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• W1567340841 abstract "s selected n= 618 Full text articles assessed n=242 Excluded (did not meet criteria) n=381 Articles included n=19 describing 14 interventions Full text articles excluded because: R1: No second delay referral mechanism n=119 R2: No comparison n=63 R3: No relevant outcomes n=7 R4: Review articles n=34 Articles selected after screening n=5 3.2 Characteristics of the included studies Characteristics of studies are summarised in Table 1. The included interventions were four cluster RCTs, five controlled before-after studies and five cohort studies. Seven studies were located in Asia, six in sub-Saharan Africa and one in Central America. In Asia, three were implemented in Bangladesh, and one each in India, Indonesia, Nepal and Pakistan. In sub-Saharan Africa, three were in Zimbabwe and one each in Burkina Faso, Malawi and Zambia. One study was implemented in Guatemala. Several studies were of interventions that not only addressed delays in reaching a health facility, but also influenced Phase I (decision making) delays, Phase III (adequate and appropriate treatment) delays or other aspects of health services. As interventions addressing Phase II delays were the ones of interest in this study, Table 1 shows these interventions separately from the others. Some studies described combinations of interventions relevant to Phase II delays, for example, establishment of birthing homes was combined with provision of radios and ambulances in Indonesia (Alisjahbana et al. 1995). Other studies were of single interventions such as maternity waiting homes (Chandramohan et al. 1994, Lonkhuijzen et al. 2003, Millard et al. 1991, Tumwine and Dungare 1996). One study (Lungu et al. 2001) studied two interventions in separate arms. Of the two interventions, only one was relevant to Phase II delays (bicycle ambulances) while the other was a community transport plan which was primarily addressing decision making in communities. The studies were categorised as follows." @default.
• W1567340841 created "2016-06-24" @default.
• W1567340841 creator A5057796635 @default.
• W1567340841 creator A5075178393 @default.
• W1567340841 creator A5075213380 @default.
• W1567340841 creator A5084041248 @default.
• W1567340841 date "2011-01-01" @default.
• W1567340841 modified "2023-09-23" @default.
• W1567340841 title "What kinds of policy and programme interventions contribute to reductions in maternal mortality? The effectiveness of primary level referral systems for emergency maternity care in developing countries" @default.
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