Global Research Priorities for Understanding and Improving Respectful Care for Newborns: A Modified Delphi Study

Hacker, Hagar Palgi; Ateva, Elena; Jolivet, R. Rima; Al-Makaleh, Bushra; Shaver, Theresa; Sacks, Emma

doi:10.9745/ghsp-d-21-00292

Cited by 3 publications

(2 citation statements)

References 17 publications

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“…While this approach has been used previously in similar research prioritisation studies and is generally accepted, it warrants caution when interpreting the results. 27 Additionally, we received limited participation from LMIC midwives in our expert convening, and those who did participate may have been hesitant to openly express beliefs due to well-entrenched hierarchies in clinical practice and global health. Similarly, the response to both Delphi surveys may have been dominated by individuals working in high-resourced settings (academic hospitals) in both HIC and LMICs, which could have influenced their opinions and perspectives.…”

Section: Bmj Public Healthmentioning

confidence: 99%

Global research priorities for intrauterine suction and sponge tools for postpartum haemorrhage management in low-income and middle-income countries: a modified Delphi approach

Walker,

Shin,

Santos

et al. 2024

bmjph

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IntroductionPostpartum haemorrhage (PPH) remains the leading cause of maternal mortality and morbidity globally. Innovative PPH management tools have emerged using suction and sponge tamponade but currently lack substantial evidence. Broader understanding and collaborative research prioritisation are needed, especially in low-income and middle-income countries (LMICs), where the burden of PPH-related mortality is highest. We aimed to describe the current state of evidence and to solicit stakeholder input to identify research priorities related to emerging tools for PPH management.MethodsWe used a four-phase modified Delphi approach to identify research priorities for emerging suction and sponge tools. In phase 1, we conducted a literature review and key informant interviews (KIIs) with 19 stakeholders. In phase 2, we distributed an online survey, receiving 66 responses. In phase 3, we virtually convened an expert panel of stakeholders (n=24) and a separate midwife-only focus group to discuss preliminary results and draft research questions. In phase 4, we surveyed our expert panel (n=37) for prioritisation of research questions. Surveys were disseminated via Research Electronic Data Capture while KIIs and the expert convening were held virtually.ResultsParticipants included clinicians, researchers, policy-makers, funders and tool developers from high-income and LMIC settings. The prioritisation process narrowed our focus from six tools to four, all of which were top-ranked priorities in phase 4. Stakeholders emphasised efficacy research in comprehensive emergency obstetric and newborn care facilities. Stakeholders stressed the importance of understanding adverse event risks. The urgency in conducting research on cost, provider ease of use and acceptability and patient experience differed between individuals from high-income versus LMIC settings.ConclusionAll four tools prioritised in this process have the potential to improve PPH management in LMICs. A coordinated research agenda is necessary to confirm safety and efficacy and to determine which tools are most appropriate for specific LMIC settings.

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Section: Bmj Public Healthmentioning

confidence: 99%

Global research priorities for intrauterine suction and sponge tools for postpartum haemorrhage management in low-income and middle-income countries: a modified Delphi approach

Walker,

Shin,

Santos

et al. 2024

bmjph

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“…In the realm of healthcare, the quality of neonatal care is of utmost importance as it directly affects the survival and well-being of newborn infants. [1][2][3][4] Ghana, a country located in West Africa, has made significant strides in improving its healthcare system over the years. [5][6] However, it is crucial to critically assess the standards of care provided to neonates within this context and explore how these standards relate to the standard operating system.…”

Section: Introductionmentioning

confidence: 99%

Challenges Faced by Healthcare Providers in Delivering High-Quality Care to Neonates in Ghana and West Africa

et al. 2023

IJFMR

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The challenges faced by healthcare providers in delivering high-quality care to neonates in Ghana and West Africa are numerous. Limited resources, including equipment, medications, and skilled personnel, hinder the ability to provide optimal care. Additionally, cultural beliefs and practices often pose obstacles to effective healthcare delivery. Furthermore, inadequate infrastructure and transportation systems make it difficult to reach remote areas where many neonates reside. Despite these challenges, healthcare providers strive to overcome these barriers through education, training programs, and partnerships with international organizations. By addressing these challenges head-on, the goal of providing high-quality care to neonates in Ghana and West Africa can be achieved.

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The Journey Toward Establishing Inpatient Care for Small and Sick Newborns in Ethiopia, India, Malawi, and Rwanda

Coffey,

Israel-Ballard,

Meyer

et al. 2023

Glob Health Sci Pract

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Global Research Priorities for Understanding and Improving Respectful Care for Newborns: A Modified Delphi Study

Cited by 3 publications

References 17 publications

Global research priorities for intrauterine suction and sponge tools for postpartum haemorrhage management in low-income and middle-income countries: a modified Delphi approach

Global research priorities for intrauterine suction and sponge tools for postpartum haemorrhage management in low-income and middle-income countries: a modified Delphi approach

Challenges Faced by Healthcare Providers in Delivering High-Quality Care to Neonates in Ghana and West Africa

The Journey Toward Establishing Inpatient Care for Small and Sick Newborns in Ethiopia, India, Malawi, and Rwanda

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