Meghan A Bohren
Biographic Data
| ID | 247023 |
|---|---|
| NAME | Meghan A Bohren |
| GIVEN NAMES | Meghan A |
| FAMILY NAME | Bohren |
| SIGNATURE | BOHREN M A |
| AFFILIATIONS | The University of Melbourne |
| ORCID | 0000-0002-4179-4682 |
| VERIFIED | Yes |
| TOTAL WORKS | 47 |
| TOTAL CITATIONS | 0 |
| AUTHOR COUNT | 47 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2014 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 0 |
Well-being of health workers providing maternal and newborn care
Health workers providing maternal and newborn care can experience burnout and emotional distress, which harms their well-being and, consequently, their ability to deliver respectful care. The World Health Organization (WHO) Compendium on respectful maternal and newborn care identifies health workers’ well-being as a critical area for intervention, but no specific definition or domains of well-being exist for this group. We conducted a qualitative…
Financial and regulatory interventions to reduce unnecessary caesarean sections
Caesarean section (CS) is a life-saving procedure and a critical component of comprehensive obstetric care, yet CS rates are rising globally beyond levels justified by clinical indications. Growing evidence suggests that health system supply-side factors, such as provider payment models that financially reward CS over vaginal birth and the absence or weak enforcement of clinical guidelines, are contributing to this trend. Despite increasing conce…
Perceptions and experiences of the prevention, testing, and treatment of anaemia in pregnant women
Anaemia during pregnancy is a serious public health problem, inequitably burdening women in low-and middle-income countries. Despite numerous strategies and programs, anaemia prevalence rates have stagnated. We aimed to explore women’s, health workers’, and other key stakeholders’ perceptions of anaemia in pregnant women, or their experiences with its prevention, testing, or treatment. We conducted a qualitative evidence synthesis. We searched ME…
Rising caesarean section rates and factors affecting women’s decision-making about mode of birth in Indonesia
INTRODUCTION: Caesarean section (CS) rates in Indonesia are increasing rapidly. Understanding women's preferences about mode of birth is important to help contextualise these rising rates and can help develop interventions to optimise CS. This study aimed to explore Indonesian women's preferences and decision-making about mode of birth, and how their preferences may change throughout pregnancy and birth. METHODS: We conducted a longitudinal quali…
Factors affecting the implementation and sustainability of an Australian community-based doula service
Community-based doula support for women and gender-diverse birthing people has a range of benefits in improving maternal outcomes and experiences. However, there is limited research on how doula services operate in Australia. Birth for Humankind is an Australian community-based volunteer doula service, which provides free doula support for women and gender diverse birthing people experiencing social discrimination and financial disadvantage. The …
Stories of social and emotional resilience among pregnant Bangladeshi and Sri Lankan migrant women during Covid-19 lockdowns in Victoria, Australia
The COVID-19 pandemic disrupted family and community support systems that typically nurture pregnancy and birth experiences of migrant Bangladeshi and Sri Lankan women in Australia. Very little is known about how COVID-19 lockdown measures impacted Bangladeshi and Sri Lankan pregnant women living in Australia during the pandemic. Using an intersectional and resilience thinking approach, we explored the social and emotional resilience of Banglades…
Engaging women to set the research agenda for assisted vaginal birth
INTRODUCTION: Public and patient involvement can provide crucial insights to optimise research by enhancing relevance and appropriateness of studies. The World Health Organization (WHO) engaged in an inclusive process to ensure that both technical experts and women had a voice in defining the research gaps and needs to increase or reintroduce the use of assisted vaginal birth (AVB) in settings where this intervention is needed but unavailable or …
Participatory Health Research With Women From Refugee, Asylum-Seeker, and Migrant Backgrounds Living in High-Income Countries
Participatory Health Research (PHR) has the potential to result in more equitable health interventions and impactful research outcomes, and is an increasingly used paradigm in migrant health research. In the context of intersecting systems of social disadvantage imposed on migrant and refugee women, PHR could offer an opportunity for researchers to challenge unequal power dynamics in academic research by co-creating knowledge to improve these wom…
An investigation into the acceptability, adoption, appropriateness, feasibility, and fidelity of implementation strategies for birth companionship in Tehran
Despite some issues raised by the participants, the acceptability, adoption, appropriateness, feasibility, and fidelity of the implementation strategies for birth companions to mitigate the mistreatment of women during childbirth were well received. Future research should explore the sustainability of this program. The findings of this study can be used to support the implementation of birth companions in countries with comparable circumstances
If we take the engine out, how will the car go?’
