Developing shared understanding of pre-eclampsia in Haiti and Zimbabwe using Theory of Change.

Autor:	Robbins T; Department of Women & Children's Health, School of Life Course and Population Science, King's College London, St Thomas' Hospital, London, United Kingdom., Musiyiwa M; Department of History, Heritage and Knowledge Systems, Faculty of Arts and Humanities, University of Zimbabwe, Harare, Zimbabwe., Gidiri MF; Department of Obstetrics and Gynaecology, College of Health Sciences, University of Zimbabwe, Harare, Zimbabwe., Mambo V; Department of Obstetrics and Gynaecology, College of Health Sciences, University of Zimbabwe, Harare, Zimbabwe., Hill C; Hope Health Action, Cap-Haitien, Haiti., Sandall J; Department of Women & Children's Health, School of Life Course and Population Science, King's College London, St Thomas' Hospital, London, United Kingdom., Hanlon C; Centre for Global Mental Health, Health Service and Population Research Department, and WHO Collaborating Centre for Mental Health Research and Training, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom.; Department of Psychiatry, WHO Collaborating Centre for Mental Health Research and Capacity-Building, School of Medicine, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia., Shennan AH; Department of Women & Children's Health, School of Life Course and Population Science, King's College London, St Thomas' Hospital, London, United Kingdom.
Jazyk:	angličtina
Zdroj:	PLOS global public health [PLOS Glob Public Health] 2022 Dec 16; Vol. 2 (12), pp. e0001352. Date of Electronic Publication: 2022 Dec 16 (Print Publication: 2022).
DOI:	10.1371/journal.pgph.0001352
Abstrakt:	Pre-eclampsia, a complex and multi-system disorder specific to pregnancy, is a leading cause of preventable maternal and perinatal deaths in low-resource settings. Early detection and appropriate intervention with management of hypertension, prevention of eclampsia and timely delivery are effective at reducing mortality and morbidity. Outcomes can be greatly improved with the provision and uptake of good quality care. Cultural contexts of maternal care, social practices and expectations around pregnancy and childbirth profoundly shape understanding and prioritisation when it comes to seeking out care. Few studies have addressed health education specifically targeting pre-eclampsia in low resource settings. The existing literature has limited descriptions of contextual barriers to care or of the intervention development processes employed. More engaging, holistic approaches to pre-eclampsia education for women and families that recognise the challenges they face and that support a shared understanding of the disorder, are needed. We describe our experience of developing a Theory of Change (ToC) as part of the co-production of educational resources for pre-eclampsia in Haiti and Zimbabwe. Competing Interests: The authors have declared that no competing interests exist. (Copyright: © 2022 Robbins et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
Databáze:	MEDLINE
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