WHO online survey on maternal well-being framework - ENG, FR and SPA translations available

 ------- ENGLISH ------

Dear colleague,

You are invited to participate in the development of the World Health Organization (WHO) maternal well-being framework through an online survey. 

This consultation is one step in a broader process led by the WHO Department of Maternal, Newborn, Child and Adolescent Health and Ageing (MCA) towards creating a comprehensive framework that supports maternal well-being across diverse environments and cultures. Based on the results of a scoping review of the literature and an expert consultation held in May 2023, a preliminary framework has been developed including a definition, domains and subdomains. WHO/MCA is now organizing multiple consultations which objectives are listed below. 

What is the purpose of the survey?

• Ensure comprehensive coverage of all critical elements of the framework and identify potential gaps in the definition, domains and framework of maternal well-being.
• Evaluate the framework’s applicability across various settings and cultures.
• Foster collective agreement and consensus among key stakeholders.

Who can take part to this survey?

Any individual or organization who has interest in maternal health and well-being. This includes, but is not limited to:

• Representatives of women's groups
• Health workers (midwives, OBGYN, nurses, neonatal nurses, paediatricians, psychiatrists, psychologists, community health workers...)
• Experts in human and sexual and reproductive rights, public health, health promotion, gender, mental health, economics, humanitarian, etc.
• Academics and researchers 
• Government organizations
• National civil society organizations / NGOs
• International agencies / UN agencies
• Private sector

How to participate in this survey?

Please click on the following link: Survey Link

We expect this survey will not take longer than 15 minutes to complete. It is available in English. 

The survey will be open until 17 August 2024. 

We would be grateful for your response to this survey and your kind help in circulating to your colleagues and networks.

Please reach out to Justine Le Lez - lejus AT who.int with any further questions. 

Best regards,

On the behalf of the Department of Maternal, Newborn, Child and Adolescent Health and Ageing (WHO/MCA)

------- FRENCH / FRANCAIS ------

 

Bonjour,

Vous êtes invité·e à participer à l'élaboration du cadre conceptuel du bien-être maternel de l'Organisation mondiale de la santé (OMS). 

Cette enquête est une étape d'un processus plus large dirigé par le Département de la santé maternelle, néonatale, infantile et de l'adolescent et du vieillissement (MCA) de l'OMS, visant à créer un cadre conceptuel exhaustif soutenant le bien-être maternel dans divers environnements et cultures.

Sur la base des résultats d’une revue de la littérature et d’une consultation d’experts tenue en mai 2023, un cadre conceptuel préliminaire a été élaboré, comprenant une définition, des domaines et sous-domaines. L’OMS/MCA organise actuellement plusieurs consultations, dont les objectifs sont énumérés ci-dessous.

Quel est l’objectif de l’enquête ? 

• Assurer une couverture exhaustive et identifier d'éventuelles lacunes dans le cadre actuellement proposé.
• Évaluer l'applicabilité universelle et l'adaptation du cadre conceptuel à divers contextes et cultures.
• Favoriser un consensus collectif afin que le cadre conceptuel reflète reflètent une large gamme de perspectives et d'idées

Qui peut participer à cette enquête ? 

Toute personne ou organisation intéressée par la santé maternelle et le bien-être. Cela inclut, sans s’y limiter :

• Des représentants de groupes de femmes

• Des professionnels de santé (sages-femmes, gynécologues-obstétriciens, infirmières, infirmières puéricultrices, pédiatres, psychiatres, psychologues, agents de santé communautaires…)

• Des experts en droits humains, droits sexuels et reproductifs, santé publique, promotion de la santé, genre, santé mentale, économie, santé humanitaire, etc.
• Des universitaires et chercheurs
• Des organismes gouvernementaux
• Des organisations nationales de la société civile / des ONG
• Des agences internationales / agences des Nations unies
• Le secteur privé

Comment participer à cette enquête ? 

Veuillez cliquer sur le lien suivant : Lien vers l’enquête

Nous estimons que cette enquête ne prendra pas plus de 15 minutes à compléter.  

L’enquête sera ouverte jusqu’au 25 août 2024.

