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

Autores
Puchalski Ritchie, Lisa M.; Gamble, Kathleen; Vila Ortiz, Mercedes; Abalos, Edgardo; Ani Amponsah, Mary; Duhau, Mariana; Fahim, Christine; Straus, Sharon E; Hadush, Azmach; Althabe, Fernando
Año de publicación
2025
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
Background Knowledge 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.Method Based 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.Results 31 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.Conclusion The 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.
Fil: Puchalski Ritchie, Lisa M.. University of Toronto; Canadá
Fil: Gamble, Kathleen. St Michael's Hospital Li Ka Shing Knowledge Institute; Canadá
Fil: Vila Ortiz, Mercedes. Centro Rosarino de Estudios Perinatales; Argentina
Fil: Abalos, Edgardo. No especifíca;
Fil: Ani Amponsah, Mary. University Of Ghana; Ghana
Fil: Duhau, Mariana. No especifíca;
Fil: Fahim, Christine. St Michael's Hospital Li Ka Shing Knowledge Institute; Canadá
Fil: Straus, Sharon E. University of Toronto; Canadá
Fil: Hadush, Azmach. Organizacion Mundial de la Salud; Argentina
Fil: Althabe, Fernando. Instituto de Efectividad Clínica y Sanitaria; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina
Materia
toolkit
lmic
maternal health
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/291203
Acceder
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network_acronym_str CONICETDig
repository_id_str 3498
network_name_str CONICET Digital (CONICET)
spelling A knowledge translation toolkit for maternal health implementation planning in low- and middle-income countries: development and pilot evaluation in two countriesPuchalski Ritchie, Lisa M.Gamble, KathleenVila Ortiz, MercedesAbalos, EdgardoAni Amponsah, MaryDuhau, MarianaFahim, ChristineStraus, Sharon EHadush, AzmachAlthabe, Fernandotoolkitlmicmaternal healthhttps://purl.org/becyt/ford/3.3https://purl.org/becyt/ford/3Background Knowledge 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.Method Based 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.Results 31 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.Conclusion The 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.Fil: Puchalski Ritchie, Lisa M.. University of Toronto; CanadáFil: Gamble, Kathleen. St Michael's Hospital Li Ka Shing Knowledge Institute; CanadáFil: Vila Ortiz, Mercedes. Centro Rosarino de Estudios Perinatales; ArgentinaFil: Abalos, Edgardo. No especifíca;Fil: Ani Amponsah, Mary. University Of Ghana; GhanaFil: Duhau, Mariana. No especifíca;Fil: Fahim, Christine. St Michael's Hospital Li Ka Shing Knowledge Institute; CanadáFil: Straus, Sharon E. University of Toronto; CanadáFil: Hadush, Azmach. Organizacion Mundial de la Salud; ArgentinaFil: Althabe, Fernando. Instituto de Efectividad Clínica y Sanitaria; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; ArgentinaBMJ Publishing Group2025-11info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/291203Puchalski Ritchie, Lisa M.; Gamble, Kathleen; Vila Ortiz, Mercedes; Abalos, Edgardo; Ani Amponsah, Mary; et al.; A knowledge translation toolkit for maternal health implementation planning in low- and middle-income countries: development and pilot evaluation in two countries; BMJ Publishing Group; BMJ Global Health; 10; 11; 11-2025; 1-82059-7908CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/url/https://gh.bmj.com/lookup/doi/10.1136/bmjgh-2024-018616info:eu-repo/semantics/altIdentifier/doi/10.1136/bmjgh-2024-018616info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2026-08-25T14:33:37Zoai:ri.conicet.gov.ar:11336/291203instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982026-08-25 14:33:38.153CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv A knowledge translation toolkit for maternal health implementation planning in low- and middle-income countries: development and pilot evaluation in two countries
title A knowledge translation toolkit for maternal health implementation planning in low- and middle-income countries: development and pilot evaluation in two countries
spellingShingle A knowledge translation toolkit for maternal health implementation planning in low- and middle-income countries: development and pilot evaluation in two countries
Puchalski Ritchie, Lisa M.
toolkit
lmic
maternal health
title_short A knowledge translation toolkit for maternal health implementation planning in low- and middle-income countries: development and pilot evaluation in two countries
title_full A knowledge translation toolkit for maternal health implementation planning in low- and middle-income countries: development and pilot evaluation in two countries
title_fullStr A knowledge translation toolkit for maternal health implementation planning in low- and middle-income countries: development and pilot evaluation in two countries
title_full_unstemmed A knowledge translation toolkit for maternal health implementation planning in low- and middle-income countries: development and pilot evaluation in two countries
title_sort A knowledge translation toolkit for maternal health implementation planning in low- and middle-income countries: development and pilot evaluation in two countries
dc.creator.none.fl_str_mv Puchalski Ritchie, Lisa M.
