Maternal care facilities in South Africa are critical for the health outcomes of mothers and newborns. However, there is a need to systematically review existing studies to assess the methodological quality and clinical effectiveness of these facilities. This review employed comprehensive searches across multiple databases including PubMed and Scopus. Studies were included based on predefined criteria related to maternal care systems and panel data methodologies. Panel-data estimations revealed significant variations in clinical outcomes between different facilities, with a notable proportion (25%) of studies showing improvement trends over time. The review identified several methodological weaknesses that need addressing for more reliable future research on maternal care outcomes in South Africa. To enhance the effectiveness and reliability of studies assessing maternal care systems, it is recommended to adopt standardised data collection methods and robust analytical techniques such as panel-data analysis. Treatment effect was estimated with logit (pᵢ) =₀+^ Xᵢ, and uncertainty reported using confidence-interval based inference.
Motshekga et al. (Tue,) studied this question.