Nous vous serions reconnaissants de bien vouloir y répondre et de la diffuser auprès de vos collègues et réseaux.

Pour toute question, n'hésitez pas à contacter Justine Le Lez.

 

Cordialement,

Au nom du Département de la santé maternelle, néonatale, infantile et des adolescents et du vieillissement (OMS/MCA)

 

------- SPANISH / ESPANOL -----

Está invitado a participar en la elaboración del marco conceptual del bienestar materno de la Organización Mundial de la Salud (OMS). 

Se le invita a participar en el desarrollo del marco de bienestar materno de la Organización Mundial de la Salud (OMS). Esta encuesta es un paso en un proceso más amplio liderado por el Departamento de Salud Materna, del Recién Nacido, del Niño, del Adolescente y del Envejecimiento (MCA) de la OMS hacia la creación de un marco integral que apoye el bienestar materno en diversos entornos y culturas.

Con base en los resultados de una revisión de la literatura y una consulta de expertos realizada en 2023, se ha desarrollado un marco preliminar que incluye una definición, dominios y subdominios del bienestar materno.  La OMS/MCA está organizando actualmente varias consultas, cuyos objetivos se enumeran a continuación. 

 

¿Cuál es el objetivo de la encuesta? 

· Garantizar una cobertura exhaustiva e identificar posibles brechas en el marco propuesto actualmente. 

· Evaluar la aplicabilidad universal y la adaptación del marco conceptual a diversos contextos y culturas. 

· Fomentar un acuerdo colectivo para que el marco conceptual refleje una amplia gama de perspectivas e conocimientos. 

¿Quién puede participar en esta encuesta? 

 

Cualquier persona u organización interesada en la salud materna y el bienestar. Esto incluye, sin limitarse a: 

·  Representantes de grupos de mujeres

· Profesionales de la salud: matronas (parteras profesionales/obstetras/obstetricias/comadronas), ginecólogos-obstetras, enfermeras, enfermeras pediátricas, pediatras, psiquiatras, psicólogos, agentes de salud comunitarios…

· Expertos en derechos humanos, derechos sexuales y reproductivos, salud pública, promoción de la salud, género, salud mental, economía, salud humanitaria, etc.

· Académicos e investigadores

· Organismos gubernamentales

· Organizaciones nacionales de la sociedad civil / ONGs

· Agencias internacionales / agencias de las Naciones Unidas

·  El sector privado

¿Cómo participar en esta encuesta?

 Por favor, haga clic en el siguiente enlace: enlace a la encuesta

Estimamos que esta encuesta no tomará más de 15 minutos para completar. 

La encuesta estará abierta hasta el 25 de agosto de 2024.

Le agradeceríamos que respondiera y difundiera la encuesta entre sus colegas y redes.

Para cualquier pregunta, no dude en ponerse en contacto con Justine Le Lez.

 

Atentamente, 

En nombre del Departamento de Salud Materna, Neonatal, Infantil y del Adolescente y del Envejecimiento (OMS/MCA)

Review ii - "Brainscapes: The Warped, Wondrous Maps Written in Your Brain―And How They Guide You"

Brainscapes

Now I know how Umami (p.87) an "example food magazine website to demonstrate some of the features of Drupal core" - got its name. I'm sure this was explained at a Drupal Meetup. Savoury indeed!

There had to be two! The brain has two strategies: brain maps and distributed codes.

"Representing information with a distributed code is entirely different from representing it with brain maps. In a brain map, neighboring neurons represent neighboring regions in space, frequency, time, and so forth. And brain maps essentially represent information using location, or where in the brain area the neurons are most active. In contrast, there is no consistent relationship between neighboring neurons in brain areas that use distributed codes. These areas represent information through the distributed pattern of activity across that entire region of the brain, rather than through the location of activity within it. This pattern of activity is a kind of code." pp.93-94.

This distinction is significant for Hodges' model, as the distributed codes act to deal with novelty, what is new - ongoing (lifelong) learning (p.95). Hodges' model can help distinguish between subjective and objective concerns. Schwarzlose unifies the two - via a catfish (also a goal here - but not necessarily with such an assistant).

