Maternal mortality is a healthcare issue that needs a collaborative effort to address. While maternal mortality is a global issue, the problem is mainly a menace among low-income areas. The proposal to reduce the severity of maternal death among low-income areas are steps that address the needs of both mothers and the healthcare institutions in these areas. The aim should be to ensure that maternal care services in these areas are available, affordable, appropriate, approachable, and acceptable. The proposed steps for implementing such care services include enhancing collaboration, increasing the number of medical staff, and training the medics on cultural sensitivity, patient education, or marketing. The success of the implementation is the approach to implementation. Therefore, incrementalism can help in planning and managing these actions to translate them into success in achieving better maternal care.
Incrementalism Merit
The steps towards eliminating or reducing maternal mortality should follow the principle of incrementalism. With the incrementalism principle, the implementing team will have a procedural approach which they will follow to ensure that there is order. The incrementalism approach will prioritize the best and the most significant actions to implement before looking for the least essential activities ( Buchan, Cloutier & Friedman, 2019). Therefore, such a plan and gradual step-by-step steps ensure that financial programs are allocated to the most critical activities during the implementation process. Incrementalism will reduce inconveniences that arise because there is inadequate planning. Besides, incrementalism will ensure that there are a step-by-step planning and monitoring process to ensure that all activities that are necessary for each step achieve their mission within the time allocation. Thus, the incrementalism approach is merited because it will allow for proper planning and adequate resource allocation, and this will reduce errors in the program. Without incrementalism, there could be time-wasting during the implementation. Without proper incrementalism, there can be a resource misallocation. These may thwart the success of the intervention.
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The order of the implementation
For these steps, the implementation steps should begin with the external influencers or external factors before proceeding to internal influencers. Therefore, it should start by defining the training needs and training the nurses and medical staff on cultural sensitivity. Training will allow them to understand the lack of cultural diversity. The next should be hiring extra labor. During training, the need assessment should reveal the need to get more staff to cater to the patients’ needs. Therefore, hiring should be the next target. The next should be the advocacy for better healthcare. The advocacy or marketing plan should be drafted, and this would push the team to collaborate with other external bodies to find the best ways to solve the problem. The policy mobilization should have its roots foundation on the results of the training improvement needs and the need to hire more staff. There should be no best way to modify the sequence or make it look any better.
| Action Steps | Department Assigned | Activities | The Date For The Start And Finish |
| Defining the training need and training the staff | Human Resource management | Formulating the training need assessment for employees to assess the level of training needs Allocating funds for training Selecting the team that need training Hiring trainers or and organizing the training session Post straining analysis and evaluations | 1-2 months |
| Hiring extra medical staffs | Human Resource Management | Need assessment to identify areas that need additional team for quality services Listing down the vacancies and the requirements for the posts Drafting down the adverts for vacancies Listing down the timeline for the hiring processes Hiring process Post hiring orientation and training for the new Staffs | 1-2 months |
| Advocacy | Nurse educationists in collaboration with the health care administrations | Identification of areas of sensitization which in this case is the maternal care Draft the template for the sensitization Train the team and brief them on the need for training Organize the advocacy programs for the team Role on the marketing or the advocacy program targeting the maternity and maternal care in the community Collaborate with media and other public agencies such as schools and other healthcare to have a comprehensive campaign to sensitize maternal health | 2-3 months (Ongoing) |
| Collaboration | The health care administrations | Mapping out essential political influencers within the areas Drafting out healthcare proposal that meets the needs of the maternal care Sending out the proposal and requesting for a meeting Meeting and discussing maternal healthcare needs Drafting the best ways to reduce the rate of the maternal death ion the healthcare | Two months |
Process and outcome measures will be part of the monitoring and evaluation. In this case, the process evaluation will take place after each action to understand. It will entail measuring the outcome of each step. These will relook at objective and understand the goal that is met and the readjustments necessary to achieve the unmet objectives ( Mäntysalo et al., 2019). The outcome monitoring will relook the entire results of the action steps. The measure will include an improvement in maternal care, which will be determined by the number of visits and maternal consultancies. Also, the mortality rate reduction within the community can be a measure to indicate the success of these programs.
In conclusion, each action step described will look to create better maternal care for the community. The aim will be to improve the maternal experience and reduce the rate of death related to maternal care. The implementation process and time frame are flexible, depending on the variable that will justify its success.
References
Buchan, R., Cloutier, D. S., & Friedman, A. (2019). Transformative incrementalism: Planning for transformative change in local food systems. Progress in Planning , 134 , 100424.
Mäntysalo, R., Tuomisaari, J., Granqvist, K., & Kanninen, V. (2019). The Strategic Incrementalism of Lahti Master Planning: Three Lessons. Planning Theory & Practice , 20 (4), 555-572.
