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Objective <p>We investigated the relational aspects of the “Networks of Care” (NOC) approach to define their role and highlight their importance. These relational aspects distinguish NOCs from other health system-strengthening approaches that aim to enhance the quality of MNH care. NOCs include functional and relational aspects, as defined in the WHO NOC for MNH framework, and offer a promising strategy for enhancing maternal and newborn health (MNH) by strengthening care coordination at an operational level.</p> Methods <p>We conducted a cross-disciplinary (healthcare, business, military, aviation, education) scoping review of 95 papers and consulted with key stakeholders (21 people) to identify and synthesize insights about relational aspects and the associated barriers and facilitators for implementation. We then used the literature review findings and stakeholder feedback to revise the Networks of Care Operational framework.</p> Results <p>The revised framework highlights teamwork attributes—trust, respect, shared goals, shared values, and psychological safety, and behaviors - leadership, communication, shared decision-making, situation monitoring, and mutual support. To mitigate barriers and strengthen teamwork facilitators, organizational enablers (role clarity and policies, performance management, and coordination) were identified as crucial for NOCs.</p> Conclusion <p>The resulting framework centers on relational coordination, including teamwork supported by organizational enablers, in enhancing care coordination between health workers, system administrators, and other users and non-health actors in the NOC. By targeting relational elements in intervention design and evaluation, the revised Operational NOC Framework for MNH may be valuable in strengthening NOC effectiveness and driving quality improvements, leading to improved MNH outcomes and resilient health systems.</p>

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A scoping review of the relational aspects of networks of care for maternal and newborn health: informing a revised operational framework

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年11月27日

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  • Olufunke Fasawe,
  • Alisa Jenny,
  • Stefano Bertozzi,
  • Katherine Kalaris,
  • Robyn Churchill,
  • Ndola Prata,
  • Dennis Matheka Mulwa,
  • Marite Vergara,
  • Andy Elizabeth Carmone,
  • Allisyn Moran,
  • Dilys Walker

摘要

Objective

We investigated the relational aspects of the “Networks of Care” (NOC) approach to define their role and highlight their importance. These relational aspects distinguish NOCs from other health system-strengthening approaches that aim to enhance the quality of MNH care. NOCs include functional and relational aspects, as defined in the WHO NOC for MNH framework, and offer a promising strategy for enhancing maternal and newborn health (MNH) by strengthening care coordination at an operational level.

Methods

We conducted a cross-disciplinary (healthcare, business, military, aviation, education) scoping review of 95 papers and consulted with key stakeholders (21 people) to identify and synthesize insights about relational aspects and the associated barriers and facilitators for implementation. We then used the literature review findings and stakeholder feedback to revise the Networks of Care Operational framework.

Results

The revised framework highlights teamwork attributes—trust, respect, shared goals, shared values, and psychological safety, and behaviors - leadership, communication, shared decision-making, situation monitoring, and mutual support. To mitigate barriers and strengthen teamwork facilitators, organizational enablers (role clarity and policies, performance management, and coordination) were identified as crucial for NOCs.

Conclusion

The resulting framework centers on relational coordination, including teamwork supported by organizational enablers, in enhancing care coordination between health workers, system administrators, and other users and non-health actors in the NOC. By targeting relational elements in intervention design and evaluation, the revised Operational NOC Framework for MNH may be valuable in strengthening NOC effectiveness and driving quality improvements, leading to improved MNH outcomes and resilient health systems.