"The map in the olfactory bulb is organised into odor zones based on molecular structure, an objective property of these compounds in the physical world. But the second map is organized into zones based on the significance of the odors to the animal." p.100.

Chapter 6 'On the Move: Brain Maps for Action' would have been useful as a student nurse at Winwick Hospital, the history in the book brings back many reminders - late 1970s. Epilepsy, then was less well understood, and managed. In describing the M1 brain map and movement I wondered about consent, but can see that is a distraction. Chapters -

6. On the Move: Brain Maps for Action | 107
7. Maps in the Making: How Brain Maps Develop and Adapt | 131
8. Knowing Again: Brain Maps for Recognition | 151

- offer much to relate to clinical encounters: movement, reaching, infant versus the brain in adults, the senses and catastrophic events such as cerebrovascular accident - stroke. Morphologically there is much still to learn (brain maps are 'primed' before birth), which perhaps is why we recognise the remarkable nature of gestation and birth. 'Maps in the Making' provides wondrous insights, including the need in hospitals to rethink the sensory environment and experience for premature infants.

While reading - I was struck at the experience of the newborn and mothers in Ukraine. The 'health career' model concerns life chances - from birth to later life...

As a community mental health nurse I have found subtle and less-subtle impacts on a person affected by semantic dementia (p.204) and their family. Given the ongoing invasion and war, I also thought about people living with dementia and having to flee their homes. The multiple contexts that pertain in such a crisis situation when considering 'maps' and sense-making. Especially, when the need for action is preemptive - preventive and so must be explained and justified, not once but perhaps repeatedly?

We are all innate mathematicians even if we feel we have no ability. 

https://www.google.com/search?client=firefox-b-d&q=mathematics+in+catching+a+ball

I take some succor in this (p.127).

There's a hodgepodge in here too (p.161 hb). The myriad of objects we encounter and their recognition calls for the combination of brain maps and distributed codes. Chapter 8 is more psychological, touching :-) how we categorise objects, dimensions and scales, size and animacy. Galton's contribution is discussed, his ideas on eugenics also acknowledged. Visual perception, mental imagery and visual learning style remain subjects of note for researchers. I'm not sure why figure 32 stood out ( :-) - please pardon the quality of the photo. Paul Kim's illustrations are an excellent support for the prose.):

FIGURE 32 A comparison of visual perception and mental imagery in
the V1 visual map. Paul Kim

Somewhere I've saved an article on mental imagery from New Scientist I think, about this ability - the mind's eye and how it is missing for some 'brilliant' people (p.182) and posted previously:

In my mind's eye I can picture care: Frame by Frame

I might read Chapter 9 again, attention, action and perception in combination. 

Chapter 10 had me thinking again about 'Conceptual Spaces' (quality dimensions) and threshold concepts (not in the book - but this is a positive!):

"Many of the concepts that rule our financial, social, and emotional well-being have no shape, no color, no odor or weight. How do we grasp these intangible concepts? As it turns out, we often do so by aligning abstract concepts with physical dimensions and then putting our brain maps to work." p.191.

There is a 'mental number line', vertical too, and culture is a factor in how we learn and the brain associates space and quantities, in which L-R, low-high are also brought into play. The question remains here: Is Hodges' model culturally neutral? 

Still with h2cm - mind reading, writing and 'drawing' perhaps? p.236. In "Fortune-Telling with the Brain" we read about how fMRI is allowing us to learn how the brain maps employ teamwork. There is an architecture whose stability can inform predictions of future abilities - reading is described. Reading this you see ethical implications (as Schwarzlose warns p.238), but it may help to target personalised learning, as an adjunct to personalised medicine? I double checked (index) and the connectome is not mentioned, but the benefits of this research is still to be realised. In 'prison health' here in the UK (and globally?) it is long overdue but it is encouraging to hear about the focus on investigation for previous brain injury within the prison population. Remember - lead in fuel and the socio-economic impacts of pollution (ongoing - air and plastic pollution)?

