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Measuring maternal morbidity in India and Pakistan

CMNH research team is working together to conduct the following activities to achieve impact at local, regional, national and international levels.

Local level impact

1. Address the health needs of women and their newborn babies

As part of our data collection tool, we offer pregnant and postnatal women in India and Pakistan a full and comprehensive health assessment. In order to impact the immediate health needs of these women and their newborn babies we will: 

  • train research assistants to identify maternal morbidity during data collection. For woman in whom morbidity is identified specific referral pathways will be in place within the study facilities to ensure women receive appropriate treatment. 
  • provide the research assistants with specialised training to deliver effective health promotion and health education for women during the data collection process. 
  • focus on and measure maternal morbidity, thereby demonstrating to women their health rights and empowering women to ask for help

2. Enhance the professional knowledge, skills and capacity of the research team

To ensure the partner research team in India and Pakistan benefit in terms of continued professional development we will:

  • Conduct training of all research assistants and research supervisors in-country to deliver the full health consultation, to perform and record all of the clinical examinations and to enter all of the data onto electronic hand held devices. 
  • Conduct training for the qualitative research using focus group discussions and key informant interviews. 
  • Provide supportive supervision throughout the project to allow the team in India and Pakistan to improve capacity in conducting field research. 
  • Support negotiations with local research authorities for ethical approval. 
  • Encourage the partners in the dissemination of results at local level to relevant stakeholders and health care providers for education in the concept of maternal morbidity. 
  • Build the capaicty of each research partner to apply for funding and to attract development investment to lead and conduct further research.

Regional and national level impact

3. Influence maternal health care policy

To disseminate the results of our research effectively and in order to influence organizational maternal health policy at regional and national level we will:

  • Organise regular stakeholders and progress research meetings with delegates from the Ministry of Health and/or Family Welfare, country specific academic institutions, including the authority boards of Obstetrics and Gynaecology, Medical Research Councils, and representatives from relevant maternal and child health international Pathways to Impact – Assessing the burden of Maternal Morbidity in India and Pakistan non-governmental organizations (UNICEF, UNFPA, DFID, USAID, GIZ, MSF, Save the Children) working in each partner country. 
  • Participate in national conferences in India and Pakistan to present our results.

International level impact

4. Construct a morbidity ‘score’ as a maternal health indicator

Our aim of our research is to provide the key components to construct a maternal morbidity 'score' that can then be used as a strategic maternal health indicator. To ensure the results of our research has an international impact we will:

  • Continue our leadership of the Maternal Morbidity Working Group (MMWG) within the World Health Organization (WHO), our collaborating centre. 
  • Present at two international conferences on Maternal and Newborn Health 
  • Submit results for a number of publication papers in open access peer-reviewed journals.