A novel approach to expedite evidence to impact in pre-eclampsia: co-developed policy labs in Zambia and Sierra Leone
Abstract Pre-eclampsia is a leading cause of maternal and neonatal mortality; 30,000 pre-eclampsia-related maternal deaths occur annually, with 70% in Sub-Saharan Africa (SSA) and 16% in South Asia. We have shown that early, accurate detection of hypertension combined with planned early delivery in...
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2025-01-01
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| Series: | BMC Global and Public Health |
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| Online Access: | https://doi.org/10.1186/s44263-024-00116-8 |
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| author | Katy Kuhrt Chileshe Mabula-Bwalya Harriet Boulding Alice Beardmore-Gray Alexandra Ridout Osman Koroma Betty Sam Prince Tommy Williams Francis Smart Isabel Meleki Meek Mwila Mubanga Chileshe Racheal Mawere Alice Hurrell Christabel Mbiiza Cristina Fernandez-Turienzo Jane Sandall Bellington Vwalika Andrew Shennan Kate Bramham |
| author_facet | Katy Kuhrt Chileshe Mabula-Bwalya Harriet Boulding Alice Beardmore-Gray Alexandra Ridout Osman Koroma Betty Sam Prince Tommy Williams Francis Smart Isabel Meleki Meek Mwila Mubanga Chileshe Racheal Mawere Alice Hurrell Christabel Mbiiza Cristina Fernandez-Turienzo Jane Sandall Bellington Vwalika Andrew Shennan Kate Bramham |
| author_sort | Katy Kuhrt |
| collection | DOAJ |
| description | Abstract Pre-eclampsia is a leading cause of maternal and neonatal mortality; 30,000 pre-eclampsia-related maternal deaths occur annually, with 70% in Sub-Saharan Africa (SSA) and 16% in South Asia. We have shown that early, accurate detection of hypertension combined with planned early delivery in women with late preterm pre-eclampsia significantly reduces stillbirth and severe maternal hypertension. We describe co-development and delivery of policy labs, working with The Policy Institute (King’s College London), and local stakeholders in Sierra Leone and Zambia, to expedite integration of new knowledge into pre-eclampsia care pathways, to improve care for women and babies with the worst outcomes. Policy labs are a unique, user-centric engagement approach, bringing diverse stakeholders together in co-designing strategies for translation of evidence into policy and impact. Both labs were facilitated by local, well-respected female team members, and addressed co-developed questions: ‘How can we improve timely detection and appropriate action in women with pre-eclampsia?’ (Sierra Leone); ‘What are enablers and barriers to offering planned early delivery between 34 and 37 weeks?’(Zambia). Participants at both labs identified lack of pre-eclampsia awareness as a key barrier, and recommended local co-design of community-based strategies to increase access to timely pre-eclampsia management. We demonstrated policy labs as an effective approach in two low-and middle income settings to facilitate transfer of new knowledge into policy and action. |
| format | Article |
| id | doaj-art-7c8bedefefac4b08ae39ece51af1465c |
| institution | DOAJ |
| issn | 2731-913X |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Global and Public Health |
| spelling | doaj-art-7c8bedefefac4b08ae39ece51af1465c2025-08-20T02:41:26ZengBMCBMC Global and Public Health2731-913X2025-01-013111010.1186/s44263-024-00116-8A novel approach to expedite evidence to impact in pre-eclampsia: co-developed policy labs in Zambia and Sierra LeoneKaty Kuhrt0Chileshe Mabula-Bwalya1Harriet Boulding2Alice Beardmore-Gray3Alexandra Ridout4Osman Koroma5Betty Sam6Prince Tommy Williams7Francis Smart8Isabel Meleki9Meek Mwila10Mubanga Chileshe11Racheal Mawere12Alice Hurrell13Christabel Mbiiza14Cristina Fernandez-Turienzo15Jane Sandall16Bellington Vwalika17Andrew Shennan18Kate Bramham19Department of Women and Children’s Health, King’s College LondonDepartment of Women and Children’s Health, King’s College LondonThe Policy Institute at King’s College LondonDepartment of Women and Children’s Health, King’s College LondonDepartment of Women and Children’s Health, King’s College