Determinants of behaviors influencing implementation of maternal and perinatal death surveillance and response in low-and-middle income countries: a systematic review of qualitative studies
Determinants of behaviors influencing implementation of maternal and perinatal death surveillance and response in low-and-middle income countries: a systematic review of qualitative studies
Background: Maternal and Perinatal Death Surveillance and Review (MPDSR) can reduce mortality but its implementation is often suboptimal, especially in low- and middle-income countries (LMICs).
Objectives: to understand the determinants of behaviors influencing implementation of MPDSR in LMICs (through a systematic review of qualitative studies), in order to plan an intervention to improve its implementation.
Search Strategy: terms for maternal or perinatal death reviews and qualitative studies.
Selection Criteria: qualitative studies regarding implementation of MPDSR in LMICs. Data Collection and Analysis: We coded the included studies using the Theoretical Domains Framework and COM-B model of behavior change (Capability, Opportunity, Motivation). We developed guiding principles for interventions to improve implementation of MPDSR.
Main Results: fifty-nine studies met our inclusion criteria. Capabilities required to conduct MPDSR (knowledge and technical/leadership skills) increase cumulatively from community to health facility and leadership levels. Physical and social opportunities depend on adequate data, human and financial resources, and a blame-free environment. All stakeholders were motivated to avoid negative consequences (blame, litigation, disciplinary action).
Conclusions: implementation of MPDSR could be improved by (1) introducing structural changes to reduce negative consequences, (2) strengthening data collection tools and information systems, (3) mobilizing adequate resources, and (4) building capabilities of all stakeholders.
Intervention planning, Maternal and Perinatal Death Surveillance and Review, behavioural factors, implementation, low-and-middle income countries, qualitative, systematic review, intervention planning, maternal and perinatal death surveillance and review (MPDSR), low- and middle-income countries, behavioral factors
Willcox, Merlin
dad5b622-9ac2-417d-9b2e-aad41b64ffea
Ajok Okello, Immaculate
16c689ef-4be1-4489-943b-6feae3bf2831
Maidwell-Smith, Alice
0ecddf8b-0b0c-405c-a30d-66fa512a4c9e
Tura, Abera Kenay
5fdd1db6-2cff-4e91-beb1-06b5f5616e9c
van den Akker, Thomas
197b07b5-7d69-4373-80df-9e917ad5632d
Knight, Marian
f49df80a-60ef-4573-a371-b03d66cf11ed
Dumont, Alexandre
488bf8e9-117f-4705-8779-8104b8e4b997
Muller, Ingrid
2569bf42-51bd-40da-bbfd-dd4dbbd62cad
20 September 2023
Willcox, Merlin
dad5b622-9ac2-417d-9b2e-aad41b64ffea
Ajok Okello, Immaculate
16c689ef-4be1-4489-943b-6feae3bf2831
Maidwell-Smith, Alice
0ecddf8b-0b0c-405c-a30d-66fa512a4c9e
Tura, Abera Kenay
5fdd1db6-2cff-4e91-beb1-06b5f5616e9c
van den Akker, Thomas
197b07b5-7d69-4373-80df-9e917ad5632d
Knight, Marian
f49df80a-60ef-4573-a371-b03d66cf11ed
Dumont, Alexandre
488bf8e9-117f-4705-8779-8104b8e4b997
Muller, Ingrid
2569bf42-51bd-40da-bbfd-dd4dbbd62cad
Willcox, Merlin, Ajok Okello, Immaculate, Maidwell-Smith, Alice, Tura, Abera Kenay, van den Akker, Thomas, Knight, Marian, Dumont, Alexandre and Muller, Ingrid
(2023)
Determinants of behaviors influencing implementation of maternal and perinatal death surveillance and response in low-and-middle income countries: a systematic review of qualitative studies.
International Journal of Gynecology & Obstetrics.
(doi:10.1002/ijgo.15132).
Abstract
Background: Maternal and Perinatal Death Surveillance and Review (MPDSR) can reduce mortality but its implementation is often suboptimal, especially in low- and middle-income countries (LMICs).
Objectives: to understand the determinants of behaviors influencing implementation of MPDSR in LMICs (through a systematic review of qualitative studies), in order to plan an intervention to improve its implementation.
Search Strategy: terms for maternal or perinatal death reviews and qualitative studies.
Selection Criteria: qualitative studies regarding implementation of MPDSR in LMICs. Data Collection and Analysis: We coded the included studies using the Theoretical Domains Framework and COM-B model of behavior change (Capability, Opportunity, Motivation). We developed guiding principles for interventions to improve implementation of MPDSR.
Main Results: fifty-nine studies met our inclusion criteria. Capabilities required to conduct MPDSR (knowledge and technical/leadership skills) increase cumulatively from community to health facility and leadership levels. Physical and social opportunities depend on adequate data, human and financial resources, and a blame-free environment. All stakeholders were motivated to avoid negative consequences (blame, litigation, disciplinary action).
Conclusions: implementation of MPDSR could be improved by (1) introducing structural changes to reduce negative consequences, (2) strengthening data collection tools and information systems, (3) mobilizing adequate resources, and (4) building capabilities of all stakeholders.
Text
MPDSR_paper2_v1.3
- Accepted Manuscript
Text
Intl J Gynecology Obste - 2023 - Willcox
- Version of Record
More information
Accepted/In Press date: 1 September 2023
Published date: 20 September 2023
Additional Information:
Funding Information:
We would like to thank Ms Nia Roberts (Bodleian Healthcare Libraries, University of Oxford) for her assistance with the literature searches. MW's salary is partly funded by the National Institute for Health Research (NIHR 302412). There was no specific funding for this review.
Publisher Copyright:
© 2023 The Authors. International Journal of Gynecology & Obstetrics published by John Wiley & Sons Ltd on behalf of International Federation of Gynecology and Obstetrics.
Keywords:
Intervention planning, Maternal and Perinatal Death Surveillance and Review, behavioural factors, implementation, low-and-middle income countries, qualitative, systematic review, intervention planning, maternal and perinatal death surveillance and review (MPDSR), low- and middle-income countries, behavioral factors
Identifiers
Local EPrints ID: 482399
URI: http://eprints.soton.ac.uk/id/eprint/482399
ISSN: 1879-3479
PURE UUID: 46473fb3-eba7-41fb-bded-bd4bed410ca8
Catalogue record
Date deposited: 02 Oct 2023 16:39
Last modified: 18 Mar 2024 04:10
Export record
Altmetrics
Contributors
Author:
Immaculate Ajok Okello
Author:
Alice Maidwell-Smith
Author:
Abera Kenay Tura
Author:
Thomas van den Akker
Author:
Marian Knight
Author:
Alexandre Dumont
Download statistics
Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.
View more statistics