{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T23:59:28Z","timestamp":1775865568450,"version":"3.50.1"},"reference-count":47,"publisher":"F1000 Research Ltd","license":[{"start":{"date-parts":[[2020,6,22]],"date-time":"2020-06-22T00:00:00Z","timestamp":1592784000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Gates Foundation","award":["OPP1107312"],"award-info":[{"award-number":["OPP1107312"]}]},{"name":"UCSF Global Health Group Evidence to Policy Initiative"}],"content-domain":{"domain":["gatesopenresearch.org"],"crossmark-restriction":false},"short-container-title":["Gates Open Res"],"abstract":"<ns5:p>\n                    <ns5:bold>Background:<\/ns5:bold>\n                    Preterm birth, defined as infants born before 37 weeks of gestation, is the largest contributor to child mortality. Despite new evidence highlighting the global burden of prematurity, policymakers have failed to adequately prioritize preterm birth despite the magnitude of its health impacts. Given current levels of political attention and investment, it is unlikely that the global community will be adequately mobilized to meet the 2012\n                    <ns5:italic>Born Too Soon<\/ns5:italic>\n                    report goal of reducing the preterm birth rate by 50% by 2025.\n                  <\/ns5:p>\n                  <ns5:p>\n                    <ns5:bold>Methods<\/ns5:bold>\n                    : This study adapts the Shiffman and Smith framework for political priority to examine four components contributing to policy action in global health: actor power, ideas, political context, and issue characteristics. We conducted key informant interviews with 18 experts in prematurity and reproductive, maternal, newborn, and child health (RMNCH) and reviewed key literature on preterm birth. We aimed to identify the factors that shape the global political priority of preterm birth and to describe policy opportunities to increase its priority moving forward.\n                  <\/ns5:p>\n                  <ns5:p>\n                    <ns5:bold>Results<\/ns5:bold>\n                    : The global preterm birth community (academic researchers, multilateral organizations, government agencies, and civil society organizations) lacks evidence about the causes of and solutions to preterm birth; and country-level data quality is poor with gaps in the understanding required for implementing effective interventions. Limited funding compounds these challenges, creating divisions among experts on what policy actions to recommend. These factors contribute to the lack of priority and underrepresentation of preterm birth within the larger RMNCH agenda.\n                  <\/ns5:p>\n                  <ns5:p>\n                    <ns5:bold>Conclusion<\/ns5:bold>\n                    : Increasing the political priority of prematurity is essential to reduce preventable newborn and child mortality, a key target of the 2030 Sustainable Development Goal for health (target 3.2). This study identifies three policy recommendations for the preterm birth community: address data and evidence gaps, clarify and invest in viable solutions, and bring visibility to prematurity within the larger RMNCH agendas.\n                  <\/ns5:p>","DOI":"10.12688\/gatesopenres.13098.1","type":"journal-article","created":{"date-parts":[[2020,6,22]],"date-time":"2020-06-22T09:25:08Z","timestamp":1592817908000},"page":"65","update-policy":"https:\/\/doi.org\/10.12688\/gatesopenres.crossmark-policy","source":"Crossref","is-referenced-by-count":13,"title":["Building a global policy agenda to prioritize preterm birth: A qualitative analysis on factors shaping global health policymaking"],"prefix":"10.12688","volume":"4","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3917-0245","authenticated-orcid":false,"given":"Sara","family":"Kassabian","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7808-4919","authenticated-orcid":false,"given":"Sara","family":"Fewer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8390-7382","authenticated-orcid":false,"given":"Gavin","family":"Yamey","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2284-3936","authenticated-orcid":false,"given":"Claire D.","family":"Brindis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2560","published-online":{"date-parts":[[2020,6,22]]},"reference":[{"key":"ref-1","doi-asserted-by":"publisher","first-page":"e37-e46","DOI":"10.1016\/S2214-109X(18)30451-0","article-title":"Global, regional, and national estimates of levels of preterm birth in 2014: a systematic review and modelling analysis.","volume":"7","author":"S Chawanpaiboon","year":"2019","journal-title":"Lancet Glob Health."