A context-driven approach through stakeholder engagement to introduce a digital emergency obstetric and newborn care register into routine obstetric health care services in Bangladesh

Emergency obstetric and newborn care (EmONC) in Bangladesh focusses on maternal health, whereby it addresses childbirth and postpartum complications to ensure women's health and well-being. It was transitioned to a digital platform to overcome challenges with the paper-based EmONC register and...

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Published in:	Journal of global health Vol. 14; p. 04098
Main Authors:	Jabeen, Sabrina, Chandrima, Rubaiya Matin, Hasan, Mehedi, Rahman, Md Mahiur, Rahman, Quazi Sadeq-Ur, Akm, Tanvir Hossain, Dewan, Farhana, Alim, Azizul, Nadia, Nuzhat, Mahmud, Mustufa, Sarker, Moazzem Hossain, Islam, Jahurul, Islam, Muhammad Shariful, Ashrafee, Sabina, Haider, Mohammad Sabbir, Chisti, Mohammod Jobayer, Sheikh, Md Ziaul Haque, Miah, Mohammad Sanaullah, Al-Mahmud, Md, Ameen, Shafiqul, Ahmed, Anisuddin, El Arifeen, Shams, Rahman, Ahmed Ehsanur
Format:	Journal Article
Language:	English
Published:	Scotland Edinburgh University Global Health Society 10-05-2024 International Society of Global Health
Subjects:	Bangladesh Decision making Emergency Medical Services - organization & administration Female Health facilities Humans Infant, Newborn Maternal Health Services - organization & administration Maternal mortality Pregnancy Registries Stakeholder Participation Workshops Bangladesh
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Summary:	Emergency obstetric and newborn care (EmONC) in Bangladesh focusses on maternal health, whereby it addresses childbirth and postpartum complications to ensure women's health and well-being. It was transitioned to a digital platform to overcome challenges with the paper-based EmONC register and we conducted implementation research to assess the outcome. Here we outline the stakeholder engagement process integral to the implementation research process. We adopted a four-step stakeholder engagement model based on the identification, sensitisation, involvement, and engagement of stakeholders. The approach was informed by previous experience, desk reviews, and expert consultations to ensure comprehensive engagement with stakeholders at multiple levels. Led by the Maternal Health Programme of the Government of Bangladesh, we involved high-power and high-interest stakeholders in developing a joint action plan for digitisation of the paper-based EmONC register. Finally, we demonstrated this digital EmONC register in real-life settings to stakeholders at different levels. The successful demonstration process fostered government ownership and collaboration with multiple stakeholders, while laying the foundation for scalability and sustainability. Nevertheless, our experience highlighted that the stakeholder engagement process is context-driven, time-consuming, resource-intensive, iterative, and dynamic, and it requires involving stakeholders with varied expertise. Effective strategic planning, facilitation, and the allocation of sufficient time and resources are essential components for successful stakeholder engagement. Our experience demonstrates the potential of adopting the 'identification, sensitisation, involvement, and engagement' stakeholder engagement model. Success in implementing this model in diverse settings depends on leveraging knowledge gained during implementation, maintaining robust communication with stakeholders, and harnessing the patience and determination of the facilitating organisation.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	2047-2978 2047-2986
DOI:	10.7189/jogh.14.04098