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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Table 10 Method of classification of documentation Rating Criteria In the field of Maternal Neonatal Reproductive Health Focus on Human Resources for Health at community level In Resource poor setting/ developing country Addresses review questions 1 Very useful: All 4 2 Useful or 3 of 4 3 Somewhat useful or 2 of 4 4 General background or 1 of 4 Figure 13 Summary of sources, document numbers and processes in this review 15 bibliographic Databases 4 journals 2 Meta indexes 22 Websites Electronic Gateways & networks 315 2 75 161 6 Citation tracking 560 full text papers, reports, book chapters, reports, news articles, discussion feeds etc Following up on references Minus duplicates 808 documents assessed 75 very useful 234 useful 518 not useful 309 in final review Approach taken to the synthesis of data in this review The analysis was undertaken according to the framework for the conduct of narrative synthesis described in (Popay 2006) which is also known as a textual narrative approach. The literature was first classified according to the review questions it best answered. Analysis then involved identifying patterns in the findings through tabulation and textual description. The characteristics of the documentation are described along with their context, quality, and P a g e | 43

findings. Differences and similarities among studies and reports are used to draw conclusions across the literature. The strength of this approach lies in its ability to expose the heterogeneity of the literature in terms of the range of documentation that reports on HR interventions in MNRH in LMIC community contexts and the array of methods of investigation, reporting and findings. The approach allows knowledge gaps to be exposed and patterns revealed across a range of literature. Limitations of this approach however lie in the lack of in depth analysis that is achievable due to the volume and spread of documentation. Further synthesis is therefore required which is beyond the scope of this review. In addition not all decisions concerning the choice of studies selected for synthesis is explicit due to the subjective nature of the method that relied on judgements although informed ones. A critical realist perspective is adopted for this review which acknowledges that there are multiple descriptions and explanations of phenomena that are the result of the interaction of complex factors involving structures and ideologies. The knowledge that is analysed in this review is regarded as co-determined by a myriad of causal factors which lead to variations in experiences that are constantly emerging and changing (Collier 1994). The objective of the literature review therefore is to obtain an understanding of the causal conditions, powers and interactions relevant to HRH at community level so that adequate judgements can be made about possible scenarios that may unfold. P a g e | 44

Table 10 Method of classification of documentation<br />

Rat<strong>in</strong>g<br />

Criteria<br />

In the field of<br />

<strong>Maternal</strong><br />

<strong>Neonatal</strong><br />

Reproductive<br />

<strong>Health</strong><br />

Focus on<br />

<strong>Human</strong><br />

<strong>Resources</strong> <strong>for</strong><br />

<strong>Health</strong> at<br />

community<br />

level<br />

In Resource<br />

poor sett<strong>in</strong>g/<br />

develop<strong>in</strong>g<br />

country<br />

Addresses<br />

review<br />

questions<br />

1 Very useful: All 4<br />

2 Useful or 3 of 4<br />

3 Somewhat useful or 2 of 4<br />

4 General background or 1 of 4<br />

Figure 13 Summary of sources, document numbers <strong>and</strong> processes <strong>in</strong> this review<br />

15 bibliographic<br />

Databases<br />

4 journals 2 Meta <strong>in</strong>dexes 22 Websites<br />

Electronic<br />

Gateways &<br />

networks<br />

315 2 75 161 6<br />

Citation track<strong>in</strong>g<br />

560 full text papers,<br />

reports, book chapters,<br />

reports, news articles,<br />

discussion feeds etc<br />

Follow<strong>in</strong>g up on<br />

references<br />

M<strong>in</strong>us<br />

duplicates<br />

808 documents<br />

assessed<br />

75 very useful 234 useful 518 not useful<br />

309 <strong>in</strong> f<strong>in</strong>al<br />

review<br />

Approach taken to the synthesis of data <strong>in</strong> this review<br />

The analysis was undertaken accord<strong>in</strong>g to the framework <strong>for</strong> the conduct of narrative<br />

synthesis described <strong>in</strong> (Popay 2006) which is also known as a textual narrative approach. The<br />

literature was first classified accord<strong>in</strong>g to the review questions it best answered. Analysis<br />

then <strong>in</strong>volved identify<strong>in</strong>g patterns <strong>in</strong> the f<strong>in</strong>d<strong>in</strong>gs through tabulation <strong>and</strong> textual description.<br />

The characteristics of the documentation are described along with their context, quality, <strong>and</strong><br />

P a g e | 43

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