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Providing support and information during pregnancy – impact on policy and practice

Summary of the impact

A series of projects focusing on the medical, social, and emotional experience of pre-pregnancy, pregnancy, and early motherhood have been undertaken since 2006 at Plymouth University. The impact of these projects is wide ranging covering both policy and practice. The research has: changed the physical environment of the antenatal clinic specifically to suit the needs of pregnant women with pre-existing diabetes; developed an online leaflet for women with Polycystic Ovary Syndrome (PCOS); developed training programmes for health and social care professionals; provided baseline information to inform practitioners and patients involved in UK screening programmes; and, informed screening strategies for Downs Syndrome.

Submitting Institution

Plymouth University

Unit of Assessment

Social Work and Social Policy

Summary Impact Type

Health

Research Subject Area(s)

Medical and Health Sciences: Paediatrics and Reproductive Medicine, Public Health and Health Services

UOA02-01: Evidence Based Treatment and Prevention of Eclampsia

Summary of the impact

International obstetric practice has been changed by two large randomised controlled trials led from the University of Oxford's National Perinatal Epidemiology Unit, which demonstrated the efficacy of magnesium sulphate for both treatment and prevention of eclampsia during pregnancy, a condition characterised by fits in association with hypertension, and an important cause of maternal morbidity and mortality. Until the 1990s there was widespread geographical variation in the management of the condition, with magnesium sulphate used almost exclusively in North America. Following the publication of the results of these two trials magnesium sulphate is now in routine use globally, widely recommended in guidelines, and has been placed on the WHO Model List of Essential Medicines.

Submitting Institution

University of Oxford

Unit of Assessment

Public Health, Health Services and Primary Care

Summary Impact Type

Health

Research Subject Area(s)

Medical and Health Sciences: Paediatrics and Reproductive Medicine, Public Health and Health Services

Changing clinical guidelines and government policy on VTE prevention among women

Summary of the impact

Approximately 25,000 people in the UK die each year from venous thromboembolism (VTE); furthermore, VTE affects 1 in 100,000 women of childbearing age and causes one-third of all maternal deaths. Thrombophilia, pregnancy and the use of oral oestrogens can all place women at increased risk of VTE when compared with other individuals. University of Glasgow researchers quantified the probability of VTE among at-risk women and analysed the benefits and cost-effectiveness of thrombophilia screening. Their research is cited in the recommendations and evidence bases of leading national and international clinical guidelines. This work also galvanised an overhaul of VTE prevention policy within NHS Scotland by emphasising the need for regional health boards to implement and audit standardised in-house protocols and provide accessible patient information on VTE.

Submitting Institution

University of Glasgow

Unit of Assessment

Clinical Medicine

Summary Impact Type

Health

Research Subject Area(s)

Medical and Health Sciences: Cardiorespiratory Medicine and Haematology, Paediatrics and Reproductive Medicine, Public Health and Health Services

Shaping Policy on Microfinance in Rural India

Summary of the impact

Research by Dr Garikipati identifies that microfinance is most beneficial to women when it enables them to enhance their livelihoods and participate in the local enterprise economy. It also shows that over 80% of the microfinance loans in Andhra Pradesh, India, did not meet these conditions. Using these research findings, Dr Garikipati directly lobbied the Government of Andhra Pradesh (GoAP). This has had an impact on governmental organisations and other stakeholders within the microfinance industry and lead to the introduction of the Livelihood Enhancement Plan (LEP), which is used at the time of loan application. Dr Garikipati collaborated with the GoAP in designing and implementing the LEP. It impacts 500,000 women per year who join the microfinance program and enables them to enhance livelihoods in keeping with the demands of the local economy.

Submitting Institution

University of Liverpool

Unit of Assessment

Business and Management Studies

Summary Impact Type

Economic

Research Subject Area(s)

Economics: Applied Economics, Econometrics

UOA02-04: Underpinning Evidence-based Policy for Management of Influenza in Pregnant Women

Summary of the impact

Researchers at the University of Oxford instituted a rapid study of pregnant women hospitalised across the UK with 2009/H1N1 infection, which demonstrated that early antiviral treatment improved maternal outcomes of infection and led to actions by the Department of Health to ensure rapid availability of antivirals specifically for pregnant women. The poor maternal and perinatal outcomes identified by this study also led to an on-going policy change, so that all pregnant women in the UK are now recommended to receive annual immunisation against seasonal influenza.

