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System Strengthening: Evidence-based Design Assessment and Prototypes for Ministry of Health Maternity Wards in Malawi
Evidence-based design of maternity wards in low- and middle- income countries (LMIC) can improve quality of care and impact patient outcomes. Among the most critical maternal experience determinants during a hospital stay are privacy and respect, yet evidence shows the “open-ward” typology of maternity wards in LMIC settings is a barrier to dignified care. While research funding exists on patient experience, limited funding is available for a design exercise to solve these challenges. Employing a mixed-method quality of care research model, findings are applied to the design of a cost-neutral maternity ward design prototype. This design exercise develops design guidelines governments can consider when planning future development, and an assessment tool to be used by Ministries of Health to examine quality of care issues in maternity ward settings. Upon completion, these outcomes will be used to pursue future funding of an R21 grant to the Eunice Kennedy Shriver National Institute of Child Health and Human Development supporting improved maternal health outcomes
Project Collaborators
- Meghan Gannon, PhD MSPH
 Assistant Professor, College of Nursing
 MATER Faculty (Maternal Addiction Treatment Education and Research)
 Director of Community Partnerships, MATER
 JeffMAP Fellow, Department of Family and Community Medicine
 Director Health Policy Systems Track SI, Sidney Kimmel Medical College
 Thomas Jefferson University
- Chris Harnish
 Associate Professor of Architecture, College of Architecture and the Built Environment
 Director, Health and Design Collaborative, Malawi
 Co-director, Jefferson Consortium of African Partnerships
 Thomas Jefferson University
- In collaboration with:
 Republic of Malawi Ministry of Health
 Kamuzu University of Health Sciences
 Queen Elizabeth Central Hospital
 Malawi Institute of Architects
