Toward an intravaginal device to detect risk of preterm labor: a user-centered design approach in Sub-Saharan Africa

Plain language summary Prematurity and its complications are the leading cause of death and disability in children under 5 years of age. Up to ten percent of pregnancies in North America and Africa are affected. Screening tests to predict preterm birth (PTB) are insensitive, costly, and often unavai...
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Autor*in:	Emma Smith [verfasserIn] Cecilia Milford [verfasserIn] Kenneth Ngure [verfasserIn] Sara Newmann [verfasserIn] Nicholas B. Thuo [verfasserIn] Susana Berrios [verfasserIn] Mags E. Beksinska [verfasserIn] Nelly Mugo [verfasserIn] Larry Rand [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2022

Schlagwörter:	Preterm labor Preterm birth Maternal health Sub-Saharan Africa Medical device development

Übergeordnetes Werk:	In: Reproductive Health - BMC, 2004, 19(2022), 1, Seite 12
Übergeordnetes Werk:	volume:19 ; year:2022 ; number:1 ; pages:12

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.1186/s12978-022-01478-8

Katalog-ID:	DOAJ031769071

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520			\|a Plain language summary Prematurity and its complications are the leading cause of death and disability in children under 5 years of age. Up to ten percent of pregnancies in North America and Africa are affected. Screening tests to predict preterm birth (PTB) are insensitive, costly, and often unavailable in low resource settings. A U.S.-based study has developed an intravaginal device to detect preterm labor. In order to assess acceptability and guide development for a low-resource setting, a qualitative study was conducted in Kenya and South Africa. We conducted focus group discussions and interviews with pregnant women, male community members, health care providers and health systems experts. Participants with a personal history of PTB were almost unanimous in support of the proposed device; women with no experience of PTB expressed the greatest degree of reservation. Various potential challenges were identified: discomfort, hygiene, and sexual activity, the need for provider training and attention to country-specific regulatory processes. Design recommendations included preference for a small, soft, pliable device, with a shape that could facilitate easy removal. Stakeholders expressed a strong preference for insertion by providers. These findings reflect the significance of end-user consultation in device design and use.
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650		4	\|a Preterm birth
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allfieldsSound	10.1186/s12978-022-01478-8 doi (DE-627)DOAJ031769071 (DE-599)DOAJ12f86bb6ea994008bb57758f63bf8178 DE-627 ger DE-627 rakwb eng RG1-991 Emma Smith verfasserin aut Toward an intravaginal device to detect risk of preterm labor: a user-centered design approach in Sub-Saharan Africa 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Plain language summary Prematurity and its complications are the leading cause of death and disability in children under 5 years of age. Up to ten percent of pregnancies in North America and Africa are affected. Screening tests to predict preterm birth (PTB) are insensitive, costly, and often unavailable in low resource settings. A U.S.-based study has developed an intravaginal device to detect preterm labor. In order to assess acceptability and guide development for a low-resource setting, a qualitative study was conducted in Kenya and South Africa. We conducted focus group discussions and interviews with pregnant women, male community members, health care providers and health systems experts. Participants with a personal history of PTB were almost unanimous in support of the proposed device; women with no experience of PTB expressed the greatest degree of reservation. Various potential challenges were identified: discomfort, hygiene, and sexual activity, the need for provider training and attention to country-specific regulatory processes. Design recommendations included preference for a small, soft, pliable device, with a shape that could facilitate easy removal. Stakeholders expressed a strong preference for insertion by providers. These findings reflect the significance of end-user consultation in device design and use. Preterm labor Preterm birth Maternal health Sub-Saharan Africa Medical device development Gynecology and obstetrics Cecilia Milford verfasserin aut Kenneth Ngure verfasserin aut Sara Newmann verfasserin aut Nicholas B. Thuo verfasserin aut Susana Berrios verfasserin aut Mags E. Beksinska verfasserin aut Nelly Mugo verfasserin aut Larry Rand verfasserin aut In Reproductive Health BMC, 2004 19(2022), 1, Seite 12 (DE-627)389462543 (DE-600)2149029-6 17424755 nnns volume:19 year:2022 number:1 pages:12 https://doi.org/10.1186/s12978-022-01478-8 kostenfrei https://doaj.org/article/12f86bb6ea994008bb57758f63bf8178 kostenfrei https://doi.org/10.1186/s12978-022-01478-8 kostenfrei https://doaj.org/toc/1742-4755 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 19 2022 1 12
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callnumber-first	R - Medicine
author	Emma Smith
spellingShingle	Emma Smith misc RG1-991 misc Preterm labor misc Preterm birth misc Maternal health misc Sub-Saharan Africa misc Medical device development misc Gynecology and obstetrics Toward an intravaginal device to detect risk of preterm labor: a user-centered design approach in Sub-Saharan Africa
