Please use this identifier to cite or link to this item: https://t2-4.bsc.es/jspui/handle/123456789/59855
Title: Building a global policy agenda to prioritise preterm birth: A qualitative analysis on factors shaping global health policy-making 2015-2020
Keywords: POLICY MAKING
PREMATURE BIRTHS
HEALTH POLICY
2020
Description: We conducted key informant interviews with 18 experts in prematurity and reproductive, maternal, newborn, and child health (RMNCH) and reviewed key literature on preterm birth. We aimed to identify the factors that shape the global political priority of preterm birth and to describe policy opportunities to increase its priority moving forward. This data collection includes two documents. The first is a semi-structured interview guide that was created based on the Shiffman and Smith Framework for Political Priority which was used as the guiding framework for our analysis. This interview guide was used in every key informant interview. The second document is a codebook that was developed based on the key themes which emerged during the key informant interview process. We applied these codes to different excerpts from our interview transcripts and analyzed the codes to determine salient themes for our research findings. <p>Preterm birth, defined as infants born before 37 weeks of gestation, is the largest contributor to child mortality. Despite new evidence highlighting the global burden of prematurity, policymakers have failed to adequately prioritize preterm birth despite the magnitude of its health impacts. Given current levels of political attention and investment, it is unlikely that the global community will be adequately mobilized to meet the 2012 Born Too Soon report goal of reducing the preterm birth rate by 50% by 2025. This study adapts the Shiffman and Smith framework for political priority to examine four components contributing to policy action in global health: actor power, ideas, political context, and issue characteristics. The global preterm birth community (academic researchers, multilateral organizations, government agencies, and civil society organizations) lacks evidence about the causes of and solutions to preterm birth; and country-level data quality is poor with gaps in the understanding required for implementing effective interventions. Limited funding compounds these challenges, creating divisions among experts on what policy actions to recommend. These factors contribute to the lack of priority and underrepresentation of preterm birth within the larger RMNCH agenda. Increasing the political priority of prematurity is essential to reduce preventable newborn and child mortality, a key target of the 2030 Sustainable Development Goal for health (target 3.2). This study identifies three policy recommendations for the preterm birth community: address data and evidence gaps, clarify and invest in viable solutions, and bring visibility to prematurity within the larger RMNCH agendas.</p>
URI: https://t2-4.bsc.es/jspui/handle/123456789/59855
Other Identifiers: 854251
10.5255/UKDA-SN-854251
https://doi.org/10.5255/UKDA-SN-854251
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