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WG4 Complex Systems
In the first year, collaborating groups in this work group will systematically locate, review, and synthesise methodological studies reporting on tools and techniques for measuring complex systems. The findings will be synthesised into an organisational assessment tool. These findings will be published as a formal systematic review.4
The second year,will see the data from WG’s 1-3 being scrutinised and assessed to identify systems and approaches that deliver positive outcomes for women, babies, families, and maternity care workers. A subgroup of systems that benefit migrant women will also be identified.
The components of, initial conditions for, and connectivities within these ‘best practice’ systems will be assessed using the organisational assessment tool, paying attention to ‘what works, for who, in what circumstances’.
During years three and four, the findings from the assessment will be disseminated and implemented via appreciative inquiry action research techniques in European countries where outcomes are less good for women and babies, and/or for maternity care workers. The emergent findings from each action research cycle will be fed in to the CoP’s, and used to refine future action research cycles.
The impact on the wellbeing of women, infants, and families, and on maternity care workers, will be assessed, and rates of prematurity and low birth weight will be measured, particularly in migrant women.
From the second year onwards, grant applications will be prepared to follow up the emerging questions that arise from the work of the WG. These will include cost-benefit economic evaluations of the implementation of best practice systems. It will also include an assessment of the outcomes that matter to migrant women.