Vasectomy is a safe, highly effective and affordable method of permanent contraception, and one of the few currently available contraceptive methods for men. Despite this, vasectomy uptake remains overall low, making up just 2% of the global contraceptive method mix. To better understand access to vasectomy in a country with negligible uptake, we conducted participatory and operational research in the Democratic Republic of Timor-Leste (Timor-Les…
Navigation of self-conflict and role of self-acceptance within LGBTQ+ young people in contemporary Mongolia
LGBTQ+ Mongolian youth experience substantial self-conflict in discriminatory social settings. • Media, religion, and sex negativity contributed to feelings of fear and isolation among LGBTQ+ youth. • LGBTQ+ acceptance from family or friends had substantial impacts on generating positive emotions
Safeguarding youth sexual and reproductive health and rights in the context of increasing climate-related disasters in the Pacific
Pacific youth (15–24 years) experience multiple challenges to realising their sexual and reproductive health and rights (SRHR). Climate-related disasters compound pre-existing social and health inequities, including for youth SRHR. Meaningful youth engagement is crucial to understand their risks and inform inclusive disaster responses. This scoping review aimed to explore if and how both youth SRHR and youth engagement are identified in disaster …
Comparing observed occurrence of mistreatment during childbirth with women’s self-report
BACKGROUND: There has been substantial progress in developing approaches to measure mistreatment of women during childbirth. However, less is known about the differences in measurement approaches. In this study, we compare measures of mistreatment obtained from the same women using labour observations and community-based surveys in Ghana, Guinea and Nigeria. METHODS: Experiences of mistreatment during childbirth are person-centred quality measure…
Changing climates, compounding challenges
Pacific youth are at the forefront of the climate crisis, which has important implications for their health and rights. Youth in Fiji currently bear a disproportionate burden of poor experiences and outcomes related to their sexual and reproductive health and rights (SRHR). There is limited information about how the increasing climate impacts may affect their SRHR, and what the implications may be for climate action and disaster risk reduction. W…
Body mapping as a participatory method to explore health provider beliefs and understanding about sexual and reproductive health and rights in Timor-Leste
Understanding the attitudes, knowledge, and practice of a health provider towards sexual and reproductive health (SRH) can provide valuable insight about how a primary health care system is functioning, and if it is meeting the SRH needs of its population. We conducted collaborative, participatory, and operational research to explore access to male methods of family planning in The Democratic Republic of Timor-Leste (Timor-Leste), from a health p…
Feasibility and readiness to implement Robson classification to monitor caesarean sections in public hospitals in Myanmar
Recent years have demonstrated an increase in caesarean section (CS) in most countries worldwide with considerable concern for the potential consequences. In 2015, WHO proposed the use of Robson classification as a global standard for assessing, monitoring and comparing CS rates. Currently, there is no standardized method to assess CS in Myanmar. The aim of this study was to explore health provider’s perceptions about the feasibility, acceptabili…
‘It depends on who is asking and why they will use it’
The uptake of male condoms remains markedly low in The Democratic Republic of Timor-Leste (Timor-Leste), an island nation in South-East Asia. To understand why, we conducted participatory and operational research about beliefs, understanding and access to male condoms from both a community and healthcare provider perspective. We held 14 participatory group discussions (PGDs) with 175 community participants (84 men, 91 women; aged 18–72) across se…
Using social capital to address youth sexual and reproductive health and rights in disaster preparedness and response
In the Pacific region, youth sexual and reproductive health and rights (SRHR) are strongly influenced by sociocultural and structural factors, which limit access to SRHR information and services for youth. As climate-related disasters intensify in the Pacific, existing challenges to youth SRHR may increase the risk of worse SRHR experiences and outcomes for youth before, during and after disasters. Community-based models of SRHR service provision…
From global recommendations to (in)action
Women greatly value and benefit from the presence of someone they trust to support them throughout labour and childbirth (‘labour companion of choice’). Labour companionship improves maternal and perinatal outcomes, including enhancing physiological labour and birth experiences. Despite clear benefits, implementation is slow. We conducted a scoping review to assess coverage and models of labour companionship, including quantitative studies report…