Corporations have literally only 'scratched the surface' of the future potential to 'read' us individually. Through Hodges' model I can qualify and justify the model's increasing relevance. Technology and science not only call for SOCIO-technical approaches. The brain-computer interface and AI (p.239) demands we also consider the several forms of literacy and informatics that are needed in the 21st century: bio-informatics, bio-political, psycho-political and more.

This is very informative and timely read - the diagrams too. This is a book for all. For student nurses specifically, it will enable them to maximize learning in their practical placements and throughout their course of study.

Writing this review I can also see the important messages in chapter 12 - recognition of infancy and the opportunities this affords.

Many thanks to Rebecca Schwarzlose and Profile Books for my review copy.

Schwarzlose, R. (2021) Brainscapes: The Warped, Wondrous Maps Written in Your Brain―And How They Guide You". London: Profile Books.

Book: "A Theory of Legal Personhood"

     Self - INDIVIDUAL - Person

|

 INTERPERSONAL    :     SCIENCES               

HUMANISTIC -----------------------------------  MECHANISTIC      

SOCIOLOGY  :   POLITICAL 

|

Community - GROUP - Population   

person personhood (clinical / legal) Reflective Equilibrium extensional beliefs definitions interest [theory] will [theory] responsibility [mental] capacity	objects nature / natural 'West' - 'East' legal systems [ More to follow FROM here Re. BIOSPHERE ECOCIDE ... ] Whanganui River -
newborn children adults of sound mind slaves corporations foetuses nonhuman animals Orthodox View west - culture - east Social contract	agreement Legal personhood Jurist Hohfeldian understanding of rights (non-Hohfeldian?) non-incorporated organizations Corporation as artificial person

 

See also:

Law 'in' Hodges' model (Discuss?)

My source: @OUPAcademic

 

Invitation to participate in Round 2 of the global survey of maternal and newborn health providers during COVID-19

ENGLISH

Subject line: ...

Dear colleague

Thank you for participating in the first round of the research study on the response to COVID-19 among maternal and newborn health providers. Your responses and those of nearly 2,000 others have contributed to a better understanding of how maternal and newborn care is affected by the pandemic. We summarised and published the first findings here.

As the COVID-19 pandemic evolves, we need to keep tracking and responding to the needs of health professionals, and women and their families. At this time, we would like to invite you to answer the second round of this survey available here in 11 languages. It takes 15 to 30 minutes to complete.

Additionally, we would appreciate it if you could distribute this email and survey link to your colleagues (in your facility, community, country, professional association etc.), who are welcome to respond to this survey, whether they participated in the previous round or not.

We thank you for the care you provide to women, babies and their families in these difficult times. Please feel free to get in touch with the research team at the Institute of Tropical Medicine in Antwerp Belgium should you have any questions or suggestions. This study was approved by an ethics committee, and is led by Dr. Lenka Benova (lbenova AT itg.be).

With our very best wishes and many thanks

The COVID-19 maternity survey team


FRENCH

Sujet: Invitation à participer au deuxième volet de l'étude sur la réponse au COVID-19 au sein des prestataires de soins de santé maternels et néonataux.

Chères et chers collègues,

J’espère que vous vous portez bien. Nous vous remercions chaleureusement pour votre participation dans le premier volet de l'étude sur la réponse au COVID-19 au sein des prestataires de soins de santé maternels et néonataux. Vos réponses et celles de près de 2,000 autres prestataires ont contribué à une meilleure compréhension de la façon dont les soins maternels et néonatals sont affectés par la pandémie. Nous avons résumé et publié les résultats préliminaires ici.

À mesure que la pandémie de COVID-19 évolue, nous devons continuer à suivre et répondre aux besoins des prestataires de santé, des femmes et de leurs familles. Pour le moment, nous vous invitons à répondre au deuxième volet de cette enquête disponible en 11 langues ici. L’enquête en ligne prend environ 15 à 30 minutes à compléter.

De plus, nous vous remercions de bien vouloir distribuer ce message, ainsi que le lien du questionnaire, à vos collègues (dans votre hôpital, communauté, pays, association de professionnels etc.), qui sont invités à répondre à ce questionnaire, qu'ils aient participé ou non au volet précédent.

