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other·pediatrics, nutrition, public health, epidemiology, systematic review·PMC10510927

Mapping the range of policies relevant to care of small and nutritionally at-risk infants under 6 months and their mothers in Ethiopia: a scoping review protocol

BMJ Open · 12 authors, 12 centres

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TL;DR

This is a protocol for a scoping review to map national policies in Ethiopia related to the care of at-risk infants under 6 months and their mothers. The review aims to describe the range of policies and identify gaps to inform the implementation of the MAMI Care Pathway.

Full summary

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This document outlines the protocol for a scoping review. The review's objective is to evaluate the extent to which the MAMI Care Pathway is consistent with national policies for at-risk infants under 6 months and their mothers in Ethiopia. It will be conducted using JBI methodology, with searches in English and Amharic documentation from government websites, agencies, and databases. Data will be extracted and analyzed descriptively and visually. The stated limitations are that it will not assess document quality, scope research evidence, or include a full AGREE II appraisal.

STUDY TYPE

other

SPECIALTY

pediatrics

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ORIGINAL PAPER

PMC10510927

Mapping the range of policies relevant to care of small and nutritionally at-risk infants under 6 months and their mothers in Ethiopia: a scoping review protocol

BMJ Open

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ABSTRACT

Abstract Introduction Evidence gaps limit management of small and/or nutritionally at-risk infants under 6 months and their mothers, who are at higher risk of death, illness, malnutrition and poor growth and development. These infants may be low birth weight, wasted, stunted and/or underweight. An integrated care model to guide their management (MAMI Care Pathway) is being tested in a randomised controlled trial in Ethiopia. Evaluating the extent to which an innovation is consistent with national policies and priorities will aid evidence uptake and plan for scale. Methods and analysis This review will evaluate the extent to which the MAMI Care Pathway is consistent with national policies that relate to the care of at-risk infants under 6 months and their mothers in Ethiopia. The objectives are to describe the range and characteristics, concepts, strategic interventions, coherence and alignment of existing policies and identify opportunities and gaps. It will be conducted in accordance with the JBI methodology for scoping reviews (PRISMA-ScR). Eligible documents include infant and maternal health, nutrition, child development, food and social welfare-related policies publicly available in English and Amharic. The protocol was registered on the Open Science Framework Registry on 20 June 2022 ( https://osf.io/m4jt6 ). Grey literature will be identified through government and agency websites, national and subnational contacts and Google Scholar, and published policies through electronic database searches (MEDLINE, EMBASE and Global and Health Information). The searches will take place between October 2023 and March 2024. A standardised data extraction tool will be used. Descriptive analysis of data will be undertaken. Data will be mapped visually and tabulated. Results will be described in narrative form. National stakeholder discussions will inform conclusions and recommendations. Ethics and dissemination Ethical approval is not required as data consist solely of publicly available material. Findings will be used to evidence national and international policy and practice. Keywords: nutrition, health policy, international health services, public health

CITATION EXPORT

Marie McGrath, Mirkuzie Woldie, Melkamu Berhane et al.. Mapping the range of policies relevant to care of small and nutritionally at-risk infants under 6 months and their mothers in Ethiopia: a scoping review protocol. BMJ Open. (2023). https://doi.org/10.1136/bmjopen-2022-069359

AUTHORS

12 · 12 CENTRES

Marie McGrath, Mirkuzie Woldie, Melkamu Berhane, Mubarek Abera, Endashaw Hailu, Ritu Rana, Betty Lanyero, Carlos Grijalva-Eternod, Alemseged Abdissa, Tsinuel Girma, Marko Kerac, Tracey Smythe

1Emergency Nutrition Network, Kidlington, UK
2Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK
3Maternal and Child Health and Nutrition Directorate, Ethiopia Ministry of Health, Addis Ababa, Ethiopia
4Department of Pediatrics, Jimma University, Jimma, Ethiopia
5Faculty of Medical Sciences, Jimma University, Jimma, Ethiopia
6GOAL Ethiopia, Addis Ababa, Ethiopia
7Department of Public Health Programmes, Indian Institute of Public Health Gandhinagar, Gandhinagar, Gujarat, India
8Emergency Preparedness and Response Unit, World Health Organization Country Office for Ethiopia, Addis Ababa, Ethiopia
9Institute for Global Health, University College London, London, UK
10Armauer Hansen Research Institute, Addis Ababa, Ethiopia
11Department of Pediatrics and Child Health, Jimma University, Jimma, Ethiopia
12Faculty of Epidemiology and Population Health, International Centre for Evidence in Disability, Department of Population Health, London School of Hygiene and Tropical Medicine, London, UK