Implementing the Quali-DEC project in Argentina, Burkina Faso, Thailand and Viet Nam
The project ‘Quality Decision-making by women and providers’ (QUALI-DEC) combines four non-clinical interventions to promote informed decision-making surrounding mode of birth, improve women’s birth experiences, and reduce caesarean sections among low-risk women. QUALI-DEC is currently being implemented in 32 healthcare facilities across Argentina, Burkina Faso, Thailand, and Viet Nam. In this paper, we detail implementation processes and the pla…
Educational interventions targeting pregnant women to optimise the use of caesarean section
We identified four key essential intervention components which can lead to successful interventions targeting women to reduce CS. These four components are 1) group-based delivery, 2) provision of IEC materials, 3) partner or family member involvement, and 4) opportunity for women to interact with health providers. Maternal health services and hospitals aiming to better prepare women for vaginal birth and reduce CS can consider including the iden…
Adolescent experiences of mistreatment during childbirth in health facilities
INTRODUCTION: Pregnancy and childbearing among adolescents-especially younger adolescents-is associated with health complications and lost opportunities for education and personal development. In addition to established challenges adolescents and young women face in sexual and reproductive healthcare, evidence suggests that they also face mistreatment during childbirth. METHODS: This is a secondary analysis of the WHO study 'How women are treated…
Labour companionship and women’s experiences of mistreatment during childbirth
BACKGROUND: Evidence has shown the benefits of labour companions during childbirth. Few studies have documented the relationship between the absence of labour companions and mistreatment of women during childbirth in low-income and middle-income countries using a standardised tool. METHODS: We conducted a secondary analysis of the WHO multi-country study on how women are treated during childbirth, where a cross-sectional community survey was cond…
Development of measures for assessing mistreatment of women during facility-based childbirth based on labour observations
INTRODUCTION: Mistreatment of women during childbirth is increasingly recognised as a significant issue globally. Research and programmatic efforts targeting this phenomenon have been limited by a lack of validated measurement tools. This study aimed to develop a set of concise, valid and reliable multidimensional measures for mistreatment using labour observations applicable across multiple settings. METHODS: Data from continuous labour observat…
Crowdfunding for health research
BACKGROUND: Many low-income and middle-income country (LMIC) researchers have disadvantages when applying for research grants. Crowdfunding may help LMIC researchers to fund their research. Crowdfunding organises large groups of people to make small contributions to support a research study. This manuscript synthesises global qualitative evidence and describes a Special Programme for Research and Training in Tropical Diseases (TDR) crowdfunding p…
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Facilitators and barriers to facility-based delivery in low- and middle-income countries
High-quality obstetric delivery in a health facility reduces maternal and perinatal morbidity and mortality. This systematic review synthesizes qualitative evidence related to the facilitators and barriers to delivering at health facilities in low- and middle-income countries. We aim to provide a useful framework for better understanding how various factors influence the decision-making process and the ultimate location of delivery at a facility …
The Mistreatment of Women during Childbirth in Health Facilities Globally
Community Health Workers’ Provision of Family Planning Services in Low‐ and Middle‐Income Countries
This systematic review evaluates the strength of the evidence that community health workers’ (CHW) provision of family planning (FP) services in low‐ and middle‐income countries is effective. In a search of eight databases, articles were screened by study design and outcome measure and ranked by strength of evidence. Only randomized trials, longitudinal studies with a comparison group, and pre‐test/post‐test studies met inclusion criteria. A tota…
By slapping their laps, the patient will know that you truly care for her ”
Blaming women for mistreatment parallels the intimate partner violence literature, demonstrating how traditional practices and low status of women potentiate gender inequality. These findings can be used to facilitate dialogue in Nigeria by engaging stakeholders to discuss how to challenge these norms and hold providers accountable for their actions. Until women and their families are able to freely condemn poor quality care in facilities and pro…
Continuous support for women during childbirth
defined by trial authors.....
