Ana Manzano
Dados Biográficos
| ID | 1728323 |
|---|---|
| NOME | Ana Manzano |
| PRENOMES | Ana |
| SOBRENOME | Manzano |
| ASSINATURA | MANZANO A |
| AFILIAÇÕES | University of Leeds |
| ORCID | 0000-0001-6277-3752 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 19 |
| TOTAL DE CITAÇÕES | 187 |
| TOTAL COMO AUTOR | 19 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2011 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2025 |
| ÍNDICE H | 5 |
Conceptualizing maternal mental health in rural Ghana
In low- and middle-income countries, maternal mental health needs remain neglected, and common mental disorders during pregnancy and after birth are routinely associated with hormonal changes. The psycho-social and spiritual components of childbirth are often downplayed. A qualitative study was conducted as part of a wider realist evaluation on health systems responsiveness to examine the interrelationships between pregnant and postnatal women, t…
Realist Evaluation
Mental health stigma and health-seeking behaviors amongst pregnant women in Vietnam
Addressing mental health-related stigma could influence the decision of disclosure and health-seeking behaviors, which could in turn improve responsiveness of the local health system to the needs of pregnant women with mental health needs, by offering prompt attention, a wide range of choices, and improved communication. Potential interventions to decrease stigma and improve access to mental healthcare for pregnant women in Vietnam should target …
Understanding the barriers to integrating maternal and mental health at primary health care in Vietnam
The prevalence of common perinatal mental disorders in Vietnam ranges from 16.9% to 39.9%, and substantial treatment gaps have been identified at all levels. This paper explores constraints to the integration of maternal and mental health services at the primary healthcare level and the implications for the health system’s responsiveness to the needs and expectations of pregnant women with mental health conditions in Vietnam. As part of the RESPO…
Relationship between thyroid-stimulating hormone, BDNF levels, and hippocampal volume in antipsychotic-naïve first-episode psychosis patients
These results suggest that thyroid hormones could have a neuroprotective effect on the hippocampus in FEP patients, possibly through their effect by increasing BDNF concentrations, which could attenuate brain injury and neuroinflammation. Nevertheless, thyroid hormones could also affect hippocampal volume through other pathways
Conducting focus groups in realist evaluation
Focus groups are valuable tools for evaluators to help stakeholders to clarify programme theories. In 1987, R.K. Merton, often attributed with the birth of focus groups, wrote about how these were 'being mercilessly misused'. In the 1940s, his team had conceived focus groups as tools for developing middle-range theory, but through their astonishing success focus groups have metamorphosed and are often an 'unchallenged' choice in many evaluation a…
Role of trust in sustaining provision and uptake of maternal and child healthcare
Despite increasing attention to implementation research in global health, evidence from low- and middle-income countries (LMICs) using realist evaluations, in understanding how complex health programmes work remains limited. This paper contributes to bridging this knowledge gap by reporting how, why and in what circumstances, the implementation and subsequent termination of a maternal and child health programme affected the trust of service users…
Influence of Conditional Cash Transfers on the Uptake of Maternal and Child Health Services in Nigeria
Background: Increasing access to maternal and child health (MCH) services is crucial to achieving universal health coverage (UHC) among pregnant women and children under-five (CU5). The Nigerian government between 2012 and 2015 implemented an innovative MCH programme to reduce maternal and CU5 mortality by reducing financial barriers of access to essential health services. The study explores how the implementation of a financial incentive through…
Understanding ‘context’ in realist evaluation and synthesis
Context is a key concept in developing realist causal explanations but its conceptualisation has received comparatively less attention. We conducted a review to explore how context is conceptualised within realist reviews and evaluations. We purposively selected 40 studies to examine: How is context defined? And how is context operationalised in the findings? We identified two key ‘narratives’ in the way context was conceptualised: 1) Context as …
Which mechanisms explain the motivation of primary health workers? Insights from the realist evaluation of a maternal and child health programme in Nigeria
INTRODUCTION: Well-trained, adequately skilled and motivated primary healthcare (PHC) workers are essential for attaining universal health coverage (UHC). While there is abundant literature on the drivers of workforce motivation, published knowledge on the mechanisms of motivation within different contexts is limited, particularly in resource-limited countries. This paper contributes to health workforce literature by reporting on how motivation w…
Tracing theories in realist evaluations of large-scale health programmes in low- and middle-income countries