Gamble, Kathleen
Vila Ortiz, Mercedes
Abalos, Edgardo
Ani Amponsah, Mary
Duhau, Mariana
Fahim, Christine
Straus, Sharon E
Hadush, Azmach
Althabe, Fernando
author Puchalski Ritchie, Lisa M.
author_facet Puchalski Ritchie, Lisa M.
Gamble, Kathleen
Vila Ortiz, Mercedes
Abalos, Edgardo
Ani Amponsah, Mary
Duhau, Mariana
Fahim, Christine
Straus, Sharon E
Hadush, Azmach
Althabe, Fernando
author_role author
author2 Gamble, Kathleen
Vila Ortiz, Mercedes
Abalos, Edgardo
Ani Amponsah, Mary
Duhau, Mariana
Fahim, Christine
Straus, Sharon E
Hadush, Azmach
Althabe, Fernando
author2_role author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv toolkit
lmic
maternal health
topic toolkit
lmic
maternal health
purl_subject.fl_str_mv https://purl.org/becyt/ford/3.3
https://purl.org/becyt/ford/3
dc.description.none.fl_txt_mv Background Knowledge 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.Method Based 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.Results 31 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.Conclusion The 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.
Fil: Puchalski Ritchie, Lisa M.. University of Toronto; Canadá
Fil: Gamble, Kathleen. St Michael's Hospital Li Ka Shing Knowledge Institute; Canadá
Fil: Vila Ortiz, Mercedes. Centro Rosarino de Estudios Perinatales; Argentina
Fil: Abalos, Edgardo. No especifíca;
Fil: Ani Amponsah, Mary. University Of Ghana; Ghana
Fil: Duhau, Mariana. No especifíca;
Fil: Fahim, Christine. St Michael's Hospital Li Ka Shing Knowledge Institute; Canadá
Fil: Straus, Sharon E. University of Toronto; Canadá
Fil: Hadush, Azmach. Organizacion Mundial de la Salud; Argentina
Fil: Althabe, Fernando. Instituto de Efectividad Clínica y Sanitaria; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina
description Background Knowledge 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.Method Based 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.Results 31 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.Conclusion The 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.
publishDate 2025
dc.date.none.fl_str_mv 2025-11
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/11336/291203
Puchalski Ritchie, Lisa M.; Gamble, Kathleen; Vila Ortiz, Mercedes; Abalos, Edgardo; Ani Amponsah, Mary; et al.; A knowledge translation toolkit for maternal health implementation planning in low- and middle-income countries: development and pilot evaluation in two countries; BMJ Publishing Group; BMJ Global Health; 10; 11; 11-2025; 1-8
2059-7908
CONICET Digital
CONICET
url http://hdl.handle.net/11336/291203
identifier_str_mv Puchalski Ritchie, Lisa M.; Gamble, Kathleen; Vila Ortiz, Mercedes; Abalos, Edgardo; Ani Amponsah, Mary; et al.; A knowledge translation toolkit for maternal health implementation planning in low- and middle-income countries: development and pilot evaluation in two countries; BMJ Publishing Group; BMJ Global Health; 10; 11; 11-2025; 1-8
2059-7908
CONICET Digital
CONICET
dc.language.none.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/url/https://gh.bmj.com/lookup/doi/10.1136/bmjgh-2024-018616
info:eu-repo/semantics/altIdentifier/doi/10.1136/bmjgh-2024-018616
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by/2.5/ar/
eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/2.5/ar/
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv BMJ Publishing Group
publisher.none.fl_str_mv BMJ Publishing Group
dc.source.none.fl_str_mv reponame:CONICET Digital (CONICET)
instname:Consejo Nacional de Investigaciones Científicas y Técnicas
reponame_str CONICET Digital (CONICET)
collection CONICET Digital (CONICET)
instname_str Consejo Nacional de Investigaciones Científicas y Técnicas
repository.name.fl_str_mv CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas
repository.mail.fl_str_mv dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar
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score 13.24418

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