The need for innovation and implementation research for maternal and newborn health

Depoortere, Evelyn; Matthews, Zoë; Nove, Andrea; Hanrahan, Finnian; Kerstiëns, Barbara; Matthiessen, Line; Temmerman, Marleen; Draghia-Akli, Ruxandra

doi:10.1016/s0140-6736(16)31662-2

Cited by 4 publications

(3 citation statements)

References 2 publications

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“…15 HIV/AIDS and MNCH programs need innovative, adaptable, cost-effective solutions to realize the ambitious target of the UNAIDS Fast-Track Strategy and the UN Global Strategy for Women's, Children's and Adolescent's Health (2016–2030). 1,16 WHO fully recognizes the value and importance of IR to provide insights and options that will inform future global policy and recommendations.…”

Section: Discussionmentioning

confidence: 99%

“…The need for relevant, rigorous, and generalizable evidence from IR has never been greater to complement that which has been learned from programs over the last decade, and to see these findings incorporated. 15 HIV/AIDS and MNCH programs need innovative, adaptable, cost-effective solutions to realize the ambitious target of the UNAIDS Fast-Track Strategy and the UN Global Strategy for Women's, Children's and Adolescent's Health (2016–2030). 1 , 16 WHO fully recognizes the value and importance of IR to provide insights and options that will inform future global policy and recommendations.…”

Section: Discussionmentioning

confidence: 99%

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Improving Retention in Care Among Pregnant Women and Mothers Living With HIV: Lessons From INSPIRE and Implications for Future WHO Guidance and Monitoring

Rollins

Essajee

Bellare

et al. 2017

JAIDS Journal of Acquired Immune Deficiency Syndromes

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Identifying women living with HIV, initiating them on lifelong antiretroviral treatment (ART), and retaining them in care are among the important challenges facing this generation of health care managers and public health researchers. Implementation research attempts to solve a wide range of implementation problems by trying to understand and work within real-world conditions to find solutions that have a measureable impact on the outcomes of interest. Implementation research is distinct from clinical research in many ways yet demands similar standards of conceptual thinking and discipline to generate robust evidence that can be, to some extent, generalized to inform policy and service delivery. In 2011, the World Health Organization (WHO), with funding from Global Affairs Canada, began support to 6 implementation research projects in Malawi, Nigeria, and Zimbabwe. All focused on evaluating approaches for improving rates of retention in care among pregnant women and mothers living with HIV and ensuring their continuation of ART. This reflected the priority given by ministries of health, program implementers, and researchers in each country to the importance of women living with HIV returning to health facilities for routine care, adherence to ART, and improved health outcomes. Five of the studies were cluster randomized controlled trials, and 1 adopted a matched cohort design. Here, we summarize some of the main findings and key lessons learned. We also consider some of the broader implications, remaining knowledge gaps, and how implementation research is integral to, and essential for, global guideline development and to inform HIV/AIDS strategies.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Improving Retention in Care Among Pregnant Women and Mothers Living With HIV: Lessons From INSPIRE and Implications for Future WHO Guidance and Monitoring

Rollins

Essajee

Bellare

et al. 2017

JAIDS Journal of Acquired Immune Deficiency Syndromes

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“…The involvement of end users, and particularly the political will within system hierarchies in identifying problems and solutions provides vital insights and increases the likelihood that they will be relevant and appropriate for large‐scale implementation . Policymakers’ involvement should be part of the assessment criteria of any research proposal and policy‐level implementation should be considered in the dissemination of research findings …”

Section: Discussionmentioning

confidence: 99%

Asking different questions: A call to action for research to improve the quality of care for every woman, every child

Kennedy

Cheyney

Dahlen

et al. 2018

Birth

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Despite decades of considerable economic investment in improving the health of families and newborns world-wide, aspirations for maternal and newborn health have yet to be attained in many regions. The global turn toward recognizing the importance of positive experiences of pregnancy, intrapartum and postnatal care, and care in the first weeks of life, while continuing to work to minimize adverse outcomes, signals a critical change in the maternal and newborn health care conversation and research prioritization. This paper presents "different research questions" drawing on evidence presented in the 2014 Lancet Series on Midwifery and a research prioritization study conducted with the World Health Organization. The results indicated that future research investment in maternal and newborn health should be on "right care," which is quality care that is tailored to individuals, weighs benefits and harms, is person-centered, works across the whole continuum of care, advances equity, and is informed by evidence, including cost-effectiveness. Three inter-related research themes were identified: examination and implementation of models of care that enhance both well-being and safety; investigating and optimizing physiological, psychological, and social processes in pregnancy, childbirth, and the postnatal period; and development and validation of outcome measures that capture short and longer term well-being. New, transformative research approaches should account for the underlying social and political-economic mechanisms that enhance or constrain the well-being of women, newborns, families, and societies. Investment in research capacity and capability building across all settings is critical, but especially in those countries that bear the greatest burden of poor outcomes. We believe this call to action for investment in the three research priorities identified in this paper has the potential to achieve these benefits and to realize the ambitions of Sustainable Development Goal Three of good health and well-being for all.

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Global Perinatal Nursing Research

Callister¹,

Corbett²

2017

Journal of Perinatal &Amp; Neonatal Nursing

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The need for innovation and implementation research for maternal and newborn health

Cited by 4 publications

References 2 publications

Improving Retention in Care Among Pregnant Women and Mothers Living With HIV: Lessons From INSPIRE and Implications for Future WHO Guidance and Monitoring

Improving Retention in Care Among Pregnant Women and Mothers Living With HIV: Lessons From INSPIRE and Implications for Future WHO Guidance and Monitoring

Asking different questions: A call to action for research to improve the quality of care for every woman, every child

Global Perinatal Nursing Research

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