Tajudeen Adebayo, Ayodeji Adefemi, Idowu Adewumi, Opeyemi Akinajo, Bola Akinkunmi, David Awonuga, Olufemi Aworinde, Ekundayo Ayegbusi, Iyabode Dedeke, Iretiola Fajolu, Zainab Imam, Olusoji Jagun, Olumide Kuku, Ezra Ogundare, Timothy Oluwasola, Lawal Oyeneyin, Damilola Adebanjo-Aina, Emmanuel Adenuga, Alaruru Adeyanju, Olufemi Akinsanya, Ibijoke Campbell, Bankole Kuti, Babatunde Olofinbiyi, Qasim Salau, Olukemi Tongo, Bosede Ezekwe, Tina Lavin, Olufemi T Oladapo, Jamilu Tukur, Olubukola Adesina
Burden and outcomes of postpartum haemorrhage in Nigerian referral-level hospitals
BJOG : an international journal of obstetrics and gynaecology
physical social economic characteristics neighborhoods municipalities determine health residents shaping behaviors choices regarding health wellbeing addressing local environmental inequalities requires intersectoral participatory equityfocused approach community participation plays vital role providing deeper insights local contexts integrating community knowledge values processes promoting healthier fairer equitable actions recent years various tools developed assess places transform healthpromoting settings one tool place standard tool pst facilitates discussions social determinants health grouped 14 themes serving starting point local health interventions study took place august 2019 february 2020 described residents perceptions two municipalities valencian community spain using validated spanish version pst mixedmethod convergentparallel design used gain holistic insight residents experiences concerning physical economic social environment total 356 individuals municipalities participated study discussion groups structured interviews online survey descriptive analysis individual questionnaire answers conducted differences municipalities explored qualitative thematic analysis conducted structured interviews discussion groups quantitative qualitative data integrated facilitate comparison identify areas convergence divergence findings overall rural areas received favorable evaluations compared urban ones public transport well work local economy consistently rated lowest across groups contexts identity belonging received highest ratings urban area additional negative ratings observed traffic parking housing community care maintenance conversely identity belonging natural spaces streets spaces social interaction services emerged highestrated themes overall rural context positive evaluations given walking cycling traffic parking housing community influence sense control significant differences p 001 urban rural settings observed dimensions related mobility spaces housing social interaction identity belonging study illustrated capacity pst identifying aspects within local settings influence health revealing positive challenging factors successful implementation requires appropriate territorial delineation support local authorities effective management expectations furthermore tool facilitated community participation decisionmaking local environments promoting equity connecting institutional processes citizen needs