Affiliation:
1. Department of Nursing Sciences, Faculty of Health Sciences, University of Pretoria, Pretoria 0084, South Africa
2. Department of Maternal and Child Health, llishan School of Nursing, Babcock University Remo, Ilishan-Remo 121003, Nigeria
Abstract
Collaboration between midwives and traditional birth attendants for maternal and child healthcare is a challenge in rural South African communities due to the absence of a guiding framework. To address this, this study sought to develop and validate an inclusive framework informed by the Donabedian structure–process–outcome (SPO) framework for collaboration between these healthcare professionals. Method: Key stakeholders were invited to participate in a co-creation workshop to develop the framework. Twenty (20) participants were purposively sampled based on their maternal and child healthcare expertise. A consensus design using the nominal group technique was followed. Results: Participants identified the components needed in the framework, encompassing (i) objectives, (ii) structures, (iii) processes, and (iv) outcomes. Conclusion: This paper will contribute to the development of an inclusive healthcare framework, providing insights for stakeholders, policymakers, and practitioners seeking to improve maternal and child healthcare outcomes in resource-constrained, rural settings. Ultimately, the proposed framework will create a sustainable and culturally sensitive model that optimises the strengths of midwives and TBAs and fosters improved healthcare delivery to rural South African communities.
Funder
National Research Foundation (NRF) Black Academic Advancement Programme
Subject
Health Information Management,Health Informatics,Health Policy,Leadership and Management