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Putting Women’s Experiences at the Heart of Maternity Care: A Co-Produced Evaluation of Engagement and Participation in Maternity Services (code C1.2_QueensBelfast)

Capacity development 

The Opportunity 

  • International students are welcome to apply but must secure alternative funding for the difference between UK and Overseas tuition fees.

The Project

Despite national and regional commitments to woman-centred maternity care, meaningful involvement of women and families in shaping maternity services remains inconsistent. In Northern Ireland (NI), Maternity Services Liaison Committees (MSLCs) exist across Trusts. However, uptake, visibility and operational effectiveness vary considerably. Consequently, women’s experiences often influence services only through complaints mechanisms or retrospective feedback platforms rather than continuous co-production. This may disproportionately exclude women from marginalised communities, reinforcing inequities in access, communication and experience.

This PhD aims to evaluate how women’s voices are currently incorporated into maternity service design and to co-develop an implementation framework enabling equitable, sustainable involvement of women and families in maternity decision-making, using NI as an exemplar region. The study will adopt mixed-methods design enabling capacity development in a number of methodological areas as outlined below:

1. Document Analysis: Systematic analysis of Department of Health (NI), Health and Social Care Trust, Higher Education Institution and community organisation policies relating to engagement and involvement in maternity care to examine stated commitments, accountability mechanisms and alignment with equity and anti-racist principles.

2. Policy implementation Study: A regional survey and qualitative interviews with Heads of Midwifery, service leads and engagement coordinators will explore how policies are operationalised in practice, including mechanisms through which feedback informs service redesign and examples of innovation.

3. Women’s Experiences and Preferences: Surveys and participatory qualitative methods with women and families, particularly those from underserved or minoritised groups, will examine satisfaction and also motivation to engage with current feedback mechanisms, perceived influence, and barriers and enablers to participation.

4. Co-Production Phase: Using participatory action research principles stakeholders will co-develop an engagement framework and logic model to embed women’s involvement across maternity services in NI. Implementation considerations, transferability and scalability across the Maternity Disparities Consortium of these outputs and the methodological approach used in this project, will be explored.

Expected impacts from this studentship include improved mechanisms for inclusive engagement, strengthened communication between services and communities, and actionable recommendations for equitable maternity governance. The student will develop skills in health services research, co-production methodologies, implementation science, policy analysis and intersectional maternal health research.

Contact Supervisor – Claire Kerr :c.kerr@qub.ac.uk

Who is a MDC PhD studentship for? 

We welcome applications from individuals passionate about maternal health equity with particular methodology knowledge and experience. We are committed to building a supportive, inclusive, and caring research community. We particularly encourage applications from: 

Eligibility Criteria

Essential

  • First/Upper Second-Class Honours degree (2:1 or above) in a relevant subject.
  • A Master’s degree or equivalent in a relevant field .
  • Understanding of and commitment to tackling maternity inequalities. 
  • Relevant previous research experience – this experience may be relevant to either the research or methodological area. 
  • Excellent written and verbal communication skills. 
  • Highly motivated. 
  • Able to work both independently and as part of a team. 
  • Able to plan and manage own work. 
  • International applicants are welcome to apply for studentships, but applicants who are selected for interview must be able to provide proof of funding for international fees and immigration costs prior to their interview.   
  • Evidence of an IELTS* score of 7.0, with not less than 6.5 in any component, or an equivalent qualification acceptable to the University, is required (*taken within the last 2 years).
  • International students wishing to apply to Queen’s University Belfast (and for whom English is not their first language), must be able to demonstrate their proficiency in English in order to benefit fully from their course of study or research. Non-EEA nationals must also satisfy UK Visas and Immigration (UKVI) immigration requirements for English language for visa purposes.

*All students will be expected to be based at their host university and meet the individual university PhD studentship regulations. Please check individual university postgraduate admissions.

 

Accessibility and Support

NIHR Inequalities Challenge: Maternity Disparities Consortium

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