School of Nursing and Midwifery, Aga Khan University, Dar Es Salaam, United Republic of Tanzania.
JMIR Res Protoc. 2024 Sep 10;13:e54323. doi: 10.2196/54323.
Maternal and neonatal deaths remain a major public health issue worldwide. Income Generation Associations (IGAs) could form a critical entry point to addressing poverty-related contributors. However, there have been limited practical interventions to leverage the power of IGAs in addressing the challenges associated with maternal care and childcare.
This study aims to co-design an intervention package with women in IGAs to improve their readiness and resilience to address maternal and child health (MCH) challenges using a human-centered design approach.
The study will use a qualitative descriptive design with purposefully selected women in IGAs and key MCH stakeholders in the Shinyanga and Arusha Regions of Tanzania. A 4-step adaptation of the human-centered design process will be used involving (1) mapping of IGAs and exploring their activities, level of women's engagement, and MCH challenges faced; (2) co-designing of the intervention package to address identified MCH challenges or needs considering the perceived acceptability, feasibility, and sustainability; (3) validation of the emerging intervention package through gathering insights of women in IGAs who did not take part in initial steps; and (4) refinement of the intervention package with MCH stakeholders based on the validation findings.
The participants, procedures, and findings of each co-design step will be presented. More specifically, MCH challenges facing women in IGAs, a list of potential solutions proposed, and the emerging prototype will be presented. As of August 2024, we have completed the co-design of the intervention package and are preparing validation. The findings from the validation of the emerging prototype with a new group of women in IGAs and its refinement through multistakeholder engagement will be presented. A final co-designed intervention package with the potential to improve women's resilience and readiness to handle MCH challenges will be generated.
The emerging intervention package will be discussed given relevant literature on the topic. We believe that subsequent testing and refinement of the package could form the basis for scaling up to broader settings and that the package could then be promoted as one of the key strategies in addressing MCH challenges facing women in low- and middle-income countries.
INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/54323.
孕产妇和新生儿死亡仍然是全球主要的公共卫生问题。收入生成协会（IGAs）可以成为解决贫困相关因素的关键切入点。然而，利用 IGAs 的力量来应对与孕产妇护理和儿童保育相关挑战的实际干预措施有限。
本研究旨在与 IGAs 中的女性共同设计一个干预包，以使用以人为中心的设计方法提高她们应对母婴健康（MCH）挑战的准备度和适应力。
该研究将采用定性描述设计，在坦桑尼亚的 Shinyanga 和 Arusha 地区选择有针对性的 IGAs 中的女性和关键 MCH 利益相关者。将使用经过 4 步改编的以人为中心的设计过程，包括（1）绘制 IGAs 并探索其活动、女性参与程度和面临的 MCH 挑战；（2）共同设计干预包，以解决确定的 MCH 挑战或需求，同时考虑可接受性、可行性和可持续性；（3）通过收集未参与初始步骤的 IGAs 中的女性的见解来验证新兴干预包；（4）根据验证结果与 MCH 利益相关者一起完善干预包。
将介绍每个共同设计步骤的参与者、程序和发现。更具体地说，将介绍 IGAs 中的女性面临的 MCH 挑战、提出的潜在解决方案列表以及新兴原型。截至 2024 年 8 月，我们已经完成了干预包的共同设计，正在准备验证。将介绍在新的一组 IGAs 中对新兴原型进行验证的结果以及通过多方利益相关者参与进行的完善。将生成一个最终共同设计的干预包，具有提高女性应对 MCH 挑战的适应力和准备度的潜力。
将根据该主题的相关文献讨论新兴的干预包。我们相信，对该方案的后续测试和完善可以为在更广泛的环境中推广奠定基础，并且该方案可以作为解决中低收入国家妇女面临的 MCH 挑战的关键策略之一进行推广。
国际注册报告标识符（IRRID）：DERR1-10.2196/54323。
