Measuring maternal improvement through multi-stakeholder engagement
Documenting developments in the dynamic programmatic context of the global Covid-19 pandemic through outcome harvesting
Bibliographic Data
| ID | 19552602 |
|---|---|
| Authors | Jewel Gausman (0000-0002-9880-2591, Health Center, corresponding author), Ana Langer (0000-0002-2979-2844, Health Center), R Rima Jolivet (0000-0002-1440-4722, Health Center) |
| Year | 2023 |
| Volume | 13 |
| Pages | 06016-06016 |
| Publication date | 2023-06-09 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Journal of Global Health (JOURNAL) |
| Journal identifiers | ISSN: 2047-2978 • E-ISSN: 2047-2986 |
| Publisher | International Society of Global Health (PUBLISHER • GB) |
| DOI | 10.7189/jogh.13.06016 |
| PMID | 37291894 |
| OpenAlex | W4379967653 |
| Language | EN |
| References cited | 10 |
Background: To bolster country efforts towards meeting the targets and strategies laid out in WHO's report "Strategies toward ending preventable maternal mortality" (EPMM), a series of seven consultations, known as National Dialogues, were conducted to better understand national priority areas for the improvement of maternal health and to support the adoption and use of EPMM indicators at the national level. The last Dialogue was conducted in March 2020, as the COVID-19 pandemic was beginning to have global impacts. We aimed to explore the circumstantial challenges and opportunities that countries have encountered in meeting the specific stakeholder commitments made in each country by National Dialogue participants during the COVID-19 pandemic. Methods: We based our study methodology on outcome harvesting, a qualitative approach that examines how incremental change contributes towards achieving a specified outcome. It collects evidence on what has changed and then works backwards to determine whether and how a programme or intervention led to the observed changes. We collected data from 20 participants in five countries (Bangladesh, India, Mexico, Nigeria, and Pakistan) through key informant interviews and focus group discussions. We analysed the data through inductive coding focused on emergent themes. Results: The onset of the global COVID pandemic overturned plans and upended health systems, bringing new opportunities in some countries and halting progress towards the agenda outlined in the National Dialogue elsewhere. Participants identified adaptations that facilitated continued progress, such as shifting the locus of advocacy and activity from national to sub-national focal areas, catalytic changes in response to the crisis (including the development and improvement of digital communication and data technology), and increased awareness of the importance of identified priorities (including a human rights approach to maternal health). Conclusions: Our data suggest that the priorities for maternal health system performance to drive improvement toward ending preventable maternal deaths and the advocacy commitments designed to increase the relevance of upstream policy and health system-level determinants of maternal health and survival have retained their urgency during the COVID-19 pandemic
Business · Economic growth · Economics · Focus group · Geography · Global health · Health care · Pandemic · Political science · Public relations · Stakeholder · Stakeholder engagement · COVID-19 Impact on Reproduction · Global Maternal and Child Health · Medicine · Viral Infections and Outbreaks Research
Global causes of maternal death
Sex and Gender Disparities in the Covid-19 Pandemic
Disruptions in maternal health service use during the Covid-19 pandemic in 2020
Setting the Agenda for Reproductive and Maternal Health in the Era of Covid-19
Access to Maternal Health Services During the Covid-19 Pandemic
Three Approaches to Qualitative Content Analysis
| Highly cited | No |
|---|