Realist evaluations (RE) are increasingly popular in assessing health programmes in low- and middle-income countries (LMICs). This article reflects on processes of gleaning, developing, testing, consolidating and refining two programme theories (PTs) from a longitudinal mixed-methods RE of a national maternal and child health programme in Nigeria. The two PTs, facility security and patient–provider trust, represent complex and diverse issues: tru…
Doing Realist Research
History and Cultural Diversity
This chapter will discuss different ways gender has been understood historically, and across different cultures. Historical data is reviewed using the case study approach. Identity categories are analysed, illustrating how relatively recently gender was not commonly or instinctively binarised. Pre-dating contemporary language, variation in gender expression (sometimes related to sexuality) is explored through examples of English Mollies, Italian …
Rameses II reporting standards for realist evaluations
BACKGROUND: Realist evaluation is increasingly used in health services and other fields of research and evaluation. No previous standards exist for reporting realist evaluations. This standard was developed as part of the RAMESES II project. The project's aim is to produce initial reporting standards for realist evaluations. METHODS: We purposively recruited a maximum variety sample of an international group of experts in realist evaluation to ou…
The craft of interviewing in realist evaluation
Pawson and Tilley suggest a unique strategy for conducting qualitative interviews within realist evaluation studies. Theories are placed before the interviewee for them to comment on with a view to providing refinement. The subject matter of the interview is the researcher's theory and interviewees confirm, falsify, and refine this theory. This relationship - described as a teacher-learner cycle - is integral to realist evaluations. This article …
Exploring complex causal pathways between urban renewal, health and health inequality using a theory-driven realist approach
Social Policies and Social Control
Drawing on a wide array of policy domains and events, this book provides an innovative account of social control and behaviourism within welfare systems and social policies, and the implications for disadvantaged groups. This accessible collection reviews the controls, assumptions and persuasions applied to individuals and households and explores broader themes, including how 'new behaviourism' was consolidated during the New Labour and Cameron p…
A realist diagnostic workshop
The realist approach can now be said to be part of the repertoire of evaluation methods. There has been a corresponding shift in methodological focus. Polemical thrust and counter-thrust about the realist contribution as compared to that of other evaluative approaches such as randomized trials and meta-analysis has given way to closer examination of its practice ‘on the ground’. This article seeks to make a contribution to the literature on how t…
A realistic evaluation of fines for hospital discharges
Programmes and policies transform over time and locations. Evaluation projects can apprehend only temporal and contextualized sections of the social world. This article uses a realist evaluation of financial incentives in English hospital discharge policy to illustrate how previous evaluations of the same programme theory were inspected for evidence to construct context, mechanisms and outcomes. Following the discharges of a reduced number of pat…
The craft of interviewing in realist evaluation
Pawson and Tilley suggest a unique strategy for conducting qualitative interviews within realist evaluation studies. Theories are placed before the interviewee for them to comment on with a view to providing refinement. The subject matter of the interview is the researcher's theory and interviewees confirm, falsify, and refine this theory. This relationship - described as a teacher-learner cycle - is integral to realist evaluations. This article …
A realist diagnostic workshop
The realist approach can now be said to be part of the repertoire of evaluation methods. There has been a corresponding shift in methodological focus. Polemical thrust and counter-thrust about the realist contribution as compared to that of other evaluative approaches such as randomized trials and meta-analysis has given way to closer examination of its practice ‘on the ground’. This article seeks to make a contribution to the literature on how t…
Exploring complex causal pathways between urban renewal, health and health inequality using a theory-driven realist approach
Understanding ‘context’ in realist evaluation and synthesis
Context is a key concept in developing realist causal explanations but its conceptualisation has received comparatively less attention. We conducted a review to explore how context is conceptualised within realist reviews and evaluations. We purposively selected 40 studies to examine: How is context defined? And how is context operationalised in the findings? We identified two key ‘narratives’ in the way context was conceptualised: 1) Context as …
Conducting focus groups in realist evaluation