Applying GRADE-Cerqual to qualitative evidence synthesis findings
The GRADE-CERQual ('Confidence in the Evidence from Reviews of Qualitative research') approach provides guidance for assessing how much confidence to place in findings from systematic reviews of qualitative research (or qualitative evidence syntheses). The approach has been developed to support the use of findings from qualitative evidence syntheses in decision-making, including guideline development and policy formulation. Confidence in the evid…
Women's perspectives of mistreatment during childbirth at health facilities in Ghana
Mistreatment of women during childbirth at health facilities violates their human rights and autonomy and may be associated with preventable maternal and newborn mortality and morbidity. In this paper, we explore women's perspectives on mistreatment during facility-based childbirth as part of a bigger World Health Organization (WHO) multi-country study for developing consensus definitions, and validating indicators and tools for measuring the bur…
How women are treated during facility-based childbirth in four countries
BACKGROUND: Women across the world are mistreated during childbirth. We aimed to develop and implement evidence-informed, validated tools to measure mistreatment during childbirth, and report results from a cross-sectional study in four low-income and middle-income countries. METHODS: We prospectively recruited women aged at least 15 years in twelve health facilities (three per country) in Ghana, Guinea, Myanmar, and Nigeria between Sept 19, 2016…
Measuring experiences of facility-based care for pregnant women and newborns
BACKGROUND: Access to high-quality, person-centred care during pregnancy and childbirth is a global priority. Positive experience of care is key in particular, because it is both a fundamental right and can influence health outcomes and future healthcare utilisation. Despite its importance for accountability and action, systematic guidance on measuring experience of care is limited. METHODS: We conducted a scoping review of published literature t…
Trends and sociodemographic inequalities in the use of caesarean section in Indonesia, 1987-2017
INTRODUCTION: Caesarean section (CS) rates are increasing globally. CS can be a live-saving procedure when medically indicated, but it comes with higher risks for women and newborns when done without medical indication. Crucially, inequalities in who receives CS exist, both within and across countries. Understanding factors driving increasing rates and inequalities of CS is imperative to optimise the use of this life-saving intervention. This stu…
Vaginal examinations and mistreatment of women during facility-based childbirth in health facilities
BACKGROUND: Previous research on mistreatment of women during childbirth has focused on physical and verbal abuse, neglect and stigmatisation. However, other manifestations of mistreatment, such as during vaginal examinations, are relatively underexplored. This study explores four types of mistreatment of women during vaginal examinations: (1) non-consented care, (2) sharing of private information, (3) exposure of genitalia and (4) exposure of br…
My father told me ‘child, there is no son in this house, so you should wear these boy clothes’”
This exploratory analysis makes an important contribution to understanding gender roles, identities and bacha posh in Afghanistan, and is the first qualitative study exploring how gender roles and norms in Afghanistan have led to the bacha posh phenomenon. Exploring how social and gender norms and son preferences contribute to the emergency of bacha posh is critical to understand challenges faced by this group, and how these power structures infl…
Qualitative Evidence Syntheses Within Cochrane Effective Practice and Organisation of Care
A growing number of researchers are preparing systematic reviews of qualitative evidence, often referred to as 'qualitative evidence syntheses'. Cochrane published its first qualitative evidence synthesis in 2013 and published 27 such syntheses and protocols by August 2020. Most of these syntheses have explored how people experience or value different health conditions, treatments and outcomes. Several have been used by guideline producers and ot…
Adolescent experiences of mistreatment during childbirth in health facilities
INTRODUCTION: Pregnancy and childbearing among adolescents-especially younger adolescents-is associated with health complications and lost opportunities for education and personal development. In addition to established challenges adolescents and young women face in sexual and reproductive healthcare, evidence suggests that they also face mistreatment during childbirth. METHODS: This is a secondary analysis of the WHO study 'How women are treated…
Labour companionship and women’s experiences of mistreatment during childbirth
BACKGROUND: Evidence has shown the benefits of labour companions during childbirth. Few studies have documented the relationship between the absence of labour companions and mistreatment of women during childbirth in low-income and middle-income countries using a standardised tool. METHODS: We conducted a secondary analysis of the WHO multi-country study on how women are treated during childbirth, where a cross-sectional community survey was cond…
