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Low- and Middle-Income Countries Face Many Common Barriers to Implementation of Maternal health Evidence Products.

Puchalski Ritchie, L. M., Khan, S., Moore, J. E., Timmings, C., van Lettow, M., Vogel, J. P., Khan, D. N., Mbaruku, G., Mrisho, M., Mugerwa, K., Uka, S., Gülmezoglu, A. M. and Straus, S. E. (2016) Low- and Middle-Income Countries Face Many Common Barriers to Implementation of Maternal health Evidence Products. Journal of clinical epidemiology. ISSN 1878-5921

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Abstract

To explore similarities and differences in challenges to maternal health and evidence implementation in general across several low- and middle-income countries (LMICs) and to identify common and unique themes representing barriers to and facilitators of evidence implementation in LMIC healthcare settings. Secondary analysis of qualitative data. Meeting reports and manuscripts describing projects undertaken by the authors in five LMICs on three continents were analyzed. Projects focused on identifying barriers to and facilitators of implementation of evidence products: five World Health Organization maternal health guidelines, and a knowledge translation strategy to improve adherence to tuberculosis treatment. Data were analyzed using thematic content analysis. Among identified barriers to evidence implementation, a high degree of commonality was found across countries and clinical areas, with lack of financial, material, and human resources most prominent. In contrast, few facilitators were identified varied substantially across countries and evidence implementation products. By identifying common barriers and areas requiring additional attention to ensure capture of unique barriers and facilitators, these findings provide a starting point for development of a framework to guide the assessment of barriers to and facilitators of maternal health and potentially to evidence implementation more generally in LMICs.

Item Type: Article
Keywords: Health financing, maternal health, poverty, Tanzania
Subjects: Health Systems > Service delivery & access
Maternal & Neonatal Health > Maternal Mortality & Morbidity
Divisions: Ifakara Health Institute > Health Systems
Depositing User: Mr Joseph Madata
Date Deposited: 10 Mar 2016 09:01
Last Modified: 10 Mar 2016 09:01
URI: http://ihi.eprints.org/id/eprint/3666

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