Evidence mapPaperPMID 41320200Full record

ArticleBMJ global health2025

A knowledge translation toolkit for maternal health implementation planning in low- and middle-income countries: development and pilot evaluation in two countries.

Lisa M Puchalski Ritchie, Kathleen Gamble, Mercedes Vila Ortiz, Edgardo Abalos, Mary Ani-Amponsah, Mariana Duhau, Christine Fahim, Sharon E Straus, Azmach Hadush, Fernando Althabe

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Article in BMJ global health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Lisa M Puchalski RitchieFaculty of Medicine, Department of Medicine, University of Toronto, Toronto, Ontario, Canada lisa.puchalskiritchie@utoronto.ca.ORCID http://orcid.org/0000-0002-1791-5368
Kathleen Gambleknowledge translation program, St Michael's Hospital Li Ka Shing Knowledge Institute, Toronto, Ontario, Canada.ORCID http://orcid.org/0000-0001-5761-8440
Mercedes Vila OrtizCREP, Rosario, Santa Fe Province, Argentina.ORCID http://orcid.org/0000-0002-6781-2949
Edgardo AbalosMaternidad Martin, Mariano Moreno, Rosario, Argentina.ORCID http://orcid.org/0000-0001-6653-429X
Mary Ani-AmponsahSchool of Nursing and MIdwifery, University of Ghana, Accra, Greater Accra Region, Ghana.ORCID http://orcid.org/0000-0002-0480-612X
Mariana DuhauNational Directorate of Quality in Health Services and Health Regulation, Ministry of Health of the Nation Argentina, buenos aires, Argentina.ORCID http://orcid.org/0009-0002-9459-8658
Christine Fahimknowledge translation program, St Michael's Hospital Li Ka Shing Knowledge Institute, Toronto, Ontario, Canada.
Sharon E StrausFaculty of Medicine, Department of Medicine, University of Toronto, Toronto, Ontario, Canada.
Azmach HadushWHO Country Office for Zambia, World Health Organization, Lusaka, Lusaka province, Zambia.ORCID http://orcid.org/0000-0002-8797-0389
Fernando AlthabeInstitute for Clinical Effectiveness and Health Policy, Buenos Aires, Buenos Aires, Argentina.

Funding

World Health Organization 001
6 · The paper itself

Abstract

backgroundKnowledge translation (KT) approaches have been advocated to increase uptake of evidence to improve maternal health outcomes in low- and middle-income countries (LMICs). However, their use is limited by lack of KT capacity and limited applicability of many existing KT tools to the unique challenges of LMIC health settings. We developed and evaluated a toolkit designed for use by non-experts and tailored to support implementation planning in LMICs.

methodBased on our prior research which identified common implementation barriers across five LMICs, a literature review and a qualitative study with women and families in two LMICs, we developed a preliminary item list. Through consultation with our international partners, the item list was refined, a draft toolkit developed and usability tested.Pilot evaluation of the toolkit employed observation and focus groups with participants at implementation planning meetings conducted in Argentina and Ghana, focused on locally identified evidence-based maternal health implementation priorities.

results31 interested parties participated, 10 in Argentina and 21 in Ghana, representing a range of roles relevant to implementation in the local contexts including providers, health educators, policy/decision makers, researchers and patients/patient representatives. Participants reported a number of benefits to the content and organisation of both the toolkit and meeting format, which they noted encouraged open exchange of perspectives and experiences, and comprehensive consideration and discussion of barriers and facilitators (BFs) to implementation in their context. Minor changes to the instructions and wording of a few BFs were suggested and incorporated.

conclusionThe toolkit provides a resource to support LMIC maternal health implementers by offering a structured approach to assessment and ranking of BFs to implementation and a guide to mapping BFs to evidence-based implementation strategies. Further evaluation across a wider range of health topics and LMICs and in low-resource contexts in high-income countries is needed. STUDY REGISTRATION:

Indexed as

Developing CountriesMaternal HealthMaternal Health ServicesTranslational Research, BiomedicalFemaleFocus GroupsHumansPilot ProjectsPregnancyGlobal HealthMaternal health

Identifiers

PMID41320200
PMCPMC12666081

What Socratic holds

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LicenceCC BY
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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.