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Research, Policy and Practice

Table 2 Summary of mapping articles included in the study

From: Nomadic pastoralists' experience accessing reproductive and maternal healthcare services in low and middle-income countries: A contextual scoping review

S/N

Author/year/country

Title

Objective

Type of publication

Data collection

Analytical approach

Key findings

Group description

1

Ag Ahmed et al. 2018

Gossi, Mali

Sociocultural determinants of nomadic women’s utilization of assisted childbirth in Gossi, Mali: a qualitative study

To understand the socio-cultural determinants of assisted childbirth by nomadic women

Qualitative: peer reviewed

Literature review, semi- structured interviews, non-participant observation

A thematic content analysis using QDA Miner software

Emotions associated with pregnancy decision-making and economic agency

Tamasheq (Tuareg) and Fulani in the Gossi (Timbuktu region), Mali

2

Assefa et al. 2018

Awash, Ethiopia

Magnitude of institutional delivery service utilization and associated factors among women in pastoral community of Awash Fentale district, Afar Regional State, Ethiopia

To assess institutional delivery service utilization and associated factors amongst women in the pastoral community of Awash Fentale district, Ethiopia

Quantitative, peer reviewed

Community-based cross- sectional study

Descriptive statistics and logistic regression analysis

Overall, 35.2% of women delivered at health facilities. Women who had good knowledge AOR = 2.1 and antenatal care (ANC) follow-up (AOR = 3.2)

Pastoral community of Awash Fentale District of Ethiopia

3

Byrne et al. 2016

Kenya

Community and provider perceptions of traditional and skilled birth attendants providing maternal healthcare for pastoralist communities in Kenya: a qualitative study

To understand the practices and perceptions of TBAs and SBAs serving the remotely located, semi-nomadic, pastoralist communities of Laikipia and Samburu counties in Kenya

Qualitative: peer reviewed

Focus group discussions (FGDs) with TBAs, community health workers, in-depth interviews were conducted with seven SBAs

Data were translated, transcribed, and thematically analysed

Some TBA practices are potentially harmful to women, e.g. restricting food intake during pregnancy, and participants recognized that TBAs are unable to manage obstetric complications

Pastoralists including Maasai in Laikipia and Samburu Counties, Kenya

4

Caulfield et al. 2016

Kenya

Factors influencing place of delivery for pastoralist women in Kenya: a qualitative study

This paper investigates the socio- demographic factors and cultural beliefs and practices that influence the place of delivery for these pastoralist women

Qualitative: peer reviewed

Interview with key informant and nomadic women

The data were translated, transcribed, and inductively and deductively thematically analysed both manually and using NVivo.

Cultural practices and beliefs influence pastoralist women’s place of delivery in Kenya. Pastoralist women continue to deliver at home due to distance, poor roads, and the difficulty of obtaining and paying for transport

Pastoralists including Maasai in Laikipia and Samburu Counties, Kenya

5

Chatty et al. 2013

Middle East Levant (Lebanon, Syria, and Jordan)

Bedouin in Lebanon: Social discrimination, political exclusion, and compromised healthcare

The study explores the importance of considering social discrimination and political exclusion in understanding compromised healthcare

Mixed method (quantitative and qualitative): peer reviewed

Is based on interviews with policy-makers, healthcare providers, and the Bedouin as part of a study

Quantitative descriptive statistics and qualitative thematic analysis

The Bedouin community of Lebanon remains largely invisible to the Government and thus invisible to national healthcare policy and practice. They experience significant social discrimination from health practitioners and policy-makers alike. Their unfair treatment under the health system is generally dissociated from wealth and poverty.

Bedouin (the Bedouin, Beduin, or Bedu are nomadic Arab tribes who have historically inhabited the desert regions in the Arabian Peninsula, North Africa, the Levant, and Mesopotamia) of the Middle Bekaa Valley of Lebanon