Please use this identifier to cite or link to this item: https://hdl.handle.net/10321/5842
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dc.contributor.authorDoherty, Tanyaen_US
dc.contributor.authorPetrus, Ruwaydaen_US
dc.contributor.authorLand, Sandraen_US
dc.contributor.authorHorwood, Christianeen_US
dc.contributor.authorFilippi, Veroniqueen_US
dc.contributor.authorHaskins, Lynen_US
dc.contributor.authorPhewa, Cleoen_US
dc.contributor.authorMapumulo, Sphindileen_US
dc.contributor.authorLuthuli, Silondileen_US
dc.contributor.authorJohn, Vaughn M.en_US
dc.date.accessioned2025-03-10T10:04:35Z-
dc.date.available2025-03-10T10:04:35Z-
dc.date.issued2025-
dc.identifier.citationDoherty, T. et al. et al. 2025. Strengthening teamwork and respect (STAR) in maternity units: developing a health system intervention in South Africa. Global Health Action. 18(1): 1-13. doi:10.1080/16549716.2024.2440982en_US
dc.identifier.issn1654-9716-
dc.identifier.issn1654-9880 (Online)-
dc.identifier.otherpubmed: 39898401-
dc.identifier.otherpmc: PMC11792138-
dc.identifier.urihttps://hdl.handle.net/10321/5842-
dc.description.abstractDisrespect and abuse in maternity services in South Africa has been described over several decades and are rooted in the country's complex socio-political landscape and unequal health system which places strain on public sector health professionals. Strategies to improve the quality of health care typically involve once-off didactic teaching or outside technical consultants focused on improving specific health programmes. These approaches fail to encourage self-reflection or to establish learning cultures. Participatory learning processes, embedded in routine service delivery, are a potentially powerful way to improve ownership and accountability for health system performance. We describe the process followed to develop the Strengthening Teamwork and Respect (STAR) intervention which is being implemented in nine district hospitals in two rural districts of KwaZulu-Natal. The intervention approach draws on a conceptual framework for learning health systems, with intervention strategies informed by participatory learning and action theory. The intervention design was an iterative process informed by literature reviews, formative data collection, consultation with provincial, district and hospital management stakeholders, expert reviewer inputs and piloting of proposed activities. This process produced the STAR intervention approach and toolkit, consisting of: identification and training of champions, creation of STAR teams, convening of learning sessions to work through STAR toolkit activities, identification, implementation and monitoring of change projects, and onsite and virtual mentorship from the STAR development team. Endline cross-sectional surveys and a parallel process evaluation will advance the evidence base for interventions to improve respectful care and cultures of teamwork and learning within maternity units in rural low- and middle-income settings.en_US
dc.format.extent13 pen_US
dc.format.mediumPrint-Electronic-
dc.language.isoenen_US
dc.publisherInforma UK Limiteden_US
dc.relation.ispartofGlobal Health Action; Vol. 18, Issue 1en_US
dc.subjectMaternity careen_US
dc.subjectHealth system interventionen_US
dc.subjectLearning health systemsen_US
dc.subjectParticipatory learning and actionen_US
dc.subjectRespectful careen_US
dc.subjectTeamworken_US
dc.subject1117 Public Health and Health Servicesen_US
dc.subject4202 Epidemiologyen_US
dc.subject4206 Public healthen_US
dc.subject.meshHumans-
dc.subject.meshPregnancy-
dc.subject.meshMaternal Health Services-
dc.subject.meshPatient Care Team-
dc.subject.meshQuality of Health Care-
dc.subject.meshSouth Africa-
dc.subject.meshFemale-
dc.subject.meshRespect-
dc.subject.meshHumans-
dc.subject.meshSouth Africa-
dc.subject.meshMaternal Health Services-
dc.subject.meshFemale-
dc.subject.meshRespect-
dc.subject.meshPregnancy-
dc.subject.meshPatient Care Team-
dc.subject.meshQuality of Health Care-
dc.titleStrengthening teamwork and respect (STAR) in maternity units : developing a health system intervention in South Africaen_US
dc.typeArticleen_US
dc.date.updated2025-02-28T12:44:34Z-
dc.publisher.urihttps://doi.org/10.1080/16549716.2024.2440982en_US
dc.identifier.doi10.1080/16549716.2024.2440982-
item.languageiso639-1en-
item.openairetypeArticle-
item.cerifentitytypePublications-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.fulltextWith Fulltext-
item.grantfulltextopen-
Appears in Collections:Research Publications (Health Sciences)
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