摘要
Unsafe abortions constitute a public health problem. It is one of the causes of maternal mortality in the world and particularly in developing countries. Despite the progress made, maternal mortality remains high in Cameroon. The scarcity and disparity of data on abortions lead to a lack of strong evidence to advocate to decision-makers on the extent of the problems associated with abortions in Cameroon. Our objective is to estimate the rates of mortalities and complications related to unsafe abortions, as well as the difficulties of accessing safe abortions in Cameroon. We will carry out a systematic and meta-analytical review in the biomedical databases MEDLINE (Pubmed), Google Scholar and African Journal Online (AJOL) concerning unsafe abortions and/or difficulties in accessing safe abortions in Cameroon, without date or language restriction. Gray literature will be also consulted. Two authors will simultaneously select the studies and data extraction will be done using a Google Form. Proportions will be estimated on a random-effect model. The I<sup>2</sup> and Q statistics will be used to assess the extent of heterogeneity across the studies. The outcome of both the quantitative and qualitative parts of the study will be commented. Death and morbidity due to abortions can be prevented. A concerted multidisciplinary and multicentric action would be essential.
Unsafe abortions constitute a public health problem. It is one of the causes of maternal mortality in the world and particularly in developing countries. Despite the progress made, maternal mortality remains high in Cameroon. The scarcity and disparity of data on abortions lead to a lack of strong evidence to advocate to decision-makers on the extent of the problems associated with abortions in Cameroon. Our objective is to estimate the rates of mortalities and complications related to unsafe abortions, as well as the difficulties of accessing safe abortions in Cameroon. We will carry out a systematic and meta-analytical review in the biomedical databases MEDLINE (Pubmed), Google Scholar and African Journal Online (AJOL) concerning unsafe abortions and/or difficulties in accessing safe abortions in Cameroon, without date or language restriction. Gray literature will be also consulted. Two authors will simultaneously select the studies and data extraction will be done using a Google Form. Proportions will be estimated on a random-effect model. The I<sup>2</sup> and Q statistics will be used to assess the extent of heterogeneity across the studies. The outcome of both the quantitative and qualitative parts of the study will be commented. Death and morbidity due to abortions can be prevented. A concerted multidisciplinary and multicentric action would be essential.
作者
Florent Ymele Fouelifack
Ako William Takang
Mosman Anyimbi Ofeh
Jenny Ornella Manewoun
Nsen Abeng
Guy Sadeu Wafeu
Christophe Lontsi Saha
Florent Ymele Fouelifack;Ako William Takang;Mosman Anyimbi Ofeh;Jenny Ornella Manewoun;Nsen Abeng;Guy Sadeu Wafeu;Christophe Lontsi Saha(Department of Surgery and Specialties, Higher Institute of Medical Technology of Nkolondom-Yaoundé, Yaoundé, Cameroon;Gynecology and Obstetrics Unit, Yaoundé Central Hospital, Yaoundé, Cameroon;Faculty of Health Sciences, University of Bamenda, Bamenda, Cameroon;Monatélé District Hospital, Monatélé, Cameroon;Higher Institute of Medical Technology of Nkolondom, Yaoundé, Cameroon;Human Rights and Humanitarian Action, National Coordinator of CIVITAS Cameroon, Yaoundé, Cameroon;Systematic Reviews and Meta-Analysis, Coordinator of Cochrane Cameroon, Yaoundé, Cameroon;Public Health Option Epidemiology, Faculty of Health Sciences, Catholic University of Central Africa, Yaoundé, Cameroon)
