From pre-implementation to institutionalization: Lessons from sustaining a perinatal audit program in South Africa

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Date

2023

Journal Title

Journal ISSN

Volume Title

Publisher

NLM (Medline)

Abstract

Maternal and perinatal death surveillance and response (MPDSR), or related forms of maternal and perinatal death audits, can strengthen health systems. We explore the history of initiating, scaling up, and institutionalizing a national perinatal audit program in South Africa. : Data collection involved 56 individual interviews, a systematic document review, administration of a semistructured questionnaire, and 10 nonparticipant observations of meetings related to the perinatal audit program. Fieldwork and data collection in the subdistricts occurred from September 2019 to March 2020. Data analysis included thematic content analysis and application of a tool to measure subdistrict-level implementation. This study expands on case study research applied to 5 Western Cape subdistricts with long histories of implementation.

Description

Keywords

Public health, Materna, Child health, South Africa, Sustainable Development Goal

Citation

Kinney, M. V. et al. (2023). From pre-implementation to institutionalization: Lessons from sustaining a perinatal audit program in South Africa. Global health, science and practice, 11(2), e2200213; https://doi.org/10.9745/GHSP-D-22-00213