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Study Setting Intervention type Kietinun (1993) Kongnyuy (2008) Kuhn (2008) Kumwenda (2008) Thailand urban Malawi urban/ periurban Zambia urban Malawi urban Clinical Drug treatment (including micronutrient supplementation) : antimalarial Non-clinical Service organization: training and audit Non-clinical Nutrition (including breastfeeding) Clinical Drug treatment (including micronutrient supplementation) Comparison Study design Normal/ existing service/ financing mechanism/ regulation Normal/ existing service/ financing mechanism/ regulation Normal/ existing service/ financing mechanism/ regulation Normal/ existing service/ financing mechanism/ regulation Observationa l studies with comparison group Experimenta l study without concurrent control Controlled experimenta l study Controlled experimenta l study Target population Pregnant women with malaria Women receiving EmOC HIV-infected women HIV-infected infants Infants born to HIVinfected mothers Sample size Length (months) 678 unclear/ not stated unclear/ not stated unclear/ not stated Intervention claims 958 40 negative Internal validity positive - - positive + + Appendix 3.1 ++ ++ 3,276 3 neutral ++ ++ What are the effects of different models of delivery for improving maternal and infant health outcomes for poor people in urban areas in low income and lower middle income countries? 138 External validity
Study Setting Intervention type Kupka (2008) Le Fevre (2010) Lim (2010) Tanzania urban Bangladesh urban/ periurban/ rural India urban/ periurban/ rural Clinical Drug treatment (including micronutrient supplementation) : micronutrient supplementation Clinical Other clinical management Non-clinical Service organization: financing Comparison Study design Alternative intervention s/ service/ financing mechanism/ regulation Alternative intervention s/ service/ financing mechanism/ regulation Normal/ existing service/ financing mechanism/ regulation Controlled experimenta l study Economic evaluation/ modelling studies Observationa l studies with comparison group Target population HIV-infected pregnant women Preterm neonates In some Indian states, all women were eligible for the intervention. In others, only women with a below the poverty line card were eligible. Sample size Length (months) 915 unclear/ not stated Intervention claims negative Internal validity ++ - 497 1 positive ++ + unclear/ not stated unclear/ not stated positive Appendix 3.1 ++ ++ What are the effects of different models of delivery for improving maternal and infant health outcomes for poor people in urban areas in low income and lower middle income countries? 139 External validity
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Systematic review What are the effe
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Contents List of abbreviations ....
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List of abbreviations AIDS Acquired
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Executive summary Background Execut
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Executive summary be to retrospecti
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Background many LICs and LMCs, it i
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Background Cross-sectional surveys
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Background For some causes of mater
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Background informal settlements on
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Background review focused on explic
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Types of intervention Interventions
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Box 2.2: Websites searched AFD (Age
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second stage previously described f
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using qualitative analysis to attem
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Figure 3.1: Filtering of papers fro
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Middle East and North Africa (8%) S
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Search results access or satisfacti
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4. Synthesis results Summary Synthe
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Synthesis results Four studies focu
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Drug treatments (including micronut
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Synthesis results Training and audi
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Synthesis results order to be effec
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Synthesis results government admini
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HIV/AIDS and Malaria, as well as no
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Synthesis results ASSESSING THE COS
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and birthing care services, includi
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Synthesis results of settings were
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Figure 4.1: Causal chain for matern
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4.3 Summary of results of causal ch
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5. Strengths and limitations Summar
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6. Conclusions and recommendations
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Conclusions and recommendations Urb
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References Bakr A F, Karkour T (200
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References Deschamps M M, Noel F, B
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References Lim S, Dandona L, Hoisin
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References Shantharam Baliga B, Rag
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References Channon A A, Falkingham
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References Jowett M (2000) Safe Mot
