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Multisite, mixed methods study to validate 10 maternal health system and policy indicators in Argentina, Ghana and India: a research protocol
INTRODUCTION: Most efforts to assess maternal health indicator validity focus on measures of service coverage. Fewer measures focus on the upstream enabling environment, and such measures are typically not research validated. Thus, methods for validating system and policy-level indicators are not we...
Autores principales: | , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8765031/ https://www.ncbi.nlm.nih.gov/pubmed/35039284 http://dx.doi.org/10.1136/bmjopen-2021-049685 |
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author | Jolivet, R Rima Gausman, Jewel Adanu, Richard Bandoh, Delia Belizan, Maria Berrueta, Mabel Chakraborty, Suchandrima Kenu, Ernest Khan, Nizamuddin Odikro, Magdalene Pingray, Veronica Ramesh, Sowmya Saggurti, Niranjan Vázquez, Paula Langer, Ana |
author_facet | Jolivet, R Rima Gausman, Jewel Adanu, Richard Bandoh, Delia Belizan, Maria Berrueta, Mabel Chakraborty, Suchandrima Kenu, Ernest Khan, Nizamuddin Odikro, Magdalene Pingray, Veronica Ramesh, Sowmya Saggurti, Niranjan Vázquez, Paula Langer, Ana |
author_sort | Jolivet, R Rima |
collection | PubMed |
description | INTRODUCTION: Most efforts to assess maternal health indicator validity focus on measures of service coverage. Fewer measures focus on the upstream enabling environment, and such measures are typically not research validated. Thus, methods for validating system and policy-level indicators are not well described. This protocol describes original multicountry research to be conducted in Argentina, Ghana and India, to validate 10 indicators from the monitoring framework for the ‘Strategies toward Ending Preventable Maternal Mortality’ (EPMM). The overall aim is to improve capacity to drive and track progress towards achieving the priority recommendations in the EPMM strategies. This work is expected to contribute new knowledge on validation methodology and reveal important information about the indicators under study and the phenomena they target for monitoring. Validating the indicators in three diverse settings will explore the external validity of results. METHODS AND ANALYSIS: This observational study explores the validity of 10 indicators from the EPMM monitoring framework via seven discrete validation exercises that will use mixed methods: (1) cross-sectional review of policy data, (2) retrospective review of facility-level patient and administrative data and (3) collection of primary quantitative and qualitative cross-sectional data from health service providers and clients. There is a specific methodological approach and analytic plan for each indicator, directed by unique, relevant validation research questions. ETHICS AND DISSEMINATION: The protocol was approved by the Office of Human Research Administration at Harvard University in November 2019. Individual study sites received approval via local institutional review boards by January 2020 except La Pampa, Argentina, approved June 2020. Our dissemination plan enables unrestricted access and reuse of all published research, including data sets. We expect to publish at least one peer-reviewed publication per validation exercise. We will disseminate results at conferences and engage local stakeholders in dissemination activities in each study country. |
format | Online Article Text |
id | pubmed-8765031 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-87650312022-02-08 Multisite, mixed methods study to validate 10 maternal health system and policy indicators in Argentina, Ghana and India: a research protocol Jolivet, R Rima Gausman, Jewel Adanu, Richard Bandoh, Delia Belizan, Maria Berrueta, Mabel Chakraborty, Suchandrima Kenu, Ernest Khan, Nizamuddin Odikro, Magdalene Pingray, Veronica Ramesh, Sowmya Saggurti, Niranjan Vázquez, Paula Langer, Ana BMJ Open Global Health INTRODUCTION: Most efforts to assess maternal health indicator validity focus on measures of service coverage. Fewer measures focus on the upstream enabling environment, and such measures are typically not research validated. Thus, methods for validating system and policy-level indicators are not well described. This protocol describes original multicountry research to be conducted in Argentina, Ghana and India, to validate 10 indicators from the monitoring framework for the ‘Strategies toward Ending Preventable Maternal Mortality’ (EPMM). The overall aim is to improve capacity to drive and track progress towards achieving the priority recommendations in the EPMM strategies. This work is expected to contribute new knowledge on validation methodology and reveal important information about the indicators under study and the phenomena they target for monitoring. Validating the indicators in three diverse settings will explore the external validity of results. METHODS AND ANALYSIS: This observational study explores the validity of 10 indicators from the EPMM monitoring framework via seven discrete validation exercises that will use mixed methods: (1) cross-sectional review of policy data, (2) retrospective review of facility-level patient and administrative data and (3) collection of primary quantitative and qualitative cross-sectional data from health service providers and clients. There is a specific methodological approach and analytic plan for each indicator, directed by unique, relevant validation research questions. ETHICS AND DISSEMINATION: The protocol was approved by the Office of Human Research Administration at Harvard University in November 2019. Individual study sites received approval via local institutional review boards by January 2020 except La Pampa, Argentina, approved June 2020. Our dissemination plan enables unrestricted access and reuse of all published research, including data sets. We expect to publish at least one peer-reviewed publication per validation exercise. We will disseminate results at conferences and engage local stakeholders in dissemination activities in each study country. BMJ Publishing Group 2022-01-17 /pmc/articles/PMC8765031/ /pubmed/35039284 http://dx.doi.org/10.1136/bmjopen-2021-049685 Text en © Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY. Published by BMJ. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/. |
spellingShingle | Global Health Jolivet, R Rima Gausman, Jewel Adanu, Richard Bandoh, Delia Belizan, Maria Berrueta, Mabel Chakraborty, Suchandrima Kenu, Ernest Khan, Nizamuddin Odikro, Magdalene Pingray, Veronica Ramesh, Sowmya Saggurti, Niranjan Vázquez, Paula Langer, Ana Multisite, mixed methods study to validate 10 maternal health system and policy indicators in Argentina, Ghana and India: a research protocol |
title | Multisite, mixed methods study to validate 10 maternal health system and policy indicators in Argentina, Ghana and India: a research protocol |
title_full | Multisite, mixed methods study to validate 10 maternal health system and policy indicators in Argentina, Ghana and India: a research protocol |
title_fullStr | Multisite, mixed methods study to validate 10 maternal health system and policy indicators in Argentina, Ghana and India: a research protocol |
title_full_unstemmed | Multisite, mixed methods study to validate 10 maternal health system and policy indicators in Argentina, Ghana and India: a research protocol |
title_short | Multisite, mixed methods study to validate 10 maternal health system and policy indicators in Argentina, Ghana and India: a research protocol |
title_sort | multisite, mixed methods study to validate 10 maternal health system and policy indicators in argentina, ghana and india: a research protocol |
topic | Global Health |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8765031/ https://www.ncbi.nlm.nih.gov/pubmed/35039284 http://dx.doi.org/10.1136/bmjopen-2021-049685 |
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