Authors : Akinyemi Michael Iledare; Olamide Awoyemi; Adejare Sodiq Ayodeji; Fadhilu Ajolayo Adejare; Deborah Oluwatobi, Alabi; Chioma Udoamaka Okerulu; Loretta Ekei Nsa

Volume/Issue : Volume 10 - 2025, Issue 5 - May

Google Scholar : https://tinyurl.com/yc4z32zb

DOI : https://doi.org/10.38124/ijisrt/25may847

Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.

Abstract : Maternal mortality is still pressing global health issue, particularly in economically disadvantaged regions, where women often encounter difficulties obtaining comprehensive and timely maternal health services. Locally driven health initiatives have become increasingly vital in addressing maternal health challenges in maternal health by leveraging local resources, enhancing healthcare access, and empowering communities. This systematic review synthesizes existing literature on the effectiveness, scalability, and challenges of CBIs aimed at reducing maternal mortality in LMICs. By synthesizing insights from scholarly publications, international health assessments, and real-world case examples, the review categorizes interventions into key themes such as the role of community health workers, mobile health (mHealth) innovations, emergency transport systems, and culturally tailored health education. The paper applies the Three Delays Model and social determinants of health framework to analyze how CBIs mitigate barriers to timely and adequate maternal care. Findings indicate that while many CBIs significantly improve maternal outcomes, their impact is often constrained by systemic challenges including funding limitations, workforce shortages, and sociocultural barriers. This review underscores the need for integrated, context-specific, and sustainable community health strategies, and provides policy and programmatic recommendations to strengthen maternal health systems in LMICs.

Keywords : Maternal-Mortality, Community-Based Interventions, Public Health, Health Systems Strengthening, Frontline Healthcare Providers in Resource-Constrained Settings.

References :

1. Abor, P. A., Abekah-Nkrumah, G., & Sakyi, K. (2021). Addressing digital divide in mHealth uptake: A policy framework for sub-Saharan Africa. Health Policy and Planning, 36(5), 715–722. 
2. Alemayehu, M., et al. (2023). Community-Based Health Education Led by Women's Groups Significantly Improved Maternal Health Service Utilization in Southern Ethiopia: A Cluster Randomized Controlled Trial. Healthcare, 12(10), 1045. https://doi.org/10.3390/healthcare12101045 
3. Ballard, M., Westgate, C., Alban, R., et al. (2021). Compensation models for community health workers: Comparison of legal frameworks across five countries. Global Health: Science and Practice, 9(Suppl 1), S43–S52. 
4. Chersich, M. F., Blaauw, D., et al. (2021). Review of community-level maternal health outcomes in LMICs. BMJ Global Health, 6(6), e004484. 
5. Chikumbutso, M., Banda, A., & Munkhondya, B. (2022). Community-managed emergency transport systems: A life-saving strategy in rural Malawi. BMC Pregnancy and Childbirth, 22(1), 87. 
6. Dube, Q., Mtande, T., & Phiri, S. (2023). Challenges facing community health workers in delivering maternal care: A qualitative study in Southern Africa. PLOS Global Public Health, 3(3), e0001987. 
7. GSMA. (2023). The Mobile Economy: Sub-Saharan Africa 2023. Retrieved from https://www.gsma.com/mobileeconomy/sub-saharan-africa 
8. Khatri, R., Mishra, S. R., & Khanal, V. (2021). Scaling participatory women’s groups to improve maternal health in Nepal: A cluster-randomized trial. The Lancet Global Health, 9(4), e521–e530. 
9. Langlois, É. V., Tunçalp, Ö., et al. (2020). Advancing implementation research on community-based maternal interventions. PLOS Medicine, 17(7), e1003146. 
10. Lassi, Z. S., Kumar, R., & Bhutta, Z. A. (2015). Community-based intervention packages for reducing maternal and neonatal morbidity and mortality and improving neonatal outcomes. Cochrane Database of Systematic Reviews, (3). https://doi.org/10.1002/14651858.CD007754.pub3 
11. Martínez-Fernández, G., López-Pérez, G., & Ruano, A. L. (2020). Bridging traditions and evidence: TBA integration and maternal health outcomes in Guatemala. Health Promotion International, 35(5), 1181–1190. 
12. McKenzie, J. E., Brennan, S. E., et al. (2022). Bias and language limitations in systematic health reviews. Systematic Reviews, 11(1), 25. 
13. Mwangi, A., Otieno, G., & Were, F. (2021). Effect of SMS reminders on ANC attendance and institutional delivery in Kenya: A randomized controlled trial. BMJ Open, 11(7), e045799. 
14. Nkonki, L., Van der Westhuizen, B., & English, R. (2022). What keeps CHWs going? A scoping review of facilitators and barriers in LMICs. Human Resources for Health, 20(1), 45. 
15. Okafor, I. J., Okwuosa, C. N., & Umeh, C. A. (2022). Community transport as a maternal health enabler in northern Nigeria. International Journal of Gynecology & Obstetrics, 158(3), 684–690. 
16. Page, M. J., McKenzie, J. E., Bossuyt, P. M., et al. (2021). The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. BMJ, 372, n71. 
17. Rahman, F., Hossain, M. A., & Akter, M. (2023). Effectiveness of community-based maternal health education: A controlled study in rural Bangladesh. BMC Public Health, 23(1), 119. 
18. Singh, P., Sharma, K., & Jacob, J. (2023). Implementation research in maternal health: Gaps and opportunities in LMICs. Health Systems & Reform, 9(1), e2002674. 
19. Tessema, G. A., Kinfu, Y., & Dachew, B. A. (2021). The impact of COVID-19 on maternal health services in LMICs: A rapid review. Reproductive Health, 18(1), 130. 
20. Thaddeus, S., & Maine, D. (1994). Too far to walk: Maternal mortality in context. Social Science & Medicine, 38(8), 1091–1110. 
21. Tripathy, P., Nair, N., & Costello, A. (2024). Participatory women’s groups and maternal outcomes in India: Ten-year follow-up. The Lancet Global Health, 12(2), e170–e182. 
22. WHO (2021) Primary health care: Monitoring framework and indicators. World Health Organization. 
23. WHO (2023) Building resilient health systems: Lessons from COVID-19. World Health Organization. 
24. World Health Organization (WHO). (2019). Maternal mortality. Retrieved from https://www.who.int/news-room/fact-sheets/detail/maternal-mortality. 
25. Yousafzai, A., Khan, S., & Zafar, S. (2022). Mobile-based data collection and maternal health surveillance in rural Pakistan. Global Health Action, 15(1), 20320.