Intervention in mothers and newborns to reduce maternal and perinatal mortality in 3 provinces in South Africa using a quality improvement approach: Protocol for a mixed method type 2 hybrid evaluation
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Date
2023
Journal Title
Journal ISSN
Volume Title
Publisher
JMIR Publications
Abstract
The COVID-19 pandemic undermined gains in reducing maternal and perinatal mortality in South Africa. The
Mphatlalatsane Initiative is a health system intervention to reduce mortality and morbidity in women and newborns to desired
levels. Our evaluation aims to determine the effect of various exposures, including the COVID-19 pandemic, and a
system-level, complex, patient-centered quality improvement (QI) intervention (the Mphatlalatsane Initiative) on maternal and
neonatal health services at 21 selected South African facilities. The objectives are to determine whether Mphatlalatsane reduces
the institutional maternal mortality ratio, neonatal mortality rate, and stillbirth rate (objective 1) and improves patients’ experiences
(objective 2) and quality of care (objective 3). Objective 4 assesses the contextual and implementation process factors, including
the COVID-19 pandemic, that shape Mphatlalatsane uptake and variation.
Description
Keywords
Public health, Covid-19, Maternal health, South Africa, Health systems, Women
Citation
Chetty, T. et al. (2023). Intervention in mothers and newborns to reduce maternal and perinatal mortality in 3 provinces in South Africa using a quality improvement approach: Protocol for a mixed method type 2 hybrid evaluation. JMIR Research Protocols, 12, e42041. 10.2196/42041