Impact of increasing capacity for generating and using research on maternal and perinatal health practices in South East Asia (SEA-ORCHID Project).

<h4>Background</h4>Maternal and neonatal mortality and morbidity remain unacceptably high in many low and middle income countries. SEA-ORCHID was a five year international collaborative project in South East Asia which aimed to determine whether health care and health outcomes for mother...

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Autores principales:	SEA-ORCHID Study Group, P Lumbiganon, S J McDonald, M Laopaiboon, T Turner, S Green, C A Crowther
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2011
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/adcef0779f584af59e829a0cca16bc9f
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spelling	oai:doaj.org-article:adcef0779f584af59e829a0cca16bc9f2021-11-18T06:46:30ZImpact of increasing capacity for generating and using research on maternal and perinatal health practices in South East Asia (SEA-ORCHID Project).1932-620310.1371/journal.pone.0023994https://doaj.org/article/adcef0779f584af59e829a0cca16bc9f2011-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/21915274/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>Maternal and neonatal mortality and morbidity remain unacceptably high in many low and middle income countries. SEA-ORCHID was a five year international collaborative project in South East Asia which aimed to determine whether health care and health outcomes for mothers and babies could be improved by developing capacity for research generation, synthesis and use.<h4>Methods</h4>Nine hospitals in Indonesia, Malaysia, the Philippines and Thailand participated in SEA-ORCHID. These hospitals were supported by researchers from three Australian centres. Health care practices and outcomes were assessed for 1000 women at each hospital both before and after the intervention. The capacity development intervention was tailored to the needs and context of each hospital and delivered over an 18 month period. Main outcomes included adherence to forms of care likely to be beneficial and avoidance of forms of care likely to be ineffective or harmful.<h4>Results</h4>We observed substantial variation in clinical practice change between sites. The capacity development intervention had a positive impact on some care practices across all countries, including increased family support during labour and decreased perineal shaving before birth, but in some areas there was no significant change in practice and a few beneficial practices were followed less often.<h4>Conclusion</h4>The results of SEA-ORCHID demonstrate that investing in developing capacity for research use, synthesis and generation can lead to improvements in maternal and neonatal health practice and highlight the difficulty of implementing evidence-based practice change.SEA-ORCHID Study GroupP LumbiganonS J McDonaldM LaopaiboonT TurnerS GreenC A CrowtherPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 6, Iss 9, p e23994 (2011)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q SEA-ORCHID Study Group P Lumbiganon S J McDonald M Laopaiboon T Turner S Green C A Crowther Impact of increasing capacity for generating and using research on maternal and perinatal health practices in South East Asia (SEA-ORCHID Project).
description	<h4>Background</h4>Maternal and neonatal mortality and morbidity remain unacceptably high in many low and middle income countries. SEA-ORCHID was a five year international collaborative project in South East Asia which aimed to determine whether health care and health outcomes for mothers and babies could be improved by developing capacity for research generation, synthesis and use.<h4>Methods</h4>Nine hospitals in Indonesia, Malaysia, the Philippines and Thailand participated in SEA-ORCHID. These hospitals were supported by researchers from three Australian centres. Health care practices and outcomes were assessed for 1000 women at each hospital both before and after the intervention. The capacity development intervention was tailored to the needs and context of each hospital and delivered over an 18 month period. Main outcomes included adherence to forms of care likely to be beneficial and avoidance of forms of care likely to be ineffective or harmful.<h4>Results</h4>We observed substantial variation in clinical practice change between sites. The capacity development intervention had a positive impact on some care practices across all countries, including increased family support during labour and decreased perineal shaving before birth, but in some areas there was no significant change in practice and a few beneficial practices were followed less often.<h4>Conclusion</h4>The results of SEA-ORCHID demonstrate that investing in developing capacity for research use, synthesis and generation can lead to improvements in maternal and neonatal health practice and highlight the difficulty of implementing evidence-based practice change.
format	article
author	SEA-ORCHID Study Group P Lumbiganon S J McDonald M Laopaiboon T Turner S Green C A Crowther
author_facet	SEA-ORCHID Study Group P Lumbiganon S J McDonald M Laopaiboon T Turner S Green C A Crowther
author_sort	SEA-ORCHID Study Group
title	Impact of increasing capacity for generating and using research on maternal and perinatal health practices in South East Asia (SEA-ORCHID Project).
title_short	Impact of increasing capacity for generating and using research on maternal and perinatal health practices in South East Asia (SEA-ORCHID Project).
title_full	Impact of increasing capacity for generating and using research on maternal and perinatal health practices in South East Asia (SEA-ORCHID Project).
title_fullStr	Impact of increasing capacity for generating and using research on maternal and perinatal health practices in South East Asia (SEA-ORCHID Project).
title_full_unstemmed	Impact of increasing capacity for generating and using research on maternal and perinatal health practices in South East Asia (SEA-ORCHID Project).
title_sort	impact of increasing capacity for generating and using research on maternal and perinatal health practices in south east asia (sea-orchid project).
publisher	Public Library of Science (PLoS)
publishDate	2011
url	https://doaj.org/article/adcef0779f584af59e829a0cca16bc9f
work_keys_str_mv	AT seaorchidstudygroup impactofincreasingcapacityforgeneratingandusingresearchonmaternalandperinatalhealthpracticesinsoutheastasiaseaorchidproject AT plumbiganon impactofincreasingcapacityforgeneratingandusingresearchonmaternalandperinatalhealthpracticesinsoutheastasiaseaorchidproject AT sjmcdonald impactofincreasingcapacityforgeneratingandusingresearchonmaternalandperinatalhealthpracticesinsoutheastasiaseaorchidproject AT mlaopaiboon impactofincreasingcapacityforgeneratingandusingresearchonmaternalandperinatalhealthpracticesinsoutheastasiaseaorchidproject AT tturner impactofincreasingcapacityforgeneratingandusingresearchonmaternalandperinatalhealthpracticesinsoutheastasiaseaorchidproject AT sgreen impactofincreasingcapacityforgeneratingandusingresearchonmaternalandperinatalhealthpracticesinsoutheastasiaseaorchidproject AT cacrowther impactofincreasingcapacityforgeneratingandusingresearchonmaternalandperinatalhealthpracticesinsoutheastasiaseaorchidproject
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Impact of increasing capacity for generating and using research on maternal and perinatal health practices in South East Asia (SEA-ORCHID Project).

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