Submitting Institution

University of Oxford

Unit of Assessment

Public Health, Health Services and Primary Care

Summary Impact Type

Political

Research Subject Area(s)

Medical and Health Sciences: Public Health and Health Services

UOA02-05: Hormone Replacement Therapy and Cancer Risk: The Million Women Study

Summary of the impact

The Million Women Study of 1.3 million UK women over the age of 50, coordinated by the Cancer Epidemiology Unit at Oxford, has established the relationship between hormone replacement therapy (HRT) and breast, endometrial, and ovarian cancer, and has had a dramatic effect on HRT prescription patterns and prescription guidelines worldwide. This has had a major impact on women's health. Prior to the study, one third of UK women aged 50-64 were using HRT. The marked decline in HRT use following publication of the study's findings has led to a reduction in the incidence of breast cancer among menopausal women.

Submitting Institution

University of Oxford

Unit of Assessment

Public Health, Health Services and Primary Care

Summary Impact Type

Political

Research Subject Area(s)

Medical and Health Sciences: Clinical Sciences, Oncology and Carcinogenesis, Public Health and Health Services

Changing policy and influencing public ideas on gender and political representation

Summary of the impact

Research started by Professor Joni Lovenduski in 1992 and developed with Dr Rosie Campbell since 2003, influenced both policies about party political representation of women and the understandings of women's role in politics of party officials and activists. Showing that political recruitment, representation and participation are highly gendered — masculine — processes, Lovenduski and Campbell have successfully challenged the attitudes and contributed to changing processes that determine political equality between women and men. Both are routinely consulted about policy on political representation by political parties, UK government and parliament, the EU, and national and international organisations.

Submitting Institution

Birkbeck College

Unit of Assessment

Politics and International Studies

Summary Impact Type

Societal

Research Subject Area(s)

Studies In Human Society: Political Science, Sociology

Psychosocial factors and impact on knowledge and understanding about diabetes care

Summary of the impact

Dr Lloyd's research examines the relationship between diabetes and mental health, particularly in under-served or marginalised communities. Through extensive international collaborations research findings have been disseminated to a wide audience. Locally, service users have been involved in the development of alternative ways of obtaining informed consent, to allow greater research inclusivity. Culturally appropriate tools, for identifying depressive symptoms as well as knowledge deficits in diabetes self-care, have been designed and tested. As a result, a psychotherapy service for people with co-morbid diabetes and psychological problems has been successfully established in a diabetes centre attended by more than 6,000 individuals.

Submitting Institution

Open University

Unit of Assessment

Allied Health Professions, Dentistry, Nursing and Pharmacy

Summary Impact Type

Health

Research Subject Area(s)

Medical and Health Sciences: Public Health and Health Services

The Libertadoras: Engaging and empowering audiences and communities

Summary of the impact

Using a ground-breaking database of recovered narratives of Latin American women during the Wars of Independence,

  • new histories have been created and shared with audiences in Buenos Aires, London and Nottingham through exhibitions, workshops, guided city tours, theatre productions and translation programmes leading to new public knowledge and raised awareness;
  • drama and photography workshops have enabled a community of young Latin American migrant women in London to understand their collective heritage and cultural identity more fully, and through this understanding, to develop personal confidence and pride;
  • employees of Southwark Council have changed how they work with their growing Latin American community after participating in a cultural and language exchange series contributing to improved community cohesion.

Submitting Institution

University of Nottingham

Unit of Assessment

Modern Languages and Linguistics

Summary Impact Type

Societal

Research Subject Area(s)

Language, Communication and Culture: Cultural Studies, Literary Studies
History and Archaeology: Historical Studies

Promoting Gender Equity in Public Sector Governance

Summary of the impact

The findings of empirical research conducted by Professor Jim Barry and Dr Trudie Honour of UEL were shared at two focused capacity building sessions held in 2008 and 2009 for women leaders in middle and senior positions of responsibility and decision-making in the public and third sectors of a number of developing countries. Workshops were attended by women from Albania, Bahrain, Brazil, Burma, Cambodia, Cameroon, Ecuador, Egypt, Ethiopia, Jordan, Kenya, Malaysia, Mexico, Oman, Pakistan, Philippines, Tunisia, Turkey, and Uzbekistan. Participants considered the relevance and application of the research findings for their own countries, and worked together and with the researchers to formulate potential capacity development implementation strategies for women in positions of responsibility in those countries.

Submitting Institution

University of East London

Unit of Assessment

Business and Management Studies

Summary Impact Type

Societal

Research Subject Area(s)

Studies In Human Society: Policy and Administration, Sociology

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