{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T10:59:30Z","timestamp":1785581970722,"version":"3.56.0"},"reference-count":65,"publisher":"BMJ","issue":"2","license":[{"start":{"date-parts":[[2025,7,14]],"date-time":"2025-07-14T00:00:00Z","timestamp":1752451200000},"content-version":"unspecified","delay-in-days":13,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100022244","name":"National Institute for Health Research Applied Research Collaboration West","doi-asserted-by":"publisher","award":["NIHR200165"],"award-info":[{"award-number":["NIHR200165"]}],"id":[{"id":"10.13039\/501100022244","id-type":"DOI","asserted-by":"publisher"}]},{"name":"National Institute for Health and Care Research (NIHR) School for Public Health Research","award":["NIHR 204000"],"award-info":[{"award-number":["NIHR 204000"]}]},{"DOI":"10.13039\/501100000265","name":"Medical Research Council","doi-asserted-by":"publisher","award":["MR\/T00794X\/1"],"award-info":[{"award-number":["MR\/T00794X\/1"]}],"id":[{"id":"10.13039\/501100000265","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["bmjph"],"accepted":{"date-parts":[[2025,6,9]]},"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>There are persistent ethnic health inequalities in maternal, neonatal and infant health outcomes in the UK. We sought to examine the available evidence on interventions to reduce ethnic health inequalities in maternal, neonatal and infant outcomes during pregnancy and up to the first year of the postnatal period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>\n                      We conducted a systematic review searching MEDLINE, CINAHL, PsycINFO, Scopus and Web of Science (Social Science Index) databases,\n                      <jats:italic>Journal of Health Visiting<\/jats:italic>\n                      , Google Scholar and grey literature from relevant websites (from inception up to 11 August 2023). Interventions were mapped to a priori conceptual framework consisting of six levels (patient, provider, microsystem, organisation, community and policy). The \u2018template for intervention description and replication\u2019 checklist was used for intervention description. Results across studies were narratively synthesised and reported following the \u2018synthesis without meta-analysis\u2019 guidelines.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The electronic search identified 11\u2009600 studies, with 16 studies describing eight types of interventions meeting the inclusion criteria. Studies were published between 1981 and 2022, predominantly in England (n=14), with a range of outcomes reported, including mode of delivery, place of birth, birth weight, stillbirth and preterm birth. The sample size varied from 21 to 20\u2009651 participants with ethnic minority populations ranging from 18.9% to 100% of the study population. Studies mapped mainly to the patient level with policy least represented (14 and two, respectively). All studies described the reasons for the intervention with limited reporting on any modification during the study (n=2). Two studies with two types of interventions (early pre-eclampsia screening and midwifery continuity of care) demonstrated the potential for interventions to reduce ethnic health inequalities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This review highlights the paucity of evaluated interventions to tackle ethnic health inequalities in maternal, neonatal\/infant outcomes. Mapping interventions to the conceptual framework provides the evidence base for national policy interventions to tackle these long-protracted inequities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>PROSPERO registration number<\/jats:title>\n                    <jats:p>CRD42023453083.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjph-2024-001476","type":"journal-article","created":{"date-parts":[[2025,7,15]],"date-time":"2025-07-15T08:55:32Z","timestamp":1752569732000},"page":"e001476","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["Systematic review of interventions to reduce ethnic health inequalities in maternal and perinatal health in the UK"],"prefix":"10.1136","volume":"3","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7903-8770","authenticated-orcid":false,"given":"Oluwaseun B","family":"Esan","sequence":"first","affiliation":[{"name":"Department of Public Health Policy and Systems, University of Liverpool, Liverpool, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicholas K","family":"Adjei","sequence":"additional","affiliation":[{"name":"Department of Public Health Policy and Systems, University of Liverpool, Liverpool, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samira","family":"Saberian","sequence":"additional","affiliation":[{"name":"Department of Public Health Policy and Systems, University of Liverpool, Liverpool, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7780-255X","authenticated-orcid":false,"given":"Lara","family":"Christianson","sequence":"additional","affiliation":[{"name":"Library, Leibniz Institute for Prevention Research and Epidemiology, Bremen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-4209-228X","authenticated-orcid":false,"given":"Alya","family":"Mazlan","sequence":"additional","affiliation":[{"name":"Department of Public Health Policy and Systems, University of Liverpool, Liverpool, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7666-0617","authenticated-orcid":false,"given":"Rukun K S","family":"Khalaf","sequence":"additional","affiliation":[{"name":"Department of Public Health Policy and Systems, University of Liverpool, Liverpool, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-7703-6420","authenticated-orcid":false,"given":"Olukemi Yetunde","family":"Towolawi","sequence":"additional","affiliation":[{"name":"Academic Research, Independent Researcher, Oshodi, Lagos State, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8560-2291","authenticated-orcid":false,"given":"Philip","family":"McHale","sequence":"additional","affiliation":[{"name":"Department of Public Health Policy and Systems, University of Liverpool, Liverpool, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3455-8825","authenticated-orcid":false,"given":"Andy","family":"Pennington","sequence":"additional","affiliation":[{"name":"Department of Public Health Policy and Systems, University of Liverpool, Liverpool, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca Sally","family":"Geary","sequence":"additional","affiliation":[{"name":"Department of Public Health Policy and Systems, University of Liverpool, Liverpool, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4915-5092","authenticated-orcid":false,"given":"Abimbola","family":"Ayorinde","sequence":"additional","affiliation":[{"name":"Division of Health Sciences, Warwick Medical School, University of Warwick, Coventry, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2025,7,15]]},"reference":[{"key":"2026010703054342000_3.2.e001476.1","doi-asserted-by":"publisher","DOI":"10.1136\/jech-2020-216061"},{"key":"2026010703054342000_3.2.e001476.2","unstructured":"Lewis G . 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