included in the database searches above were then hand searched to ensure comprehensiveness. 3. The search for fugitive literature also makes use of directories such as electronic gateways to indicate organizations undertaking topic-specific research and development. The websites of a number of key organisations were searched for relevant documentation. 4. Materials were also gained through hand searches and snowballing from the references of key documents. P a g e | 41

Table 9 Search terms used for the selection of documentation for this review Criteria: Relevance / trustworthiness Focus: human resources for health, manpower, and/or community health worker primary health care worker, skilled birth attendant, traditional birth attendant, midwife/ery maternal, neonatal, reproductive, family planning Setting Low or middle income country focus (as per World Bank definition) or Asia Pacific or ―Developing countries‖ or Papua New Guinea, Solomon Islands, Vanuatu, Fiji, Timor-Leste, Indonesia, Philippines, Cambodia, Laos, Bangladesh Authorship: Official government document or Commissioned report Unilateral and bilateral reports or Presentation by published ―expert‖ at international meeting / conference or Peer reviewed review or Peer reviewed qualitative or quantitative research study Date of 1979-2009 publication Inclusion and exclusion criteria A preliminary scoping exercise revealed that the majority of material in the area of HRH in MNRH at community level is grey or un published material. As a result a criteria based upon methodological appraisal is inappropriate and is likely to exclude a large number of relevant texts. A criteria was developed based upon the review questions as outlined below and all items were classified accordingly (see Table 10). 1. Very useful: Highly relevant to the study area and addresses all criteria 2. Useful: Relates to three of the 4 areas outlined in the criteria 3. Somewhat useful: Directly related to 2 of the 4 areas 4. General background: One or none of the criteria apply All items classified in 1,2 & 3 must have an HRH element. All documents those that scored a 1 or 2 were included in the review. A summary of the sources, document numbers and process in this review is provided in Figure 13. P a g e | 42

The review protocol<br />

Specific resources such as databases <strong>and</strong> meta-<strong>in</strong>dexes were searched <strong>in</strong> order to obta<strong>in</strong> materials.<br />

Documents were identified us<strong>in</strong>g specific keywords <strong>and</strong> comb<strong>in</strong>ations of these. The usefulness of<br />

these documents was then assessed accord<strong>in</strong>g to criteria which were based upon relevance to the<br />

review questions.<br />

Search strategy<br />

The Cochrane h<strong>and</strong>book <strong>for</strong> the systematic review of <strong>in</strong>terventions (Higg<strong>in</strong>s 2008) was consulted <strong>for</strong><br />

guidance on search<strong>in</strong>g <strong>for</strong> studies. The h<strong>and</strong>book recommends that the search process be clearly<br />

documented. In l<strong>in</strong>e with this, the full strategy <strong>for</strong> each search <strong>and</strong> the total number of hits retrieved<br />

by each search strategy was recorded. A table outl<strong>in</strong><strong>in</strong>g where all material was retrieved is available<br />

at Appendix 3 <strong>and</strong> a summary is given at Table 9 below. This approach enables others to replicate<br />

the search with similar results.<br />

The search strategy adopted six approaches.<br />

1. Subject specific <strong>and</strong> specialized databases were identified <strong>and</strong> searched.<br />

2. Relevant non-<strong>in</strong>dexed <strong>and</strong> <strong>in</strong>dexed journals were identified. Those not <strong>in</strong>cluded <strong>in</strong> the<br />

database searches above were then h<strong>and</strong> searched to ensure comprehensiveness.<br />

3. The search <strong>for</strong> fugitive literature also makes use of directories such as electronic gateways to<br />

<strong>in</strong>dicate organizations undertak<strong>in</strong>g topic-specific research <strong>and</strong> development. The websites of<br />

a number of key organisations were searched <strong>for</strong> relevant documentation.<br />

4. Materials were also ga<strong>in</strong>ed through h<strong>and</strong> searches <strong>and</strong> snowball<strong>in</strong>g from the references of<br />

key documents.<br />

P a g e | 41

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