Focus groups are valuable tools for evaluators to help stakeholders to clarify programme theories. In 1987, R.K. Merton, often attributed with the birth of focus groups, wrote about how these were 'being mercilessly misused'. In the 1940s, his team had conceived focus groups as tools for developing middle-range theory, but through their astonishing success focus groups have metamorphosed and are often an 'unchallenged' choice in many evaluation a…
Role of trust in sustaining provision and uptake of maternal and child healthcare
Despite increasing attention to implementation research in global health, evidence from low- and middle-income countries (LMICs) using realist evaluations, in understanding how complex health programmes work remains limited. This paper contributes to bridging this knowledge gap by reporting how, why and in what circumstances, the implementation and subsequent termination of a maternal and child health programme affected the trust of service users…
A realistic evaluation of fines for hospital discharges
Programmes and policies transform over time and locations. Evaluation projects can apprehend only temporal and contextualized sections of the social world. This article uses a realist evaluation of financial incentives in English hospital discharge policy to illustrate how previous evaluations of the same programme theory were inspected for evidence to construct context, mechanisms and outcomes. Following the discharges of a reduced number of pat…
Tracing theories in realist evaluations of large-scale health programmes in low- and middle-income countries
Realist evaluations (RE) are increasingly popular in assessing health programmes in low- and middle-income countries (LMICs). This article reflects on processes of gleaning, developing, testing, consolidating and refining two programme theories (PTs) from a longitudinal mixed-methods RE of a national maternal and child health programme in Nigeria. The two PTs, facility security and patient–provider trust, represent complex and diverse issues: tru…
A realistic evaluation of fines for hospital discharges
Programmes and policies transform over time and locations. Evaluation projects can apprehend only temporal and contextualized sections of the social world. This article uses a realist evaluation of financial incentives in English hospital discharge policy to illustrate how previous evaluations of the same programme theory were inspected for evidence to construct context, mechanisms and outcomes. Following the discharges of a reduced number of pat…
A realist diagnostic workshop
The realist approach can now be said to be part of the repertoire of evaluation methods. There has been a corresponding shift in methodological focus. Polemical thrust and counter-thrust about the realist contribution as compared to that of other evaluative approaches such as randomized trials and meta-analysis has given way to closer examination of its practice ‘on the ground’. This article seeks to make a contribution to the literature on how t…
Social Policies and Social Control
Drawing on a wide array of policy domains and events, this book provides an innovative account of social control and behaviourism within welfare systems and social policies, and the implications for disadvantaged groups. This accessible collection reviews the controls, assumptions and persuasions applied to individuals and households and explores broader themes, including how 'new behaviourism' was consolidated during the New Labour and Cameron p…
Exploring complex causal pathways between urban renewal, health and health inequality using a theory-driven realist approach
Rameses II reporting standards for realist evaluations
BACKGROUND: Realist evaluation is increasingly used in health services and other fields of research and evaluation. No previous standards exist for reporting realist evaluations. This standard was developed as part of the RAMESES II project. The project's aim is to produce initial reporting standards for realist evaluations. METHODS: We purposively recruited a maximum variety sample of an international group of experts in realist evaluation to ou…
The craft of interviewing in realist evaluation
Pawson and Tilley suggest a unique strategy for conducting qualitative interviews within realist evaluation studies. Theories are placed before the interviewee for them to comment on with a view to providing refinement. The subject matter of the interview is the researcher's theory and interviewees confirm, falsify, and refine this theory. This relationship - described as a teacher-learner cycle - is integral to realist evaluations. This article …
History and Cultural Diversity
This chapter will discuss different ways gender has been understood historically, and across different cultures. Historical data is reviewed using the case study approach. Identity categories are analysed, illustrating how relatively recently gender was not commonly or instinctively binarised. Pre-dating contemporary language, variation in gender expression (sometimes related to sexuality) is explored through examples of English Mollies, Italian …
Doing Realist Research
Which mechanisms explain the motivation of primary health workers? Insights from the realist evaluation of a maternal and child health programme in Nigeria
