Ending preventable maternal deaths in Malawi: the stakeholders consensus approach to identify maternal health needs priorities
Rattachement africain : gb, Malawi. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
BACKGROUND: The Malawian context presents multifactorial challenges that hinder the provision of high-quality maternal health services, leading to high maternal morbidity and mortality rates. Priority setting is a crucial concept that can benefit the healthcare system in Malawi by efficiently distributing limited resources and maximising gains in maternal healthcare. We undertook a national maternal health prioritisation exercise involving key stakeholders to enhance delivery of maternal care in Malawi. METHODS: During group discussions, the Nominal Group Technique was adapted to facilitate consensus on priorities after data and real-life experiences from service users were presented. The process involved four stages: (1) Silent generation of priorities, where participants independently listed their priorities using pieces of paper, (2) Consolidation of priorities, where all individual priorities were combined into a single list on the flip chart and similar priorities merged, (3) Clarification and discussion at a group level using a prioritisation matrix, allowing participants to clarify and discuss the listed priorities, and (4) Ranking of generated priorities, where participants voted or used an online scoring system to determine the most important priorities. All papers and flip charts used were collected, and discussions were recorded to capture how decisions were made, and their rationales. Facilitators and authors met to manually analyse the summaries. RESULTS: Seventy-four stakeholders participated in the prioritisation workshop, forming eight groups. Through individual prioritisation exercises, 233 priorities were identified. Subsequently, the consolidation of priorities resulted in 104 priorities, which were further reduced to 40 priorities during clarification and discussion stage using the prioritisation matrix. After selecting the top two priorities from each group, 12 priorities remained, which underwent the final stage of ranking and voting, and 57 stakeholders voted. The top three priorities identified were: (1) respectful maternity care, (2) information and data management, and (3) strengthening skills of birth attendants. CONCLUSION: Achieving national maternal health targets demands prioritising respectful maternity care, accessible information, robust data management/information, and skilled birth attendants, all of which empower staff and clients to drive positive changes. Stakeholders can leverage these priorities to guide future programme implementation, research investments, and country-specific adaptations through meaningful engagement with national stakeholders.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Ending preventable maternal deaths in Malawi: the stakeholders consensus approach to identify maternal health needs priorities
- Date Crossref
- 10/03/2025
- Éditeur
- Springer Science and Business Media LLC
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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University of Liverpool Department of Women's and Children's Health pays non établi dans la noticeUniversité ou école supérieure
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Malawi-Liverpool-Wellcome Trust Clinical Research Programme Malawi (code pays fourni par la source)Structure de recherche
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Malawi Epidemiology and Intervention Research Unit Lilongwe, Malawi (code pays fourni par la source)Organisation à but non lucratif
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Ministry of Health Lilongwe, Malawi (code pays fourni par la source)Organisme public
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Kamuzu Central Hospital Malawi (code pays fourni par la source)Établissement de santé
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Kamuzu University of Health Sciences Malawi (code pays fourni par la source)Université ou école supérieure
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Maternal and Fetal Group Blantyre, Malawi (pays nommé en fin d’affiliation)Institution
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School of Globaland Public Health Blantyre, Malawi (pays nommé en fin d’affiliation)Université ou école supérieure
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School of Maternal Blantyre, Malawi (pays nommé en fin d’affiliation)Université ou école supérieure
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School of Global and Public Health Blantyre, Malawi (pays nommé en fin d’affiliation)Université ou école supérieure
Department of Women's and Children's Health — University of Liverpool, Malawi-Liverpool-Wellcome Trust Clinical Research Programme (Malawi) et Malawi Epidemiology and Intervention Research Unit (Lilongwe, Malawi), avec 7 autres affiliations. Pays d’affiliation : Malawi.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.