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Zooming in and out

A holistic framework for research on maternal, late foetal and newborn survival and health

Dados Bibliográficos

ID16763063
AutoresNeha Singh (0000-0003-0057-121X, London School of Hygiene and Tropical Medicine , Keppel Street, London WC1E 7HT, UK, autor correspondente), Andrea Katryn Blanchard (0000-0002-5118-8942, University of Manitoba), Hannah Blencowe (0000-0003-1556-3159, London School of Hygiene and Tropical Medicine , Keppel Street, London WC1E 7HT, UK), Adam D Koon (0000-0002-9031-9810, Department of International Health, Johns Hopkins Bloomberg School of Public Health, 615 North Wolfe Street , Baltimore, MD 21205, USA), Ties Boerma (0000-0002-8489-4499, University of Manitoba), Sudha Sharma (0000-0003-2765-2482, CIWEC Hospital and Travel Medical Center , G.P.O. Box 12895, Kapurdhara Marg, Kathmandu 44600, Nepal), Oona M R Campbell (0000-0002-9311-0115, London School of Hygiene and Tropical Medicine , Keppel Street, London WC1E 7HT, UK)
Ano2022
Volume37
Fascículo5
Páginas565-574
Data de publicação2022-05-12
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoHealth Policy and Planning (JOURNAL)
Identificadores do periódicoISSN: 0268-1080 • E-ISSN: 1460-2237
EditoraOxford University Press (PUBLISHER • GB)
DOI10.1093/heapol/czab148
PMID34888635
OpenAlexW4200488490
IdiomaEN
Citações recebidas8
Referências citadas48

Research is needed to understand why some countries succeed in greater improvements in maternal, late foetal and newborn health (MNH) and reducing mortality than others. Pathways towards these health outcomes operate at many levels, making it difficult to understand which factors contribute most to these health improvements. Conceptual frameworks provide a cognitive means of rendering order to these factors and how they interrelate to positively influence MNH. We developed a conceptual framework by integrating theories and frameworks from different disciplines to encapsulate the range of factors that explain reductions in maternal, late foetal and neonatal mortality and improvements in health. We developed our framework iteratively, combining our interdisciplinary research team’s knowledge, experience and review of the literature. We present a framework that includes health policy and system levers (or intentional actions that policy-makers can implement) to improve MNH; service delivery and coverage of interventions across the continuum of care; and epidemiological and behavioural risk factors. The framework also considers the role of context in influencing for whom and where health and non-health efforts have the most impact, to recognize ‘the causes of the causes’ at play at the individual/household, community, national and transnational levels. Our framework holistically reflects the range of interrelated factors influencing improved MNH and survival. The framework lends itself to studying how different factors work together to influence these outcomes using an array of methods. Such research should inform future efforts to improve MNH and survival in different contexts. By re-orienting research in this way, we hope to equip policy-makers and practitioners alike with the insight necessary to make the world a safer and fairer place for mothers and their babies

Child survival · Environmental health · Health services · Holistic health · Maternal health · MEDLINE · Political science · Population · Survivorship curve · Birth, Development, and Health · Child Nutrition and Water Access · Global Maternal and Child Health · Medicine · Nursing

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Obras citantes distintas8
Citações por ano4
Intervalo de citações2024 - 2024 (1)
Velocidade de citaçãorecent
Altamente citadoNão
Tipos de citaçãoNeutras: 8
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