Balaam Marie-Clare, Thomson Gill
Research in Childbirth and Health (ReaCH Unit), School of Nursing and Midwifery, University of Central Lancashire, Preston, United Kingdom.
Parental and Infant Nutrition and Nurture Research Team (MAINN), School of Nursing and Midwifery, University of Central Lancashire, Preston, United Kingdom.
Health Res Policy Syst. 2025 Apr 24;23(1):50. doi: 10.1186/s12961-025-01319-7.
Maternal violence, in terms of obstetric violence and/or the disrespect and abuse of women and birthing people accessing maternity care, is a global concern. This mistreatment and experience of maternal violence and harm has negative physical and psychological impacts on women, birthing people and their babies. This paper evaluates a multipartner project which aimed to co-produce specialist resources to support women and birthing people who had experienced violence and harm. The evaluation sought to understand the collaborative and co-production processes employed and to identify recommendations and learning from the project.
An ethnographic-based evaluation based on action research and participatory action research principles was undertaken using qualitative interviews, documentary review and observations. The data were analysed using reflexive thematic analysis.
A total of 18 interviews were conducted with 21 participants from the lead, project partner and onward grant recipient organizations. In addition, 80 documents were reviewed, and 9 collaborative group meetings and 2 in-person events were observed. Factors which supported and inhibited effective collaborative working and co-production were identified in five aspects: ensuring inclusivity, clarity and transparency, building and maintaining relationships, collaboration and cooperation and active learning.
Effective collaborative co-production needs to consider issues of inclusivity and diversity and to ensure clarity and transparency in terms of remit, commitments and finances. Building and maintaining relationships between partners and communities by creating a safe space for participation and inclusive leadership was crucial. Recommendations from the evaluation include the need to ensure mechanisms for clear communication within projects from their inception as well as the need to acknowledge and proactively address issues of diversity and inclusivity throughout all aspects of the co-production process to support the fullest participation from diverse stakeholders.
孕产妇暴力，即产科暴力和/或对接受孕产妇护理的妇女及分娩者的不尊重与虐待，是一个全球关注的问题。这种对孕产妇的暴力和伤害经历会对妇女、分娩者及其婴儿产生负面的生理和心理影响。本文评估了一个多伙伴项目，该项目旨在共同制作专业资源，以支持经历过暴力和伤害的妇女及分娩者。评估旨在了解所采用的协作与共同制作过程，并从该项目中确定建议和经验教训。
采用基于人种志的评估方法，基于行动研究和参与式行动研究原则，通过定性访谈、文献回顾和观察来进行。使用反思性主题分析法对数据进行分析。
共对来自牵头组织、项目合作伙伴及后续拨款接受组织的21名参与者进行了18次访谈。此外，还审查了80份文件，并观察了9次协作小组会议和2次现场活动。从确保包容性、清晰性和透明度、建立和维护关系、协作与合作以及积极学习这五个方面确定了支持和阻碍有效协作工作与共同制作的因素。
有效的协作共同制作需要考虑包容性和多样性问题，并确保在职责范围、承诺和财务方面的清晰性和透明度。通过为参与创造安全空间和包容性领导来建立和维护合作伙伴与社区之间的关系至关重要。评估提出的建议包括，从项目一开始就需要确保项目内部清晰沟通的机制，以及需要在共同制作过程的各个方面承认并积极解决多样性和包容性问题，以支持不同利益相关者的充分参与。
