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Updated: Feb 22, 2026

A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting

A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting

Published on: January 12, 2018

Cocreation and codesign in maternal health: processes, outcomes and implementation challenges.

Mohamed Rishard^1,2, Kavinda Rajaratne³, Kavinda Jayasingha³

¹Department of Obstetrics and Gynaecology, Faculty of Medicine, University of Colombo, Colombo, Sri Lanka mrishard@obg.cmb.ac.lk.

BMJ Quality & Safety

|February 20, 2026

Summary

Co-creation and co-design enhance maternal care by involving stakeholders in developing culturally relevant services. While promising, evidence on effectiveness requires further investigation with robust study designs.

Keywords:

Health policy Healthcare quality improvement Implementation science

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Area of Science:

Maternal Health
Co-design & Co-creation
Health Services Research

Background:

Co-creation and co-design are increasingly utilized in healthcare to improve service delivery.
Their application in maternal health aims to enhance care through stakeholder involvement.
Understanding the processes, barriers, and facilitators is crucial for effective implementation.

Purpose of the Study:

To systematically review the application of co-creation and co-design in maternal health.
To characterize the processes, including barriers and facilitators.
To summarize reported clinical and experiential outcomes.

Main Methods:

Systematic review following PRISMA guidelines.
Searched multiple databases (PubMed, MEDLINE, Embase, Cochrane, ScienceDirect) from 2014-2025.
Included 60 qualitative and quantitative studies, with narrative synthesis due to heterogeneity.

Main Results:

Co-creation/co-design were applied to develop psychosocial support, communication tools, and digital health interventions.
Key outcomes reported were acceptability, satisfaction, engagement, and perceived relevance.
Challenges included power imbalances and resource constraints; enablers were stakeholder involvement and iterative design.

Conclusions:

Co-creation and co-design can support culturally relevant and equitable maternal care when well-described and context-appropriate.
Current evidence is insufficient to draw firm conclusions on effectiveness.
Future research needs transparent reporting, specified mechanisms/contexts, and stronger comparative designs.