Perinatal health inequities, adverse perinatal health outcomes
Conditions
Interventions
In each participating municipality we will conduct multiple interviews with key stakeholders involved in social obstetrics. By the means of these interviews, we will gather information about what is c
Sponsors
The research team has received funding from the Ministry of Health, Welfare and Sports in order to perform the Healthy Pregnancy 4 All-3 study. The sponsor has no role in the study design, data collection process and analysis, decision to publish, or preparation of a manuscript.
Eligibility
Inclusion criteria
Inclusion criteria: Action research is an intensive and time-consuming process. Given the capacity of our research team, we were able to select six Dutch municipalities as cases for our comparative research. Participating municipalities will be selected based on an extensive baseline measurement that will be carried out among the 156 municipalities with the highest degree of deprived neighbourhoods out of all 355 Dutch municipalities. We hypothesized that our research would have the highest impact in municipalities with a high incidence of adverse perinatal health outcomes, a relatively large proportion of inhabitants with a low SES, and a high proportion of children living in families on welfare. Therefore, we will first select municipalities that belong to the highest quintile regarding the incidence of preterm birth and/or SGA and the lowest quintile regarding municipal SES and children living in families on welfare. In the second step of the selection process of participating municipalities, we will select 6 municipalities based on their size, geographical location in the Netherlands, and the extent to which they are already addressing perinatal health inequities.
Exclusion criteria
Exclusion criteria: Not applicable
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome is the extent to which social obstetrics is integrated into municipal policy plans/programs to address health inequities | — |
Secondary
| Measure | Time frame |
|---|---|
| The secondary outcomes are (1) the degree of awareness among professionals that can play a role in the implementation of social obstetrics concerning existing health inequities at birth and the urgency to address these inequities through cross-sectoral collaborations in their municipality, (2) the degree to which municipalities are engaged in activities aimed at improving local perinatal health outcomes, (3) the institutional facilitators and barriers that influence the uptake of perinatal health into municipal policy plans regarding health inequities, (4) the degree of collaboration between different municipal stakeholders (e.g. civil servants, aldermen, etc.) and professionals from the medical, social, and public health care sectors in addressing perinatal health inequities, and (5) insights into factors that can strengthen and/or accelerate existing local municipal approaches aimed at diminishing perinatal health inequities | — |
Contacts
Public ContactLeonie Daalderop
Erasmus MC
Outcome results
None listed