Please use this identifier to cite or link to this item: https://hdl.handle.net/2440/71187
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Type: Journal article
Title: Impact of increasing capacity for generating and using research on maternal and perinatal health practices in South East Asia (SEA-ORCHID Project)
Author: Crowther, C.
Martis, R.
Citation: PLoS One, 2011; 6(9):1-11
Publisher: Public Library of Science
Issue Date: 2011
ISSN: 1932-6203
1932-6203
Organisation: SEA-ORCHID Study Group
Statement of
Responsibility: 
The SEA-ORCHID Study Group... [C. A. Crowther... Ruth Martis...]
Abstract: Background: 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. Methods: 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. Results: 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. Conclusion: 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.
Keywords: SEA-ORCHID Study Group
Humans
Perinatal Care
Infant Mortality
Maternal Mortality
Pregnancy
Maternal Welfare
Infant, Newborn
Hospitals
Quality Assurance, Health Care
Asia, Southeastern
Indonesia
Malaysia
Philippines
Thailand
Australia
Female
Description: Writing committee: P. Lumbiganon, S. J. McDonald, M. Laopaiboon, T. Turner, S. Green, C. A. Crowther. The SEA-ORCHID Study Group consists of: Pisake Lumbiganon, Mario Festin, Jacqueline Ho, Hakimi Mohammad, David Henderson-Smart, Sally Green and Caroline Crowther. Educators and Fellows. AUSTRALIA: Jacki Short, Tari Turner, Ruth Martis
Rights: © 2011 The SEA-ORCHID Study Group. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
DOI: 10.1371/journal.pone.0023994
Appears in Collections:Aurora harvest 5
Obstetrics and Gynaecology publications

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