International Journal of Academic Health and Medical Research (IJAHMR)
  Year: 2021 | Volume: 5 | Issue: 10 | Page No.: 61-66
Using Community Outreach Interventions to Reduce Maternal Motality in the United States: A Systematic Literature Review
Jacqueline K. Nash and Bruce Lazar, MBA, DM

Abstract:
The United States has battled maternal mortality unsuccessfully for decades. With maternal mortality rates continuing to rise, especially in rural or low-income communities, new strategies are needed to increase education, awareness, access, and equity. This systematic literature review aimed to determine if the use of community outreach interventions, targeting education and awareness, could lower maternal mortality in rural or low-income communities in the United States. A search was conducted using PubMed (including MEDLINE), CINAHL, and Web of Science academic databases following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. 18 articles were analyzed and categorized using established screening criteria. Five common themes emerged, which included (1) improvements in maternal health or maternal mortality rates; (2) increased education and/or awareness; (3) increased use/acceptance of preventative care; (4) positive impact on health equity; and (5) applicability in rural or low-income settings in the United States. The findings and results indicate that the use of community outreach interventions can reduce maternal mortality in rural or low-income areas. A multimodal health promotion tactic, community outreach can simultaneously address MMR reduction and improve maternal health through in-person, group, and virtual delivery settings, as supported by the systematic literature review results. Further research should be conducted on the topic of community outreach interventions as a method for maternal mortality reduction to build upon the evidence gathered in this review.