Effects of the maternal and child health handbook and other home-based records on mothers' non-health outcomes: a systematic review

Abstract

Objective: This review aimed to investigate the effects of the maternal and child health (MCH) handbook and other home-based records on mothers' non-health outcomes.

Design: Systematic review.

Data sources: PubMed, Web of Science, CINAHL, Academic Search Complete, PsycArticles, PsycINFO, SocINDEX, CENTRAL, NHS EED, HTA, DARE, Ichuushi and J-STAGE through 26 March 2022.

Eligibility criteria for selecting studies: Original research articles examining home-based records and mothers' non-health outcomes published in English or Japanese across various study designs.

Data extraction and synthesis: Two independent reviewers extracted relevant data and assessed the risk of bias. We assessed the certainty of evidence for each study using the Grading of Recommendations Assessment, Development, and Evaluation approach. Due to the heterogeneity of the included studies, we conducted a narrative synthesis of their findings.

Results: Of the 4199 articles identified, we included 47 articles (20 in Japanese) in the review. Among the different types of home-based records, only the MCH handbook provided essential information about the mother-child relationship, and its use facilitated the mother-child bonding process. Mothers reported generally feeling satisfied with the use of home-based records; although their satisfaction with health services was influenced by healthcare providers' level of commitment to using these records. While home-based records positively affected communication within the household, we observed mixed effects on communication between mothers/caregivers and healthcare providers. Barriers to effective communication included a lack of satisfactory explanations regarding the use of home-based records and personalised guidance from healthcare providers. These records were also inconsistently used across different health facilities and professionals.

Conclusions: The MCH handbook fostered the mother-child bond. Mothers were generally satisfied with the use of home-based records, but their engagement depended on how these records were communicated and used by healthcare providers. Additional measures are necessary to ensure the implementation and effective use of home-based records.

Prospero registration number: CRD42020166545.

Keywords: Community child health; PUBLIC HEALTH; SOCIAL MEDICINE.

Figure 1

PRISMA flow diagram of the screening process. MCH, maternal and child health; PRISMA, Preferred Reporting Items for Systematic Reviews and Meta-Analyses.