Inclusive, supportive and dignified maternity care (SDMC)-Development and feasibility assessment of an intervention package for public health systems: A study protocol.
Inclusive, supportive and dignified maternity care (SDMC)-Development and feasibility assessment of an intervention package for public health systems: A study protocol.
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DOI：
10.1371/journal.pone.0263635
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发表时间：
2022
期刊：
影响因子：
3.7
通讯作者：
Siddiqi S
中科院分区：
文献类型：
--
作者：
Avan BI;Hameed W;Khan B;Asim M;Saleem S;Siddiqi S
在低收入和中等收入国家，在卫生机构分娩期间受到虐待、歧视和心理社会支持不足的情况很常见。尽管有世界卫生组织(世卫组织)的政策指示，但没有业务模式能够有效地证明将这些指导方针纳入以设施为基础的常规产科服务。这项早期实施研究旨在开发、实施和测试服务提供战略的可行性，以在公共卫生设施中促进支持性和有尊严的产妇保健(SDMC)文化。在以人为本的设计方法指导下，本研究的实施将分为两个阶段：制定干预措施，以及实施和检验可行性。服务交付干预将与相关利益攸关方共同创建，并由通过形成性研究产生的背景证据提供信息。它将包括妇产队的能力建设，以及改善公共卫生设施内的治理和问责机制。技术内容将主要基于世卫组织的产中护理指南和精神健康差距行动计划(MhGAP)材料。可行性评估将采用混合方法、事前设计。干预措施将在巴基斯坦信德省南部两个区的六个二级医疗机构实施。将在实施干预措施之前、期间和之后收集来自多个来源的数据。我们将评估干预的覆盖面、面临的挑战以及产科团队对SDMC的理解和态度的变化。此外，妇女的生育经历和心理--社会福利--将有助于干预的成功。这项实施研究的证据将加强对围绕SDMC的卫生系统挑战和机遇的了解。这项研究的一个关键成果将是SDMC提供一揽子服务，其中包括一个全面的培训包(关于包容性、支持性和有尊严的产妇保健)和一项经过实地测试的战略，以确保在常规的、以设施为基础的产妇保健中执行建议的做法。SDMC包在不同环境下的适应、实施和评估将是前进的方向。该研究已在Clinicaltrials.gov注册(注册号：NCT05146518)。
Mistreatment, discrimination, and poor psycho-social support during childbirth at health facilities are common in lower- and middle-income countries. Despite a policy directive from the World Health Organisation (WHO), no operational model exists that effectively demonstrates incorporation of these guidelines in routine facility-based maternity services. This early-phase implementation research aims to develop, implement, and test the feasibility of a service-delivery strategy to promote the culture of supportive and dignified maternity care (SDMC) at public health facilities. Guided by human-centred design approach, the implementation of this study will be divided into two phases: development of intervention, and implementing and testing feasibility. The service-delivery intervention will be co-created along with relevant stakeholders and informed by contextual evidence that is generated through formative research. It will include capacity-building of maternity teams, and the improvement of governance and accountability mechanisms within public health facilities. The technical content will be primarily based on WHO’s intrapartum care guidelines and mental health Gap Action Programme (mhGAP) materials. A mixed-method, pre-post design will be used for feasibility assessment. The intervention will be implemented at six secondary-level healthcare facilities in two districts of southern Sindh, Pakistan. Data from multiple sources will be collected before, during and after the implementation of the intervention. We will assess the coverage of the intervention, challenges faced, and changes in maternity teams’ understanding and attitude towards SDMC. Additionally, women’s maternity experiences and psycho-social well-being—will inform the success of the intervention. Evidence from this implementation research will enhance understanding of health systems challenges and opportunities around SDMC. A key output from this research will be the SDMC service-delivery package, comprising a comprehensive training package (on inclusive, supportive and dignified maternity care) and a field tested strategy to ensure implementation of recommended practices in routine, facility-based maternity care. Adaptation, Implementation and evaluation of SDMC package in diverse setting will be way forward. The study has been registered with clinicaltrials.gov (Registration number: NCT05146518).
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DOI：
10.1186/1748-5908-6-42
发表时间：
2011-04-23
期刊：
Implementation science : IS
影响因子：
--
作者：
Michie S;van Stralen MM;West R
通讯作者：
West R
影响因子：
2.5
作者：
Soet, JE;Brack, GA;Dilorio, C
通讯作者：
Dilorio, C
影响因子：
105.7
作者：
Mirza, I;Jenkins, R
通讯作者：
Jenkins, R
影响因子：
3.7
作者：
Hameed, Waqas;Avan, Bilal Iqbal
通讯作者：
Avan, Bilal Iqbal
DOI：
10.1016/j.ejogrb.2011.02.025
发表时间：
2011-08-01
影响因子：
2.6
作者：
Swahnberg, Katarina;Wijma, Barbro;Siwe, Karin
通讯作者：
Siwe, Karin