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topic_title	RG1-991 Toward an intravaginal device to detect risk of preterm labor: a user-centered design approach in Sub-Saharan Africa Preterm labor Preterm birth Maternal health Sub-Saharan Africa Medical device development
topic	misc RG1-991 misc Preterm labor misc Preterm birth misc Maternal health misc Sub-Saharan Africa misc Medical device development misc Gynecology and obstetrics
topic_unstemmed	misc RG1-991 misc Preterm labor misc Preterm birth misc Maternal health misc Sub-Saharan Africa misc Medical device development misc Gynecology and obstetrics
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title	Toward an intravaginal device to detect risk of preterm labor: a user-centered design approach in Sub-Saharan Africa
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title_auth	Toward an intravaginal device to detect risk of preterm labor: a user-centered design approach in Sub-Saharan Africa
abstract	Plain language summary Prematurity and its complications are the leading cause of death and disability in children under 5 years of age. Up to ten percent of pregnancies in North America and Africa are affected. Screening tests to predict preterm birth (PTB) are insensitive, costly, and often unavailable in low resource settings. A U.S.-based study has developed an intravaginal device to detect preterm labor. In order to assess acceptability and guide development for a low-resource setting, a qualitative study was conducted in Kenya and South Africa. We conducted focus group discussions and interviews with pregnant women, male community members, health care providers and health systems experts. Participants with a personal history of PTB were almost unanimous in support of the proposed device; women with no experience of PTB expressed the greatest degree of reservation. Various potential challenges were identified: discomfort, hygiene, and sexual activity, the need for provider training and attention to country-specific regulatory processes. Design recommendations included preference for a small, soft, pliable device, with a shape that could facilitate easy removal. Stakeholders expressed a strong preference for insertion by providers. These findings reflect the significance of end-user consultation in device design and use.
abstractGer	Plain language summary Prematurity and its complications are the leading cause of death and disability in children under 5 years of age. Up to ten percent of pregnancies in North America and Africa are affected. Screening tests to predict preterm birth (PTB) are insensitive, costly, and often unavailable in low resource settings. A U.S.-based study has developed an intravaginal device to detect preterm labor. In order to assess acceptability and guide development for a low-resource setting, a qualitative study was conducted in Kenya and South Africa. We conducted focus group discussions and interviews with pregnant women, male community members, health care providers and health systems experts. Participants with a personal history of PTB were almost unanimous in support of the proposed device; women with no experience of PTB expressed the greatest degree of reservation. Various potential challenges were identified: discomfort, hygiene, and sexual activity, the need for provider training and attention to country-specific regulatory processes. Design recommendations included preference for a small, soft, pliable device, with a shape that could facilitate easy removal. Stakeholders expressed a strong preference for insertion by providers. These findings reflect the significance of end-user consultation in device design and use.
abstract_unstemmed	Plain language summary Prematurity and its complications are the leading cause of death and disability in children under 5 years of age. Up to ten percent of pregnancies in North America and Africa are affected. Screening tests to predict preterm birth (PTB) are insensitive, costly, and often unavailable in low resource settings. A U.S.-based study has developed an intravaginal device to detect preterm labor. In order to assess acceptability and guide development for a low-resource setting, a qualitative study was conducted in Kenya and South Africa. We conducted focus group discussions and interviews with pregnant women, male community members, health care providers and health systems experts. Participants with a personal history of PTB were almost unanimous in support of the proposed device; women with no experience of PTB expressed the greatest degree of reservation. Various potential challenges were identified: discomfort, hygiene, and sexual activity, the need for provider training and attention to country-specific regulatory processes. Design recommendations included preference for a small, soft, pliable device, with a shape that could facilitate easy removal. Stakeholders expressed a strong preference for insertion by providers. These findings reflect the significance of end-user consultation in device design and use.
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title_short	Toward an intravaginal device to detect risk of preterm labor: a user-centered design approach in Sub-Saharan Africa
url	https://doi.org/10.1186/s12978-022-01478-8 https://doaj.org/article/12f86bb6ea994008bb57758f63bf8178 https://doaj.org/toc/1742-4755
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Toward an intravaginal device to detect risk of preterm labor: a user-centered design approach in Sub-Saharan Africa

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