LondonWelbodi PartnershipWelbodi PartnershipLifeline Nehemiah ProjectsDepartment of Policy, Planning and Information, Ministry of Health and SanitationMinistry of HealthUniversity of Zambia – King’s College London Maternal Health Collaboration, University of ZambiaUniversity of Zambia – King’s College London Maternal Health Collaboration, University of ZambiaUniversity of Zambia – King’s College London Maternal Health Collaboration, University of ZambiaDepartment of Women and Children’s Health, King’s College LondonMinistry of HealthDepartment of Women and Children’s Health, King’s College LondonDepartment of Women and Children’s Health, King’s College LondonDepartment of Obstetrics and Gynaecology, University of ZambiaDepartment of Women and Children’s Health, King’s College LondonDepartment of Women and Children’s Health, King’s College LondonAbstract Pre-eclampsia is a leading cause of maternal and neonatal mortality; 30,000 pre-eclampsia-related maternal deaths occur annually, with 70% in Sub-Saharan Africa (SSA) and 16% in South Asia. We have shown that early, accurate detection of hypertension combined with planned early delivery in women with late preterm pre-eclampsia significantly reduces stillbirth and severe maternal hypertension. We describe co-development and delivery of policy labs, working with The Policy Institute (King’s College London), and local stakeholders in Sierra Leone and Zambia, to expedite integration of new knowledge into pre-eclampsia care pathways, to improve care for women and babies with the worst outcomes. Policy labs are a unique, user-centric engagement approach, bringing diverse stakeholders together in co-designing strategies for translation of evidence into policy and impact. Both labs were facilitated by local, well-respected female team members, and addressed co-developed questions: ‘How can we improve timely detection and appropriate action in women with pre-eclampsia?’ (Sierra Leone); ‘What are enablers and barriers to offering planned early delivery between 34 and 37 weeks?’(Zambia). Participants at both labs identified lack of pre-eclampsia awareness as a key barrier, and recommended local co-design of community-based strategies to increase access to timely pre-eclampsia management. We demonstrated policy labs as an effective approach in two low-and middle income settings to facilitate transfer of new knowledge into policy and action.https://doi.org/10.1186/s44263-024-00116-8Policy labPre-eclampsiaHypertensive disorders of pregnancyLow-and middle-income settings |
| spellingShingle | Katy Kuhrt Chileshe Mabula-Bwalya Harriet Boulding Alice Beardmore-Gray Alexandra Ridout Osman Koroma Betty Sam Prince Tommy Williams Francis Smart Isabel Meleki Meek Mwila Mubanga Chileshe Racheal Mawere Alice Hurrell Christabel Mbiiza Cristina Fernandez-Turienzo Jane Sandall Bellington Vwalika Andrew Shennan Kate Bramham A novel approach to expedite evidence to impact in pre-eclampsia: co-developed policy labs in Zambia and Sierra Leone BMC Global and Public Health Policy lab Pre-eclampsia Hypertensive disorders of pregnancy Low-and middle-income settings |
| title | A novel approach to expedite evidence to impact in pre-eclampsia: co-developed policy labs in Zambia and Sierra Leone |
| title_full | A novel approach to expedite evidence to impact in pre-eclampsia: co-developed policy labs in Zambia and Sierra Leone |
| title_fullStr | A novel approach to expedite evidence to impact in pre-eclampsia: co-developed policy labs in Zambia and Sierra Leone |
| title_full_unstemmed | A novel approach to expedite evidence to impact in pre-eclampsia: co-developed policy labs in Zambia and Sierra Leone |
| title_short | A novel approach to expedite evidence to impact in pre-eclampsia: co-developed policy labs in Zambia and Sierra Leone |
| title_sort | novel approach to expedite evidence to impact in pre eclampsia co developed policy labs in zambia and sierra leone |
| topic | Policy lab Pre-eclampsia Hypertensive disorders of pregnancy Low-and middle-income settings |
| url | https://doi.org/10.1186/s44263-024-00116-8 |
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