Value Co-Creation Through Multi-Stakeholder Collaborations for Health in Fragile Settings: The Case of the High-Risk Pregnancy Referral Tool

Simona Rocchi, Zahra Sultany, Federica Angeli, Patray Lui, Stephanie Saraswati Cristin, Koen Joosse

Research output: Chapter in Book/Report/Conference proceedingChapter


This chapter represents an ideal example of how a multi-stakeholder collaboration has evolved to address antenatal care in low-middle-income countries. The value co-creation aspect has emerged as particularly effective to favour partners’ commitment, and the development of ownership and mutual trust. In the case of a multi-stakeholder partnership aiming to achieve social impact in fragile settings, the challenges inherent to trust formation are even more acute than in traditional collaboration arrangements. The chapter presents the case of the High-Risk Pregnancy (HRP) Referral Cards: a low-tech, low-cost checklist to support the identification and communication of symptoms that can lead to risky pregnancies, before they become life-threatening. The collaborative project started with gathering insights from the International Committee of the Red Cross health delegates from the field of operation and to identify antenatal care issues faced in relation to the local infrastructural, socio-economic and cultural challenges.

Original languageEnglish
Title of host publicationOrganizing for Sustainable Development
Subtitle of host publicationAddressing the Grand Challenges
PublisherTaylor and Francis Ltd.
Number of pages24
ISBN (Electronic)9780429512889
ISBN (Print)9780367197681
Publication statusPublished - 1 Jan 2022

Bibliographical note

Publisher Copyright:
© 2022 Federica Angeli, Ashley Metz and Jörg Raab.

Cite this