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A service concept and tools to improve maternal and newborn health in Nigeria and Uganda
Author(s) -
Salgado Mariana,
Wendland Melanie,
Rodriguez Damaris,
Bohren Meghan A.,
Oladapo Olufemi T.,
Ojelade Olubunmi A.,
Mugerwa Kidza,
Fawole Bukola
Publication year - 2017
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1002/ijgo.12382
Subject(s) - medicine , childbirth , service (business) , nursing , promotion (chess) , health care , quality (philosophy) , pregnancy , marketing , business , economic growth , philosophy , genetics , epistemology , politics , political science , law , biology , economics
Objective The “Better Outcomes in Labor Difficulty” ( BOLD ) project used a service design process to design a set of tools to improve quality of care during childbirth by strengthening linkages between communities and health facilities in Nigeria and Uganda. This paper describes the Passport to Safer Birth concept and the tools developed as a result. Methods Service design methods were used to identify facilitators and barriers to quality care, and to develop human‐centered solutions. The service design process had three phases: Research for Design, Concept Design, and Detail Design, undertaken in eight hospitals and catchment communities. Results The service concept “ Better Beginnings ” comprises three tools. The “Pregnancy Purse” provides educational information to women throughout pregnancy. The “Birth Board” is a visual communication tool that presents the labor and childbirth process. The “Family Pass” is a set of wearable passes for the woman and her supporter to facilitate communication of care preferences. Conclusion The Better Beginnings service concept and tools form the basis for the promotion of access to information and knowledge acquisition, and could improve communication between the healthcare provider, the woman, and her family during childbirth.