{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,7]],"date-time":"2026-11-07T06:21:19Z","timestamp":1794032479681,"version":"4.8.0"},"reference-count":15,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,10,24]],"date-time":"2025-10-24T00:00:00Z","timestamp":1761264000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Lehigh University Office of Creative Inquiry"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Glob Health Promot"],"abstract":"<jats:p>\n                    Sierra Leone has one of the world\u2019s highest maternal mortality rates. In response to this crisis, Sierra Leone has developed innovative policies and community-based practices to improve maternal health, including the implementation of the Sierra Leone Reproductive, Maternal, Neonatal, Child, and Adolescent Health Strategy. The\n                    <jats:italic toggle=\"yes\">Mothers of Sierra Leone<\/jats:italic>\n                    project creates short documentary films that amplify the expertise of Sierra Leonean healthcare professionals and the voices of current and expectant mothers. The current study used focus groups to qualitatively explore the perceptions of mothers and healthcare workers in Sierra Leone about the efficacy of short, direct, documentary storytelling as a tool for improving maternal health-seeking behaviors. The salient themes that emerged in the mothers\u2019 data included\n                    <jats:italic toggle=\"yes\">health education and awareness<\/jats:italic>\n                    and\n                    <jats:italic toggle=\"yes\">confidence and trust in healthcare systems<\/jats:italic>\n                    . The salient themes that emerged in the healthcare workers\u2019 data included\n                    <jats:italic toggle=\"yes\">trust in healthcare systems<\/jats:italic>\n                    ,\n                    <jats:italic toggle=\"yes\">improving education<\/jats:italic>\n                    , and\n                    <jats:italic toggle=\"yes\">impact on health choices<\/jats:italic>\n                    . Our findings suggest that documentary film could serve as a powerful tool within low-income countries for encouraging positive health choices, spreading education on maternal and child health topics, building trust in the healthcare system, and reinforcing motivation for healthcare workers to comprehensively care for their patients.\n                  <\/jats:p>","DOI":"10.1177\/17579759251378429","type":"journal-article","created":{"date-parts":[[2025,10,25]],"date-time":"2025-10-25T05:59:42Z","timestamp":1761371982000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Qualitative exploration of the efficacy of documentary film in promoting maternal health in Sierra Leone"],"prefix":"10.1177","author":[{"given":"Christina","family":"Enodien","sequence":"first","affiliation":[{"name":"College of Arts and Sciences, Lehigh University, Bethlehem, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brooke","family":"Erickson","sequence":"additional","affiliation":[{"name":"College of Arts and Sciences, Lehigh University, Bethlehem, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hannah","family":"Falatko","sequence":"additional","affiliation":[{"name":"College of Health, Lehigh University, Bethlehem, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bea","family":"Arnfield","sequence":"additional","affiliation":[{"name":"College of Arts and Sciences, Lehigh University, Bethlehem, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren","family":"Lencovich","sequence":"additional","affiliation":[{"name":"College of Health, Lehigh University, Bethlehem, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine","family":"Kwon","sequence":"additional","affiliation":[{"name":"College of Health, Lehigh University, Bethlehem, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Musa S.","family":"Kamara","sequence":"additional","affiliation":[{"name":"Independent Community Health Worker (Unaffiliated), Makeni, Sierra Leone"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9471-9347","authenticated-orcid":false,"given":"Fathima","family":"Wakeel","sequence":"additional","affiliation":[{"name":"College of Health, Lehigh University, Bethlehem, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Kramp","sequence":"additional","affiliation":[{"name":"College of Arts and Sciences, Lehigh University, Bethlehem, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,10,24]]},"reference":[{"key":"e_1_3_4_2_2","unstructured":"Maternal mortality ratio - comparison. The World Factbook [Internet]. 