Global research priorities for social, behavioural and community engagement interventions for maternal, newborn and child health

被引:9
作者
Chan, Geoffrey [1 ]
Storey, J. Douglas [2 ]
Das, Manoja Kumar [3 ]
Sacks, Emma [4 ]
Johri, Mira [5 ]
Kabakian-Khasholian, Tamar [6 ]
Paudel, Deepak [7 ]
Yoshida, Sachiyo [8 ]
Portela, Anayda [8 ]
机构
[1] Burnet Inst, Melbourne, Vic, Australia
[2] Johns Hopkins Bloomberg Sch Publ Hlth, Ctr Commun Programs, Baltimore, MD USA
[3] INCLEN Trust Int, New Delhi, India
[4] Elizabeth Glaser Pediat AIDS Fdn, Dept Res, Washington, DC USA
[5] Ctr Rech Ctr Hosp Univ Montreal CRCHUM, Montreal, PQ, Canada
[6] Amer Univ Beirut, Dept Hlth Promot & Community Hlth, Fac Hlth Sci, Beirut, Lebanon
[7] Save Children, Kathmandu, Nepal
[8] WHO, Dept Maternal Newborn Child & Adolescent Hlth & A, Ave Appia 20, CH-1202 Geneva, Switzerland
关键词
Research priority; maternal health; newborn health; child health; health promotion; social and behavioural change; community engagement; CHNRI;
D O I
10.1186/s12961-020-00597-7
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Background Social, behavioural and community engagement (SBCE) interventions are essential for global maternal, newborn and child health (MNCH) strategies. Past efforts to synthesise research on SBCE interventions identified a need for clear priorities to guide future research. WHO led an exercise to identify global research priorities for SBCE interventions to improve MNCH. Methods We adapted the Child Health and Nutrition Research Initiative method and combined quantitative and qualitative methods to determine MNCH SBCE intervention research priorities applicable across different contexts. Using online surveys and meetings, researchers and programme experts proposed up to three research priorities and scored the compiled priorities against four criteria - health and social impact, equity, feasibility, and overall importance. Priorities were then ranked by score. A group of 29 experts finalised the top 10 research priorities for each of maternal, newborn or child health and a cross-cutting area. Results A total of 310 experts proposed 867 research priorities, which were consolidated into 444 priorities and scored by 280 experts. Top maternal and newborn health priorities focused on research to improve the delivery of SBCE interventions that strengthen self-care/family care practices and care-seeking behaviour. Child health priorities focused on the delivery of SBCE interventions, emphasising determinants of service utilisation and breastfeeding and nutrition practices. Cross-cutting MNCH priorities highlighted the need for better integration of SBCE into facility-based and community-based health services. Conclusions Achieving global targets for MNCH requires increased investment in SBCE interventions that build capacities of individuals, families and communities as agents of their own health. Findings from this exercise provide guidance to prioritise investments and ensure that they are best directed to achieve global objectives. Stakeholders are encouraged to use these priorities to guide future research investments and to adapt them for country programmes by engaging with national level stakeholders.
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页数:12
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