{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,4]],"date-time":"2025-12-04T21:30:11Z","timestamp":1764883811418,"version":"3.46.0"},"reference-count":33,"publisher":"BMJ","issue":"11","license":[{"start":{"date-parts":[[2025,11,5]],"date-time":"2025-11-05T00:00:00Z","timestamp":1762300800000},"content-version":"unspecified","delay-in-days":4,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2025,10,14]]},"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Despite significant global advancements, the past decade has seen stagnation in Maternal, Neonatal and Child Health (MNCH) service coverage and a concerning high under-five and maternal mortality rates, which have been worsened by COVID-19 pandemic-related disruptions, particularly in sub-Saharan Africa. This scoping review protocol will support the comprehensive mapping, evaluation and assessment of the application, impact, effectiveness and adaptability of health-resilient frameworks in maintaining these services during pandemics, while also identifying gaps in the literature and areas for further research.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and analysis<\/jats:title>\n                    <jats:p>Following the Joanna Briggs Institute guidelines, a literature search across databases such as PubMed, Scopus and African Journals Online for studies published from the inception of the databases to 2024 will be conducted. Covidence will facilitate the iterative screening process by two independent reviewers. Data extraction will employ the Population, Intervention, Comparison, Outcomes and Healthcare Contexts framework to categorise information. The thematic synthesis will integrate the findings to comprehensively evaluate the framework\u2019s application, impact, effectiveness and adaptability in the context of routine immunisation and MNCH services.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ethics and dissemination<\/jats:title>\n                    <jats:p>This is part of a broader study approved by the evaluation committee of the Faculty of Health Sciences at the University of the Free State, and ethical clearance was granted by the university\u2019s Human Research Ethics Committee with registration number UFS-HSD2025\/0102\/2705. The findings will be shared with relevant stakeholders through publications in peer-reviewed journals and presentations at meetings, conferences, seminars and professional forums.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2025-110231","type":"journal-article","created":{"date-parts":[[2025,11,5]],"date-time":"2025-11-05T06:57:04Z","timestamp":1762325824000},"page":"e110231","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Health-resilient frameworks and their impact on routine immunisation and Maternal, Neonatal and Child Health services during pandemics in sub-Saharan Africa: a scoping review protocol"],"prefix":"10.1136","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5535-133X","authenticated-orcid":false,"given":"Clovis Nchinjoh","family":"Sangwe","sequence":"first","affiliation":[{"name":"Division of Public Health, University of the Free State Faculty of Health Sciences, Bloemfontein, Free State, South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sibusiso Frank","family":"Nkosi","sequence":"additional","affiliation":[{"name":"Division of Public Health, University of the Free State Faculty of Health Sciences, Bloemfontein, Free State, South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kelebogile Leah","family":"Manjinja","sequence":"additional","affiliation":[{"name":"Division of Public Health, University of the Free State Faculty of Health Sciences, Bloemfontein, Free State, South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8421-1478","authenticated-orcid":false,"given":"Wilfred Njabulo","family":"Nunu","sequence":"additional","affiliation":[{"name":"Division of Public Health, University of the Free State Faculty of Health Sciences, Bloemfontein, Free State, South Africa"},{"name":"Department of Environmental Health, School of Public Health, Faculty of Health Sciences, University of Botswana, Gaborone, South-East District, Botswana"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,11,4]]},"reference":[{"key":"2025120413260091000_15.11.e110231.1","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0215635","article-title":"Determinants of continuum of care for maternal, newborn, and child health services in rural Khammouane, Lao PDR","volume":"14","author":"Sakuma","year":"2019","journal-title":"PLOS ONE"},{"key":"2025120413260091000_15.11.e110231.2","doi-asserted-by":"crossref","first-page":"e730","DOI":"10.1016\/S2214-109X(20)30104-2","article-title":"Effective coverage measurement in maternal, newborn, child, and adolescent health and nutrition: progress, future prospects, and implications for quality health systems","volume":"8","author":"Marsh","year":"2020","journal-title":"Lancet Glob Health"},{"key":"2025120413260091000_15.11.e110231.3","unstructured":"UNIGME . 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