},{"key":"ref-2","article-title":"Levels and trends in child mortality: Report 2018","year":"2018"},{"key":"ref-3","article-title":"Born Too Soon: The Global Action Report on Preterm Birth","year":"2012"},{"key":"ref-4","article-title":"Every Woman Every Child Global Strategy for Women\u2019s, Children\u2019s and Adolescents\u2019 Health","year":"2017"},{"key":"ref-5","article-title":"2017-2018 Annual Report The Global Financing Facility","year":"2012"},{"key":"ref-6","doi-asserted-by":"publisher","first-page":"2045-2049","DOI":"10.1016\/S0140-6736(10)60710-6","article-title":"Issue attention in global health: the case of newborn survival.","volume":"375","author":"J Shiffman","year":"2010","journal-title":"Lancet."},{"key":"ref-7","doi-asserted-by":"publisher","first-page":"1370-1379","DOI":"10.1016\/S0140-6736(07)61579-7","article-title":"Generation of political priority for global health initiatives: a framework and case study of maternal mortality.","volume":"370","author":"J Shiffman","year":"2007","journal-title":"Lancet."},{"key":"ref-8","doi-asserted-by":"publisher","first-page":"538-554","DOI":"10.1080\/17441692.2014.904918","article-title":"Generating political priority for newborn survival in three low-income countries.","volume":"9","author":"S Smith","year":"2014","journal-title":"Global public health."},{"key":"ref-9","doi-asserted-by":"publisher","first-page":"e1002023","DOI":"10.1371\/journal.pmed.1002023","article-title":"Prioritizing Surgical Care on National Health Agendas: A Qualitative Case Study of Papua New Guinea, Uganda, and Sierra Leone.","volume":"13","author":"A Dare","year":"2016","journal-title":"PLoS Med."},{"key":"ref-10","doi-asserted-by":"publisher","first-page":"e1001178","DOI":"10.1371\/journal.pmed.1001178","article-title":"Why does mental health not get the attention it deserves? 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status","group":{"name":"current-referee-status","label":"Current Referee Status"}},{"value":"10.21956\/gatesopenres.14257.r28970, Marie A. Brault, Department of Social and Behavioral Sciences, Yale School of Public Health, New Haven, CT, USA, 06 Jul 2020, version 1, indexed","URL":"https:\/\/gatesopenresearch.org\/articles\/4-65\/v1#referee-response-28970","order":0,"name":"referee-response-28970","label":"Referee Report","group":{"name":"article-reports","label":"Article Reports"}},{"value":"10.21956\/gatesopenres.14257.r29344, Abigail Kazembe, Kamuzu College of Nursing, University of Malawi, Zomba, Malawi, 01 Oct 2020, version 1, indexed","URL":"https:\/\/gatesopenresearch.org\/articles\/4-65\/v1#referee-response-29344","order":1,"name":"referee-response-29344","label":"Referee Report","group":{"name":"article-reports","label":"Article Reports"}},{"value":"10.21956\/gatesopenres.14257.r29564, Mohan Paudel, Research, Monitoring and Evaluation Department, Adara Development (Australia), Sydney, NSW, Australia, 08 Oct 2020, version 1, indexed","URL":"https:\/\/gatesopenresearch.org\/articles\/4-65\/v1#referee-response-29564","order":2,"name":"referee-response-29564","label":"Referee Report","group":{"name":"article-reports","label":"Article Reports"}},{"value":"This work was supported by the Bill and Melinda Gates Foundation [OPP1107312].\n\nFunding for research costs was provided by the UCSF Preterm Birth Initiative and the UCSF Global Health Group\u2019s Evidence to Policy Initiative. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.","order":3,"name":"grant-information","label":"Grant Information"},{"value":"This is an open access article distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.","order":0,"name":"copyright-info","label":"Copyright"}]}}