2023 [cited 2025 January 8]. Available from: https:\/\/www.cia.gov\/the-world-factbook\/field\/maternal-mortality-ratio\/country-comparison\/"},{"key":"e_1_3_4_3_2","unstructured":"RMNCAH: Sierra Leone Ministry of Health and Sanitation. Sierra Leone National Reproductive Maternal Neonatal Child and Adolescent Health Strategy 2017\u20132021 [Internet]. World Health Organization; 2017 [cited 2023 November 7]. Available from: https:\/\/platform.who.int\/docs\/default-source\/mca-documents\/policy-documents\/plan-strategy\/sle-cc-10-01-plan-strategy-2017-eng-final-rmncah-strategy-may-2017-word-doc.pdf"},{"key":"e_1_3_4_4_2","unstructured":"NHSSP: Sierra Leone Ministry of Health and Sanitation. National Health Sector Strategic Plan 2021\u20132025 [Internet]. Ministry of Health and Sanitation; 2021 [cited 2023 November 7]. Available from: https:\/\/mohs.gov.sl\/download\/50\/policy-documents\/17821\/gosl-nhssp-2021-2025-version-final-expert-edited-19-11-21-2.pdf"},{"key":"e_1_3_4_5_2","unstructured":"Statistics Sierra Leone. Sierra Leone Demographic and Health Survey 2019 [Internet]. DHS Program; 2020 [cited 2023 November 7]. Available from: https:\/\/www.dhsprogram.com\/pubs\/pdf\/FR365\/FR365.pdf"},{"key":"e_1_3_4_6_2","unstructured":"Mason H. Ending child marriage and teenage pregnancy in Sierra Leone [Internet]. UNICEF. 2017 [cited 2023 November 7]. Available from: https:\/\/www.unicef.org\/stories\/ending-child-marriage-and-teenage-pregnancy-sierra-leone"},{"key":"e_1_3_4_7_2","unstructured":"Partners In Health. Sierra Leone [Internet]. Partners In Health. 2023 [cited 2023 November 7]. Available from: https:\/\/www.pih.org\/country\/sierra-leone"},{"key":"e_1_3_4_8_2","unstructured":"Qiao A. Maternal mortality in Sierra Leone. Brown Undergraduate Journal of Public Health [Internet]. 2023 [cited 2023 November 7]. Available from: https:\/\/sites.brown.edu\/publichealthjournal\/2023\/05\/02\/maternal-mortality-in-sierra-leone\/"},{"key":"e_1_3_4_9_2","unstructured":"Mothers of Sierra Leone [Internet]. 2024 [cited 2023 November 4]. Available from: https:\/\/sites.google.com\/lehigh.edu\/mothersofsierraleone"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.1002\/wmh3.546"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13063-021-05435-x"},{"key":"e_1_3_4_12_2","article-title":"Socio-culturally adapted educational videos increase maternal and newborn health knowledge in pregnant women and female community health volunteers in Nepal\u2019s Khotang district","volume":"18","author":"Maharjan S","year":"2022","unstructured":"Maharjan S, Dhakal L, George L, Shrestha B, Coombe H, Bhatta S, et al. Socio-culturally adapted educational videos increase maternal and newborn health knowledge in pregnant women and female community health volunteers in Nepal\u2019s Khotang district. Womens Health. 2022; 18: 174550572211042.","journal-title":"Womens Health"},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.1177\/0272684X20916600"},{"key":"e_1_3_4_14_2","volume-title":"Oxford studies in culture and politics","author":"Fernandes S.","year":"2017","unstructured":"Fernandes S. Curated Stories: The Uses and Misuses of Storytelling. Oxford studies in culture and politics. New York, NY: Oxford University Press; 2017."},{"key":"e_1_3_4_15_2","first-page":"208","volume-title":"Reprint","author":"Charmaz K.","year":"2012","unstructured":"Charmaz K. Constructing Grounded Theory: A Practical Guide Through Qualitative Analysis. Reprint. Los Angeles, CA: Sage; 2012, 208 p."},{"key":"e_1_3_4_16_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-015-0500-9"}],"container-title":["Global Health Promotion"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17579759251378429","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/17579759251378429","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17579759251378429","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T22:11:07Z","timestamp":1777587067000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/17579759251378429"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,24]]},"references-count":15,"alternative-id":["10.1177\/17579759251378429"],"URL":"https:\/\/doi.org\/10.1177\/17579759251378429","relation":{},"ISSN":["1757-9759","1757-9767"],"issn-type":[{"value":"1757-9759","type":"print"},{"value":"1757-9767","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,24]]},"article-number":"17579759251378429"}}