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CONFERENCE PROCEEDING
Adapting TeamBirth to urban Nepal: A service and strategic design study on respectful maternity care
1
Harvard University T. H. Chan School of Public Health, Ariadne Labs - Delivery Decisions Initiative, Boston- Massachusetts, United States
2
Institute of Design at the Norwegian University of Science and Technology, Department of Design, Trondheim, Norway
3
Midwifery Society of Nepal, Independent Midwife Consultant, Kathmandu, Nepal
Eur J Midwifery 2026;10(Supplement 1):A10
ABSTRACT
PURPOSE:
The purpose of this oral presentation is to explore how TeamBirth, an intervention designed to promote respectful care, effective communication, and shared decision-making (SDM) during labor, can be adapted to improve health outcomes and birth experiences for mothers in urban Nepal.
DISCUSSION:
Many women giving birth at Nepali health facilities experience at least one form of disrespect or abuse during labor (Ghimire et al., 2021). Disrespectful and abusive behaviors are linked to significantly reduced quality of care and help-seeking behavior, therefore negatively impacting health outcomes (Jemal et al., 2021). TeamBirth is an intervention designed to promote respectful care, effective communication, and SDM during childbirth. Through in-country field work, we aimed to discover how TeamBirth could be implemented in Nepali midwife-led birth units with the goal of identifying challenges and opportunities with the existing product, and exploring what adaptations should be made, while maintaining TeamBirth's core components.
EVIDENCE WHERE RELEVANT:
This project utilized a strategic design approach, employing methods from participatory design and ethnographic research. The approaches were used to form a holistic understanding of the current maternal healthcare system in urban Nepal, with the end-users’ needs and experiences in focus. By using semi-structured interviews, focus groups, workshops with local midwives, user journey mapping, and SWOT-analyses, we identified pain points for the targeted users as well as opportunities and barriers for adapting and implementing the TeamBirth model of care into midwife-led units in urban Nepal.
KEY MESSAGE:
We propose adaptations and considerations required for TeamBirth to fit the Nepali midwife-led birth units, while aligning with local constraints, future trends, and Ariadne Labs’ overall project timeline. The result was shaped through an iterative process of testing with end users and getting feedback from Ariadne Labs and Laerdal Global Health to create a strategic plan with a short, mid, and long-term perspective that includes suggestions for future work. Approaches to care
The purpose of this oral presentation is to explore how TeamBirth, an intervention designed to promote respectful care, effective communication, and shared decision-making (SDM) during labor, can be adapted to improve health outcomes and birth experiences for mothers in urban Nepal.
DISCUSSION:
Many women giving birth at Nepali health facilities experience at least one form of disrespect or abuse during labor (Ghimire et al., 2021). Disrespectful and abusive behaviors are linked to significantly reduced quality of care and help-seeking behavior, therefore negatively impacting health outcomes (Jemal et al., 2021). TeamBirth is an intervention designed to promote respectful care, effective communication, and SDM during childbirth. Through in-country field work, we aimed to discover how TeamBirth could be implemented in Nepali midwife-led birth units with the goal of identifying challenges and opportunities with the existing product, and exploring what adaptations should be made, while maintaining TeamBirth's core components.
EVIDENCE WHERE RELEVANT:
This project utilized a strategic design approach, employing methods from participatory design and ethnographic research. The approaches were used to form a holistic understanding of the current maternal healthcare system in urban Nepal, with the end-users’ needs and experiences in focus. By using semi-structured interviews, focus groups, workshops with local midwives, user journey mapping, and SWOT-analyses, we identified pain points for the targeted users as well as opportunities and barriers for adapting and implementing the TeamBirth model of care into midwife-led units in urban Nepal.
KEY MESSAGE:
We propose adaptations and considerations required for TeamBirth to fit the Nepali midwife-led birth units, while aligning with local constraints, future trends, and Ariadne Labs’ overall project timeline. The result was shaped through an iterative process of testing with end users and getting feedback from Ariadne Labs and Laerdal Global Health to create a strategic plan with a short, mid, and long-term perspective that includes suggestions for future work. Approaches to care
| eISSN: | 2585-2906 |
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