Research for Advocacy for Higher Quality of Care in Maternal and Newborn Health Services in Armenia

This Fellowship research project aimed to study the experience of pregnant women in maternal health care centers of Armenia and advance the implementation of an integrated person-centered model of obstetric care in the country. As a component of the United Nations 2030 Agenda and the Sustainable Development Goals (SDGs), this initiative can be exemplified by the Global Strategy for Women’s, Children’s and Adolescent’s Health 2016–2030 which has expanded the focus of its objectives to cover not merely the survival but also thriving of women and children so that they can achieve their full potential for health and well-being, and contribute to the transformative change envisioned in the SDGs. To promote higher quality obstetric services, Suren conducted research and pursued advocacy campaigns with his team. First, the gaps, inconsistencies, and violation of patients’ rights in the local hospitals were examined and the extent of person-centered maternity care during facility-based childbirth was assessed; then he prepared the summary of specific recommendations for the Ministry of Health and relevant organizations in the sector. Following this, Suren launched an advocacy campaign, trained the administration and staff members in all 12 maternity hospitals along with the validation of suggested recommendations, and disseminated research findings to the wider audience.  

The project produced a research paper analyzing the data collected from 729 patients of all 12 health facilities of Yerevan delivering maternal care services. The project also facilitated high-level discussions on the challenges and solutions of advancing the integrated person-centered model of obstetric care in Armenia. As an advocacy campaign, Suren conducted 14 workshops in the sector organizations and the Ministry of Health, allowing him to raise the awareness of over 150 obstetric care providers, policy-makers, and health care planners in the field. The action overall promoted person-centered maternity care as a quality attribute of obstetric care delivery and suggested expertise-based recommendations to the relevant entities to advance the health, wellbeing, and human rights of women and children in the country.