Prevention av perinatal mortalitet. Ett storskaligt implementeringsprojekt med facilitering av grupper i olika hälso- och sjukvårdssytem

Tidsperiod: 2017-01-01 till 2019-12-31

Projektledare: Leif Eriksson

Medarbetare: Lars-Åke Persson, Mats Målqvist, Anna Bergström

Finansiär: Vetenskapsrådet

Bidragstyp: Stöd till forskningsmiljö

Budget: 870 000 SEK

The time before and after birth, the perinatal period, is the time of an annual 300,000 maternal deaths, 3 million stillbirths and 3 million newborn deaths. There is robust evidence that use of facilitated participatory groups is an effective social innovation to prevent a large proportion of these deaths to happen. No large scale-up of this promising innovation has so far taken place. The aim of this project is to adapt, implement, evaluate and communicate a contextually appropriate social innovation, the PeriScope model, for perinatal health in Vietnam and Nepal representing low - high maternal and neonatal mortality. The project targets primary and secondary health system levels and engage stakeholder groups with more than 5,400 key members, health care staff and managers to identify and act on local challenges, quality of care issues and health system obstacles. The project will be based on problem-solving cycles and study its effect on 388,000 births, to our knowledge the largest implementation study in this field. The PeriScope will make health systems more responsive and sustainable, reduce barriers currently preventing the uptake of safe, efficient and equitable perinatal health services. This project will allow for researcher with complimentary skills to embark on previous achievements and develop a strong collaboration. Lessons from this scale-up can be transferred to other settings, enabled by the active participation of the WHO, the UNICEF, and the World Bank.