Addressing perinatal health inequities in Dutch municipalities: Protocol for the Healthy Pregnancy 4 All-3 programme

Barsties, Lisa S.; Daalderop, Leonie A; Lagendijk, Jacqueline; Steenbergen, Frank van; Been, Jasper V; Bertens, Loes C. M.; Waelput, Adja J M; Zoest, Hanneke van; Loorbach, Derk; Steegers, Eric A.P.

doi:10.1016/j.healthpol.2020.12.013

Cited by 5 publications

(10 citation statements)

References 29 publications

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Section: Methodsmentioning

confidence: 99%

“…The Healthy Pregnancy 4 All-3 study (HP4All-3) (2018-2021) [40] has been conducted by researchers of the Erasmus MC and the Dutch Research Institute for Transitions (DRIFT), as well as professionals from the Dutch Centre of Expertise on Health Disparities (Pharos). The aim of the HP4All-3 study was to identify barriers and facilitators for transformative change in institutional structures, cultures, and practices towards addressing perinatal health inequities at the municipal level [40]. The role of municipal governments in implementing a cross-sectoral approach to perinatal health inequities is at the center of interest of the HP4All-3 study, as they are primarily responsible for the organization of public health care in the Netherlands.…”

Section: Methodsmentioning

confidence: 99%

“…It helps to place the current obstetric care system-as well as the trend of social obstetrics -in a long-term transitions perspective (see paragraph 3.1). For more information on the background of the HP4All-3 study and the methods that were applied, we refer to the study's research protocol [40].…”

Section: Methodsmentioning

confidence: 99%

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Social Obstetrics as Niche-Development in Addressing Health Inequities

2021

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We apply a transition research perspective to the Dutch obstetric care system to analyze historic, current, and future shifts and find ways to overcome persistent health inequities. We present social obstetrics as an emerging niche that addresses perinatal health inequities by acknowledging their multifaceted origins and fostering collaborations across the medical, social, and public health sectors. We conducted desk research, in-depth semi-structured expert interviews, and interactive group sessions with change-inclined professionals that are relevant for the implementation of social obstetrics in six Dutch municipalities. The outcomes are synthesized in a historical narrative and perspectives on current obstacles and future systemic shifts. We argue that social obstetrics can be considered a sustainable addition to what is already present, instead of a disruptive transformation of the current system. Social obstetrics is innovative as it connects various societal systems and offers a framework for cross-sectoral collaboration. These collaborations, in turn, can be the starting point for the transformation of the obstetric care system as well as other relevant societal systems.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Social Obstetrics as Niche-Development in Addressing Health Inequities

2021

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“…Part of this program focused on enhancing collaboration between previously semi-isolated medical and social care professionals and policy makers, to improve the quality of care for women at high risk of unfavorable pregnancy outcomes ( Denktas, 2012 , de Jonge et al, 2019 ). Later, this local initiative served as foundation for the, still ongoing, Dutch nationwide program “Healthy Pregnancy 4 All” (HP4All) ( Vos et al, 2016 , Hanson et al, 2017 , Barsties et al, 2021 ).…”

Section: From Local To National Implementationmentioning

confidence: 99%

Creating a sense of urgency and provoking action – An example on the use of heat maps to address perinatal health inequalities

Meer

Waelput

Steegers

et al. 2022

Preventive Medicine Reports

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“…Over the years, the focus of the programs shifted from the medical sector more towards the social and public health care sector, as perinatal and maternal health is strongly influenced by the wider social, economic and cultural contexts of families [6,7]. For instance, a regional cross-sectoral approach to perinatal and maternal health, integrating the medical and social sector, was taken in the local 'Ready for a baby' program [8] and subsequent 'Healthy Pregnancy 4-All' programs [9][10][11]. These programs laid the foundation for the nationwide 'Solid Start' action program.…”

Section: Introductionmentioning

confidence: 99%

Monitoring the Dutch Solid Start Program: Developing an Indicator Set for Municipalities to Monitor their First Thousand Days-Approach

Molenaar¹,

Boesveld²,

Jong³

et al. 2022

Int J Integr Care

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Introduction: The Dutch Solid Start program aims to improve the collaboration between the medical and social sector to offer every child the best start in life. Municipalities form local coalitions of partners within the medical and social sector to support parents and children during the first thousand days. The aim of this study was to develop an indicator set for coalitions to monitor their local Solid Start program. Methods: A modified Delphi study with three rounds was carried out among Dutch experts in Solid Start practice, policy and research (n = 39) to reach consensus. Results: The indicator set included 19 indicators covering the three phases of the Solid Start program: preconception, pregnancy and after birth (up to two years). Prioritized indicators included both social and medical topics, among which poverty, psychological/ psychiatric problems, stress, smoking, cumulation of risk factors, preconception care, low literacy, premature birth, and intellectual disability. Additionally, a development agenda was established with topics and indicators that lacked data or clear operationalization (e.g. stress, unintended pregnancy, loneliness). Discussion and conclusion:The developed indicator set enhances the conversation between policymakers, managers, professionals and other stakeholders about the local situation and developments in order to prioritize interventions and policies. Next, the indicator set needs evaluation to assess its usefulness.

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Addressing perinatal health inequities in Dutch municipalities: Protocol for the Healthy Pregnancy 4 All-3 programme

Cited by 5 publications

References 29 publications

Social Obstetrics as Niche-Development in Addressing Health Inequities

Social Obstetrics as Niche-Development in Addressing Health Inequities

Creating a sense of urgency and provoking action – An example on the use of heat maps to address perinatal health inequalities

Monitoring the Dutch Solid Start Program: Developing an Indicator Set for Municipalities to Monitor their First Thousand Days-Approach

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