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Individual, organizational and system circumstances, and the functioning of a multi-country implementation-focused network for maternal, newborn and child health: Bangladesh, Ethiopia, Malawi, and Uganda

Better policies, investments, and programs are needed to improve the integration and quality of maternal, newborn, and child health services. Previously, partnerships and collaborations that involved multiple countries with a unified aim have been observed to yield positive results. Since 2017, the...

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Autores principales: Tesfa, Anene, Nakidde, Catherine, Akter, Kohenour, Khatun, Fatama, Mwandira, Kondwani, Lemma, Seblewengel, Seruwagi, Gloria, Mwaba, Kasonde, English, Mike, Daniels-Howell, Callie, Djellouli, Nehla, Colbourn, Tim, Marchant, Tanya
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10332621/
https://www.ncbi.nlm.nih.gov/pubmed/37428713
http://dx.doi.org/10.1371/journal.pgph.0002115
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author Tesfa, Anene
Nakidde, Catherine
Akter, Kohenour
Khatun, Fatama
Mwandira, Kondwani
Lemma, Seblewengel
Seruwagi, Gloria
Mwaba, Kasonde
English, Mike
Daniels-Howell, Callie
Djellouli, Nehla
Colbourn, Tim
Marchant, Tanya
author_facet Tesfa, Anene
Nakidde, Catherine
Akter, Kohenour
Khatun, Fatama
Mwandira, Kondwani
Lemma, Seblewengel
Seruwagi, Gloria
Mwaba, Kasonde
English, Mike
Daniels-Howell, Callie
Djellouli, Nehla
Colbourn, Tim
Marchant, Tanya
author_sort Tesfa, Anene
collection PubMed
description Better policies, investments, and programs are needed to improve the integration and quality of maternal, newborn, and child health services. Previously, partnerships and collaborations that involved multiple countries with a unified aim have been observed to yield positive results. Since 2017, the WHO and partners have hosted the Quality of Care Network [QCN], a multi-country implementation network focused on improving maternal, neonatal, and child health care. In this paper, we examine the functionality of QCN in different contexts. We focus on implementation circumstances and contexts in four network countries: Bangladesh, Ethiopia, Malawi, and Uganda. In each country, the study was conducted over several consecutive rounds between 2019–2022, employing 227 key informant interviews with major stakeholders and members of the network countries, and 42 facility observations. The collected data were coded using Nvivo-12 software and categorized thematically. The study showed that individual, organizational and system-level circumstances all played an important role in shaping implementation success in network countries, but that these levels were inter-linked. Systems that enabled leadership, motivated and trained staff, and created a positive culture of data use were critical for policy-making including addressing financing issues—to the day-to-day practice improvement at the front line. Some characteristics of QCN actively supported this, for example, shared learning forums for continuous learning, a focus on data and tracking progress, and emphasising the importance of coordinated efforts towards a common goal. However, inadequate system financing and capacity also hampered network functioning, especially in the face of external shocks.
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spelling pubmed-103326212023-07-11 Individual, organizational and system circumstances, and the functioning of a multi-country implementation-focused network for maternal, newborn and child health: Bangladesh, Ethiopia, Malawi, and Uganda Tesfa, Anene Nakidde, Catherine Akter, Kohenour Khatun, Fatama Mwandira, Kondwani Lemma, Seblewengel Seruwagi, Gloria Mwaba, Kasonde English, Mike Daniels-Howell, Callie Djellouli, Nehla Colbourn, Tim Marchant, Tanya PLOS Glob Public Health Research Article Better policies, investments, and programs are needed to improve the integration and quality of maternal, newborn, and child health services. Previously, partnerships and collaborations that involved multiple countries with a unified aim have been observed to yield positive results. Since 2017, the WHO and partners have hosted the Quality of Care Network [QCN], a multi-country implementation network focused on improving maternal, neonatal, and child health care. In this paper, we examine the functionality of QCN in different contexts. We focus on implementation circumstances and contexts in four network countries: Bangladesh, Ethiopia, Malawi, and Uganda. In each country, the study was conducted over several consecutive rounds between 2019–2022, employing 227 key informant interviews with major stakeholders and members of the network countries, and 42 facility observations. The collected data were coded using Nvivo-12 software and categorized thematically. The study showed that individual, organizational and system-level circumstances all played an important role in shaping implementation success in network countries, but that these levels were inter-linked. Systems that enabled leadership, motivated and trained staff, and created a positive culture of data use were critical for policy-making including addressing financing issues—to the day-to-day practice improvement at the front line. Some characteristics of QCN actively supported this, for example, shared learning forums for continuous learning, a focus on data and tracking progress, and emphasising the importance of coordinated efforts towards a common goal. However, inadequate system financing and capacity also hampered network functioning, especially in the face of external shocks. Public Library of Science 2023-07-10 /pmc/articles/PMC10332621/ /pubmed/37428713 http://dx.doi.org/10.1371/journal.pgph.0002115 Text en © 2023 Tesfa et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Tesfa, Anene
Nakidde, Catherine
Akter, Kohenour
Khatun, Fatama
Mwandira, Kondwani
Lemma, Seblewengel
Seruwagi, Gloria
Mwaba, Kasonde
English, Mike
Daniels-Howell, Callie
Djellouli, Nehla
Colbourn, Tim
Marchant, Tanya
Individual, organizational and system circumstances, and the functioning of a multi-country implementation-focused network for maternal, newborn and child health: Bangladesh, Ethiopia, Malawi, and Uganda
title Individual, organizational and system circumstances, and the functioning of a multi-country implementation-focused network for maternal, newborn and child health: Bangladesh, Ethiopia, Malawi, and Uganda
title_full Individual, organizational and system circumstances, and the functioning of a multi-country implementation-focused network for maternal, newborn and child health: Bangladesh, Ethiopia, Malawi, and Uganda
title_fullStr Individual, organizational and system circumstances, and the functioning of a multi-country implementation-focused network for maternal, newborn and child health: Bangladesh, Ethiopia, Malawi, and Uganda
title_full_unstemmed Individual, organizational and system circumstances, and the functioning of a multi-country implementation-focused network for maternal, newborn and child health: Bangladesh, Ethiopia, Malawi, and Uganda
title_short Individual, organizational and system circumstances, and the functioning of a multi-country implementation-focused network for maternal, newborn and child health: Bangladesh, Ethiopia, Malawi, and Uganda
title_sort individual, organizational and system circumstances, and the functioning of a multi-country implementation-focused network for maternal, newborn and child health: bangladesh, ethiopia, malawi, and uganda
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10332621/
https://www.ncbi.nlm.nih.gov/pubmed/37428713
http://dx.doi.org/10.1371/journal.pgph.0002115
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