Development of measures for assessing mistreatment of women during facility-based childbirth based on labour observations
INTRODUCTION: Mistreatment of women during childbirth is increasingly recognised as a significant issue globally. Research and programmatic efforts targeting this phenomenon have been limited by a lack of validated measurement tools. This study aimed to develop a set of concise, valid and reliable multidimensional measures for mistreatment using labour observations applicable across multiple settings. METHODS: Data from continuous labour observat…
Crowdfunding for health research
BACKGROUND: Many low-income and middle-income country (LMIC) researchers have disadvantages when applying for research grants. Crowdfunding may help LMIC researchers to fund their research. Crowdfunding organises large groups of people to make small contributions to support a research study. This manuscript synthesises global qualitative evidence and describes a Special Programme for Research and Training in Tropical Diseases (TDR) crowdfunding p…
Community-based doulas for migrant and refugee women
Women’s report of mistreatment during facility-based childbirth
BACKGROUND: Accountability for mistreatment during facility-based childbirth requires valid tools to measure and compare birth experiences. We analyse the WHO 'How women are treated during facility-based childbirth' community survey to test whether items mapping the typology of mistreatment function as scales and to create brief item sets to capture mistreatment by domain. METHODS: The cross-sectional community survey was conducted at up to 8 wee…
Women’s experiences of mistreatment during childbirth and their satisfaction with care
INTRODUCTION: Experiences of care and satisfaction are intrinsically linked, as user's experiences of care may directly impact satisfaction, or indirectly impact user's expectations and values. Both experiences of care and satisfaction are important to measure so that quality can be monitored and improved. Globally, women experience mistreatment during childbirth at facilities; however, there is limited evidence exploring the mistreatment and wom…
A rapid gender impact assessment of Australian university responses to Covid-19
In March 2020, the Australian government introduced a raft of public health initiatives to curb the rising cases of coronavirus disease 2019 (COVID-19) including closing schools and work from home orders. As a group of female academics, we were immediately attuned to the potential of COVID-19 to dilute progress made towards reducing the academic gender gap. This study emerged in response and comprised a rapid gender impact assessment of Australia…
Partnership-defined quality approach to companionship during labour and birth in East New Britain, Papua New Guinea
Companionship during labour and birth is a critical component of quality maternal and newborn care, resulting in improved care experiences and better birth outcomes. Little is known about the preferences and experiences of companionship in Papua New Guinea (PNG), and how it can be implemented in a culturally appropriate way. The aim of this study was to describe perspectives and experiences of women, their partners and health providers regarding …
Strategies to reduce stigma and discrimination in sexual and reproductive healthcare settings
Stigma and discrimination are fundamental causes of health inequities, and reflect privilege, power, and disadvantage within society. Experiences and impacts of stigma and discrimination are well-documented, but a critical gap remains on effective strategies to reduce stigma and discrimination in sexual and reproductive healthcare settings. We aimed to address this gap by conducting a mixed-methods systematic review and narrative synthesis to des…
Cochrane Effective Practice and Organisation of Care (Epoc) Qualitative Evidence Syntheses, Differences From Reviews of Intervention Effectiveness and Implications for Guidance
Systematic reviews of qualitative research (‘qualitative evidence syntheses’) are increasingly popular and represent a potentially important source of information about people’s views, needs and experiences. Since 2013, Cochrane has published qualitative evidence syntheses, and the Cochrane Effective Practice and Organisation of Care group has been involved in the majority of these reviews. But more guidance is needed on how to prepare these revi…
Exploring the identities and experiences of young queer people in Mongolia using visual research methods
There is limited evidence about the lives of queer Mongolian youth. This is despite mental health problems being a pressing concern among young Mongolians, and international evidence suggesting queer youth may experience more mental health challenges than their non-queer peers. We explored the experiences of queer youth in their immediate environments and navigation of their identities in Mongolian society. In this study, twelve young queer-ident…
Medicine (33 works) · Sociology (25 works) · Maternal and Perinatal Health Interventions (23 works) · Nursing (23 works) · Psychology (21 works) · Qualitative research (21 works) · Global Maternal and Child Health (19 works) · Pregnancy (19 works) · Environmental health (18 works) · Political science (18 works)