INTRODUCTION: Well-trained, adequately skilled and motivated primary healthcare (PHC) workers are essential for attaining universal health coverage (UHC). While there is abundant literature on the drivers of workforce motivation, published knowledge on the mechanisms of motivation within different contexts is limited, particularly in resource-limited countries. This paper contributes to health workforce literature by reporting on how motivation w…
Tracing theories in realist evaluations of large-scale health programmes in low- and middle-income countries
Realist evaluations (RE) are increasingly popular in assessing health programmes in low- and middle-income countries (LMICs). This article reflects on processes of gleaning, developing, testing, consolidating and refining two programme theories (PTs) from a longitudinal mixed-methods RE of a national maternal and child health programme in Nigeria. The two PTs, facility security and patient–provider trust, represent complex and diverse issues: tru…
Influence of Conditional Cash Transfers on the Uptake of Maternal and Child Health Services in Nigeria
Background: Increasing access to maternal and child health (MCH) services is crucial to achieving universal health coverage (UHC) among pregnant women and children under-five (CU5). The Nigerian government between 2012 and 2015 implemented an innovative MCH programme to reduce maternal and CU5 mortality by reducing financial barriers of access to essential health services. The study explores how the implementation of a financial incentive through…
Understanding ‘context’ in realist evaluation and synthesis
Context is a key concept in developing realist causal explanations but its conceptualisation has received comparatively less attention. We conducted a review to explore how context is conceptualised within realist reviews and evaluations. We purposively selected 40 studies to examine: How is context defined? And how is context operationalised in the findings? We identified two key ‘narratives’ in the way context was conceptualised: 1) Context as …
Conducting focus groups in realist evaluation
Focus groups are valuable tools for evaluators to help stakeholders to clarify programme theories. In 1987, R.K. Merton, often attributed with the birth of focus groups, wrote about how these were 'being mercilessly misused'. In the 1940s, his team had conceived focus groups as tools for developing middle-range theory, but through their astonishing success focus groups have metamorphosed and are often an 'unchallenged' choice in many evaluation a…
Role of trust in sustaining provision and uptake of maternal and child healthcare
Despite increasing attention to implementation research in global health, evidence from low- and middle-income countries (LMICs) using realist evaluations, in understanding how complex health programmes work remains limited. This paper contributes to bridging this knowledge gap by reporting how, why and in what circumstances, the implementation and subsequent termination of a maternal and child health programme affected the trust of service users…
Relationship between thyroid-stimulating hormone, BDNF levels, and hippocampal volume in antipsychotic-naïve first-episode psychosis patients
These results suggest that thyroid hormones could have a neuroprotective effect on the hippocampus in FEP patients, possibly through their effect by increasing BDNF concentrations, which could attenuate brain injury and neuroinflammation. Nevertheless, thyroid hormones could also affect hippocampal volume through other pathways
Realist Evaluation
Mental health stigma and health-seeking behaviors amongst pregnant women in Vietnam
Addressing mental health-related stigma could influence the decision of disclosure and health-seeking behaviors, which could in turn improve responsiveness of the local health system to the needs of pregnant women with mental health needs, by offering prompt attention, a wide range of choices, and improved communication. Potential interventions to decrease stigma and improve access to mental healthcare for pregnant women in Vietnam should target …
Understanding the barriers to integrating maternal and mental health at primary health care in Vietnam
The prevalence of common perinatal mental disorders in Vietnam ranges from 16.9% to 39.9%, and substantial treatment gaps have been identified at all levels. This paper explores constraints to the integration of maternal and mental health services at the primary healthcare level and the implications for the health system’s responsiveness to the needs and expectations of pregnant women with mental health conditions in Vietnam. As part of the RESPO…
Conceptualizing maternal mental health in rural Ghana
In low- and middle-income countries, maternal mental health needs remain neglected, and common mental disorders during pregnancy and after birth are routinely associated with hormonal changes. The psycho-social and spiritual components of childbirth are often downplayed. A qualitative study was conducted as part of a wider realist evaluation on health systems responsiveness to examine the interrelationships between pregnant and postnatal women, t…
Sociology (10 obras) · Psychology (9 obras) · Medicine (8 obras) · Political science (8 obras) · Global Maternal and Child Health (7 obras) · Economic growth (6 obras) · Economics (6 obras) · Evaluation and Performance Assessment (6 obras) · Nursing (5 obras) · Business (4 obras)