Formative research to design an implementation strategy for a postpartum hemorrhage initial response treatment bundle...

Area of Science:

• Implementation Science
• Maternal Health
• Clinical Interventions

Background:

• Postpartum hemorrhage (PPH) is a leading global cause of maternal mortality.
• Effective PPH management relies on early detection and adherence to evidence-based guidelines.
• Challenges in consistent guideline adherence necessitate innovative implementation strategies.

Purpose of the Study:

• To describe the protocol for the formative phase of the E-MOTIVE project.
• To design an implementation strategy for the E-MOTIVE clinical care bundle.
• To improve PPH detection and first-response management.

Main Methods:

• Utilizing behavior change (COM-B) and implementation science (TDF) frameworks.
• Employing qualitative interviews, surveys, systematic reviews, and design workshops.
• Triangulating data across diverse sources and countries (Kenya, Nigeria, South Africa, Sri Lanka, Tanzania).

Main Results:

• The formative phase protocol is detailed.
• Exploration of factors influencing PPH detection and management.
• Development of tailored implementation strategies through stakeholder engagement.

Conclusions:

• The protocol systematically guides the development of the E-MOTIVE implementation strategy.
• Focus on implementation planning supports future scalability and routine practice adoption.
• Aims to maximize trial validity and facilitate widespread E-MOTIVE bundle use.