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References Rice J, Rice J S (2009)
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Appendices Appendix 1.1: Authorship
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Appendix 2.1: Inclusion and exclusi
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Appendix 2.2: Search strategy for e
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Appendix 2.2 Infant* OR Matern* OR
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OR/ 12-13 11 AND 14 Limit 15 to pub
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Appendix 2.4: Journals handsearched
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POOR PROFILE Is the study populatio
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Page 95 and 96: Appendix 2.5 Intervention (surgical
Page 97 and 98: Appendix 2.5 Intervention (service
Page 99 and 100: MORTALITY OUTCOME TYPES Which morta
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Page 103 and 104: yes no unclear/not stated N/A Study
Page 105 and 106: surveillance system none of the abo
Page 107 and 108: no SELECTION CHARACTERISTICS Is inf
Page 109 and 110: Appendix 2.5 QUANTITATIVE DATA ADJU
Page 111 and 112: RESEARCHER RELATIONSHIP Has the rel
Page 113 and 114: Were the inclusion/exclusion criter
Page 115 and 116: person-years). 3.5 Was follow-up ti
Page 117 and 118: Appendix 2.7 Appendix 2.7: Quality
Page 119 and 120: triangulation, or for not triangula
Page 121 and 122: Was the study approved by an ethics
Page 123 and 124: Item Yes No Not clear 3. The viewpo
Page 125 and 126: Appendix 2.9: Electronic databases
Page 127 and 128: Web of Knowledge (including ISI Cit
Page 129 and 130: Study Setting Intervention type Abo
Page 131 and 132: Study Setting Intervention type Alw
Page 133 and 134: Study Setting Intervention type Ben
Page 135 and 136: Study Setting Intervention type Ble
Page 137 and 138: Study Setting Intervention type Cob
Page 139 and 140: Study Setting Intervention type Des
Page 141 and 142: Study Setting Intervention type Faw
Page 143: Study Setting Intervention type Jak
Page 147 and 148: Study Setting Intervention type Mar
Page 149 and 150: Study Setting Intervention type Nah
Page 151 and 152: Study Setting Intervention type Pad
Page 153 and 154: Study Setting Intervention type Str
Page 155 and 156: Study Setting Intervention type Zia
Page 157 and 158: Appendix 3.2 Adam G K, Abdulla M A,
Page 159 and 160: Appendix 3.2 Balkus J, Bosire R, Jo
Page 161 and 162: Appendix 3.2 Boerma J T, Stroh G (1
Page 163 and 164: Appendix 3.2 Chiwuzie J, Okojie O,
Page 165 and 166: Appendix 3.2 De Alencar A E, Arraes
Page 167 and 168: Appendix 3.2 Ekman B, Pathmanathan
Page 169 and 170: Appendix 3.2 Garg R, Omwomo W, Witt
Page 171 and 172: Appendix 3.2 Gupta R, Sachdev H P,
Page 173 and 174: Appendix 3.2 Hutton G, Schellenberg
Page 175 and 176: Appendix 3.2 Khandker S R, Latif M
Page 177 and 178: Appendix 3.2 Lindblade K A, Eisele
Page 179 and 180: Appendix 3.2 Menéndez C, Bardají
Page 181 and 182: Appendix 3.2 Nduati R, John G, Mbor
Page 183 and 184: Appendix 3.2 O'Rourke K (1995a) The
Page 185 and 186: Appendix 3.2 Prual A, De Bernis L,
Page 187 and 188: Appendix 3.2 Sabitu K, Alti-Mu'azu
Page 189 and 190: Appendix 3.2 Smith J B, Coleman N A
Page 191 and 192: Appendix 3.2 Van Rheenen P, De Moor
Page 193 and 194: Appendix 3.2 Xiang X, Wang L, Xu L
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Appendix 3.4 Appendix 3.4: Studies
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Appendix 3.4 International Bank for
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Appendix 3.5 Appendix 3.5: Studies
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Orji (2003) (-)/(-) Shihadeh (2001)
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Chinayon (1998) (+)/(+) Kamilya (20
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Nahar (2004) (-)/(-) Tukur (2007) (
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Ndibazza (2010) (++)/(+) Antiretrov
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Bergstrom (1991) (+)/(+) Women with
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Enakpene (2010) (+)/(-) Etuk (2000a
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Pereira (1996) (-)/(-) Saleem (2007
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Author (year) (IV)/(EV) Joshi (2007
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Author (year) (IV)/(EV) Aaby (2005)
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Author (year) (IV)/(EV) Martins (20
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Author (year) (IV)/(EV) de Muylder
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Author (year) (IV)/(EV) Provider mo
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Appendix 4.4: Included items dealin
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Author (year) (IV)/(EV) Target Popu
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Author (year) (IV)/(EV) Colonna (19
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Author (year) (IV)/(EV) Kuhn (2008)
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Author (year) (IV)/(EV) Target popu
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Author (year) (IV)/(EV) Mswia (2003
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Appendix 4.6: Included items dealin
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Appendix 4.8 Appendix 4.8: Economic
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Author (year) (IV)/(EV) and setting
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Appendix 4.9: Included items identi
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Author (year) (IV)/(EV) Poor urban
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Author (year) (IV)/(EV) Poor urban
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Appendix 4.10: High-quality include
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The authors of this report were sup
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