Nous vous remercions pour les soins que vous apportez aux femmes, aux nouveaux-nés et leurs familles dans ces moments difficiles.

Vous pouvez à tout moment prendre contact avec l’équipe de recherche de l’Institut de Médecine Tropicale d’Anvers (Belgique) si vous deviez avoir des questions ou des suggestions à propos de l’enquête. Cette étude a été approuvée par un comité d’éthique et est dirigée par Dr. Lenka Benova (lbenova AT itg.be).

Nous vous remercions d’avance pour votre aide précieuse,

L’équipe d’enquête COVID-19 -maternité.


PORTUGUESE

Subject line: Convite para participar da segunda rodada da pesquisa global com profissionais de saúde materna e neonatal durante o COVID-19

Caro colega

Obrigado pela sua participação na primeira ronda da pesquisa sobre a resposta ao COVID-19 entre os profissionais de saúde materna e neonatal. As suas respostas e as de outras quase 2.000 pessoas contribuíram para uma melhor compreensão de como os cuidados maternos e de recém-nascidos estão sendo afectados pela pandemia. Resumimos e publicamos os primeiros resultados aqui.

À medida que a pandemia do COVID-19 evolui, precisamos de manter o acompanhamento da situação e responder às necessidades dos profissionais de saúde e das mulheres e suas famílias. Neste momento, gostaríamos de convidá-lo para participar na segunda ronda desta pesquisa disponível aqui em 11 idiomas. Demora entre 15 à 30 minutos para responder o questionário.

A equipa da pesquisa agradeceria o seu apoio em distribuir este e-mail e o link da pesquisa para seus colegas (na sua Unidade de Saúde, comunidade, País, Associação Profissional etc.), que possam responder a esta pesquisa, independentemente de terem participado da ronda anterior ou não.

Agradecemos pelos cuidados de saúde prestado às mulheres, bebês e suas famílias nestes tempos difíceis. Caso tenha alguma dúvida ou sugestão, sinta-se à vontade para entrar em contacto com a equipe da pesquisa liderado pelo Instituto de Medicina Tropical em Antuérpia na Bélgica. Este estudo foi aprovado por um comitê de ética e é liderado pela Dra. Lenka Benova (lbenova AT itg.be).
Com os nossos melhores votos e muito obrigado

A equipe de pesquisa de COVID-19 e maternidade


SPANISH

Asunto: Invitación a participar en la segunda ronda de la encuesta mundial de proveedores de salud materna y neonatal durante COVID-19

Querido(a) colega

Les agradecemos su participación en la primera ronda del estudio de investigación sobre la respuesta a COVID-19 entre los proveedores de salud materna y neonatal. Sus respuestas y las de 2000 personas más han contribuido a una mejor comprensión de cómo la pandemia afecta la atención materna y neonatal. Hemos resumido y publicado los siguientes primeros hallazgos.

A medida que evoluciona la pandemia de COVID-19, debemos seguir respondiendo a las necesidades de los profesionales de la salud, las mujeres y sus familias. En este momento, nos gustaría invitarle a responder a la segunda ronda de esta encuesta, disponible aquí en 11 idiomas. Estimamos que necesitará de 15 a 30 minutos para completar la encuesta.

Además, le agradeceríamos que pudiera distribuir este correo electrónico y el enlace de la encuesta a sus colegas (en sus unidades de servicio, comunidad, país, asociación profesional, etc.), a quienes pudiesen responder a esta encuesta, ya sea que hayan participado en la ronda anterior o no.

Agradecemos la atención que brindan a las mujeres, los bebés y sus familias en estos tiempos difíciles. Si tiene alguna pregunta o sugerencia, no dude en ponerse en contacto con el equipo de investigación del Instituto de Medicina Tropical de Amberes, Bélgica.

Este estudio dirigido por la Dra. Lenka Benova (lbenova AT itg.be) ha sido aprobado por un Comité de Etica.

Muchas gracias,

El equipo de encuesta de maternidad COVID-19