Evidence map›Paper›PMID 37838673›Full record

ArticleBMC health services research2023

Adapting group care to the postpartum period using a human-centered design approach in Malawi.

Ashley Gresh, Anne Batchelder, Nancy Glass, Janet Mambulasa, Esnath Kapito, Amy MacDonald, Nellie Ngutwa, Cori Plesko, Ellen Chirwa, Crystal L Patil

Abstract read
In one paragraph

Article in BMC health services research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Trial
  2. Co-developing a community health worker-led hypertension control intervention in Peru through a human-centered design approach.Revista panamericana de salud publica = Pan American journal of public health · 2026
    Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Ashley GreshJohns Hopkins University School of Nursing, 525 North Wolfe Street, Baltimore, MD, 21231, USA. Ashley.gresh@jhu.edu.ORCID http://orcid.org/0000-0002-7181-8219
Anne BatchelderJohns Hopkins University School of Nursing, 525 North Wolfe Street, Baltimore, MD, 21231, USA.
Nancy GlassJohns Hopkins University School of Nursing, 525 North Wolfe Street, Baltimore, MD, 21231, USA.
Janet MambulasaKamuzu University of Health Sciences, Private Bag 360, Chichiri, Blantyre 3, Malawi.
Esnath KapitoKamuzu University of Health Sciences, Private Bag 360, Chichiri, Blantyre 3, Malawi.
Amy MacDonaldPomelo Care, Hillsborough, North Carolina, USA.
Nellie NgutwaKamuzu University of Health Sciences, Private Bag 360, Chichiri, Blantyre 3, Malawi.
Cori PleskoJohns Hopkins University School of Nursing, 525 North Wolfe Street, Baltimore, MD, 21231, USA.
Ellen ChirwaKamuzu University of Health Sciences, Private Bag 360, Chichiri, Blantyre 3, Malawi.
Crystal L PatilSchool of Nursing, University of Michigan, 400 N. Ingalls, Suite 3320, Ann Arbor, MI, 48109, USA.

Funding

Group Antenatal Care: Effectiveness for Maternal/Infant and HIV Prevention Outcomes and Contextual Factors Linked to Implementation Success in MalawiR01NR018115 · NINR · UNIVERSITY OF ILLINOIS AT CHICAGO · PI NORR, KATHLEEN F, PATIL, CRYSTAL LAUREN · 2018 to 2022
$3.1M
Adapting and Implementing Group-Based Postpartum/Well-Child Care at Clinics In Blantyre District, MalawiF31NR019205 · NINR · JOHNS HOPKINS UNIVERSITY · PI GRESH, ASHLEY KATRINA · 2020 to 2022
$142k
NINR NIH HHS F31 NR019205NINR NIH HHS F31NR019205
6 · The paper itself

Abstract

backgroundResponsive and resilient strategies to reduce high rates of maternal and infant mortality and clinician shortages are needed in low- and middle-income countries (LMICs). Malawi has some of the highest maternal and infant mortality rates globally. Group healthcare is a service delivery model that integrates these strategies. Although primarily implemented during the prenatal period, its potential for improving both maternal and infant health outcomes during the postpartum period has not been realized. The purpose of this study was to adapt and co-design the prototype for an evidence-based group care model for the postpartum period using a human-centered design approach with key stakeholders in Malawi.

methodsWe completed steps of a framework guiding the use of human-centered design: 1) define the problem and assemble a team; 2) gather information through evidence and inspiration; 3) synthesize; and 4) intervention design: guiding principles and ideation. Qualitative methods were used to complete steps 2-4. In-depth interviews (n = 24), and incubator sessions (n = 6) that employed free listing, pile sorting and ranking were completed with key stakeholders. Data analysis consisted of content analysis of interviews and framework analysis for incubator sessions to produce the integrated group postpartum and well-child care model prototype. The fifth step is detailed in a separate paper.

resultsAll stakeholders reported a desire to participate in and offer group care in the postpartum period. Stakeholders worked collaboratively to co-create the prototype that included a curriculum of health promotion topics and interactive activities and the service delivery structure. Health promotion topic priorities were hygiene, breastfeeding, family planning, nutrition, and mental health. The recommended schedule included 6 sessions corresponding with the child vaccination schedule over the 12-month postpartum period.

conclusionsUsing a human-centered design approach to adapt an evidence-based group care model in an LMIC, specifically Malawi, is feasible and acceptable to key stakeholders and resulted in a prototype curriculum and practical strategies for clinic implementation.

Indexed as

Delivery of Health CarePostpartum PeriodBreast FeedingFemaleHumansInfantInfant MortalityMalawiPregnancyInfant healthMaternal child health servicePostpartumPreventive health services

Identifiers

PMID37838673
PMCPMC10576327

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.