# data[].attributes.body
·  Tackling poverty

·  Optimising the climate/environment

·  Improving nutrition

·  Maternal obesity

·  Tackling violence and promoting trauma-informed care

·  Tackling racism

·  Addressing delays and barriers in access to healthcare

·  Workforce development

·  Health literacy

·  Mental health

·  Miscarriage, stillbirth, and infant death

·  Multimorbidity

·  Infant feeding

·  Genetic disorders

·  Pre-pregnancy, pre-conception, and inter-pregnancy care

·  Community engagement and co-production

·  Working with underserved groups

·  Data and digital solutions

·  Addressing variation in clinical healthcare services

·  Improving the integration of the maternity ecosystem

# data[].attributes.body
·  Substance use in pregnancy

·  Immigration and social policies

·  Translation and communication

·  Support for families and partners

·  Postnatal and aftercare services

·  Social influences and connections

·  Service location and accessibility

·  Commercial determinants of health

·  Workplace wellbeing and maternity leave policies

·  Intersectionality of disparities

·  Maternal death

·  Social housing and stability

·  Adolescent pregnancy support

·  Traditional medicine and integrative care

·  Community-based models

# data[].attributes.body
•Do the selected themes reflect your understanding of the priorities?

•Are there gaps or missing areas we need to address?

# data[].attributes.headline
Within themes or priorities (even those not highlighted above) which resonate within your breakout room:

# data[].attributes.subject
Within themes or priorities (even those not highlighted above) which resonate within your breakout room:

# data[].attributes.body
•What KPIs might be useful to consider?

•What research questions do you think we should be trying to answer?

# data[].attributes.body
National Maternity and Perinatal Audit data to show how disparities can be reduced

Could giving money to women during pregnancy improve their outcomes? Data from global health projects. Would address poverty

Sheena multiple forms of deprivation/disadvantage. How to break that cycle.

Multilevel approaches. Interventions lie outside usual health. Eg housing interventions. NIHR also about social care

Family support interventions. Ways to prevent loss of money during pregnancy. Short term interventions might work.

Evaluate what work has been done before.

NIHR have established a formal partnership with he NHS Race and Health Observatory who employ anti-racist principles to all their research commissioning. I would like to see tackling racism and anti-racist approaches as a cross-cutting.

Yes I agree intersectionality is paramount

Research questions posed are very important to devise.

In the Canadian context I worked with ‘cultural brokers’ which seems to resonate very much with you are describing Anna in relation to navigation

Language services and support to navigate the health service. Community link workers.

Research projects should start within 6 months short term to start. Longer term could be something with 1-2 years. Long term change in policy

Family Nurse Practitioners. Why did they not have impact?

What are we currently doing that is unevaluated and requires evaluation

# data[].attributes.body
•Any other reflections or ideas to strengthen our approach.

# data[].attributes.body
Top 2 are unsurprising - access is critical.

Poverty part of intersectionality so cross-cutting.

What would happen when cross-cutting themes are removed? What is critical?

Not fixing poverty or obesity but changing the consequences and care around it.

# data[].attributes.body
KPIs by characteristics

Maternal death

Perinatal death

Preterm birth

Woman-reported experience outcomes

Health care utilisation e.g. unexpected NNU admission, Maternal hospital stay, contact with services in first 100 days of life

Unplanned pregnancy rates

# data[].attributes.body
Our public contributors have found it helpful to refer to actions & interventions (not just "interventions")

# data[].attributes.headline
The need for action/interventions, rather than simply more discovery of underlying causes

# data[].attributes.subject
The need for action/interventions, rather than simply more discovery of underlying causes

# data[].attributes.body
Those with lived experiences are clear that sufficient IS known that we can & should be getting going with trialling actions & interventions, in a complex systems approach

# data[].attributes.headline
Are there actions/interventions that can realistically be piloted/trialed?

# data[].attributes.subject
Are there actions/interventions that can realistically be piloted/trialed?

# data[].attributes.body
For example, in our NiPPeR preconception/pregnancy micronutrient supplement randomised trial we found 90% of women planning pregnancy had low/marginal status of B-vitamins/vitamin D preconception - the (cheap) vitamin supplement halved rates of preterm delivery & halved child obesity - so there are actions that can be trialled at a community level

# data[].attributes.headline
Top 5 high voted themes at Raising Voices in Research Event 23rd Jan: 

# data[].attributes.subject
Top 5 high voted themes at Raising Voices in Research Event 23rd Jan: 

# data[].attributes.body
Ø  Community engagement and co-production

Ø  Working with underserved groups

Ø  Health literacy

Ø  Pre-pregnancy, pre-conception and inter-pregnancy care

Ø  Tackling poverty

# data[].attributes.headline
Linking research topics & priorities to target populations/ seldom heard communities with a focus on expected outcomes 

# data[].attributes.subject
Linking research topics & priorities to target populations/ seldom heard communities with a focus on expected outcomes 

# data[].attributes.body
-Communication barriers (identified in MBRRACE and frequently identified by communities not just translational issues but providing models of care which are compassioante and trauma aware and cultrually safe)

-Health lifestyle (including maternal weight, nutriton, physical activity, infnat feeding)

-Mental health

Cross cutting:

-community engagement

-Digital solutions

# data[].attributes.body
Important to consider what we mean by interventions agree Keith the real need to consider the approach we take for example sensitive conversations its not all about the interventions

# data[].attributes.headline
PREPARE Collaboration suggestion of 4 potential overarching themes, illustratively encompassing all 20 suggested themes & mapping to Darsi principles: 

# data[].attributes.subject
PREPARE Collaboration suggestion of 4 potential overarching themes, illustratively encompassing all 20 suggested themes & mapping to Darsi principles: 

# data[].attributes.body
Wider/Structural determinants (sickness to prevention)

Tackling poverty

Tackling racism

Tackling violence and promoting trauma-informed care

Optimising the climate/environment

Service and systems (includes analogue to digital)

Addressing delays and barriers in access to healthcare (navigation, beyond healthcare)

Data and digital solutions

Improving the integration of the maternity ecosystem

Workforce development

Addressing variation in clinical healthcare services

Miscarriage, stillbirth, and infant death

Community (hospital to home)

Community engagement and co-production

Working with underserved groups

Health literacy

Lifecourse preparation for pregnancy and parenthood (sickness to prevention)

Pre-pregnancy, pre-conception and inter-pregnancy care

Multimorbidity

Mental health

Improving nutrition

Maternal obesity

Infant feeding

Genetic disorders

Cross-cutting principles:

Data

Digital

Economics

PPI

Capacity Building

Media

Policy informing

# data[].attributes.headline
Communication and models of care are missing

# data[].attributes.subject
Communication and models of care are missing

# data[].attributes.body
Health literacy could be under communication

Models of maternity care which have shown to improve women's experiences (Cochrane reviews) and are based on compassionate / personaised care models-enhancing opportunities to listen to women as repeatedly women say "They are not listened to" specially in cases where things gone wrong for seldom heard communities