A pilot to promote early child development within health systems in Mozambique: a qualitative evaluation.
A pilot to promote early child development within health systems in Mozambique: a qualitative evaluation.
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DOI：
10.1111/nyas.14718
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发表时间：
2022-03
影响因子：
5.2
通讯作者：
Yousafzai AK
中科院分区：
文献类型：
--
作者：
Jeong J;Bliznashka L;Ahun MN;Karuskina-Drivdale S;Picolo M;Lalwani T;Pinto J;Frey M;Velthauz D;Donco R;Yousafzai AK
卫生系统为综合服务促进儿童早期发育提供了独特的机会。然而，关于利用卫生服务改善养育护理和幼儿发展的实施经验的知识有限，特别是在撒哈拉以南非洲。我们进行了定性实施评估，以评估与试点战略相关的交付、可接受性、感知变化、障碍和促进因素，该战略将发育监测、营养筛查、早期学习和营养咨询纳入莫桑比克农村地区现有的卫生设施和社区服务。我们于2020年10月至11月在三家初级卫生机构完成了对护理人员（N = 36）、提供者（N = 27）和地区利益相关者（N = 10）的个人访谈和9次设施观察访问。我们使用主题内容分析来分析数据。结果支持忠实于预期的试点模式和培育护理服务的可接受性。答复者表示了各种规划效益，包括加强卫生系统能力，改善关于养育和幼儿发展的知识、态度和做法。政府领导和支持性监督是主要促进因素，而卫生系统资源限制是主要障碍。我们得出结论，卫生系统是支持幼儿发展的有希望的平台，并讨论了加强服务提供和增加对培育护理和幼儿发展结果的潜在影响的几项规划建议。我们进行了定性实施评估，以评估与试点战略相关的交付、可接受性、感知变化、障碍和促进因素，该战略将发育监测、营养筛查、早期学习和营养咨询纳入莫桑比克农村地区现有的卫生设施和社区服务。我们于2020年10月至11月在三家初级卫生机构完成了对护理人员（N = 36）、提供者（N = 27）和地区利益相关者（N = 10）的个人访谈和9次设施观察访问。专题内容分析的结果支持忠实于预期的试点模式和培育护理服务的可接受性。
Health systems offer unique opportunities for integrating services to promote early child development (ECD). However, there is limited knowledge about the implementation experiences of using health services to improve nurturing care and ECD, especially in Sub-Saharan Africa. We conducted a qualitative implementation evaluation to assess the delivery, acceptability, perceived changes, and barriers and facilitators associated with a pilot strategy that integrated developmental monitoring, nutritional screening, and early learning and nutrition counseling into the existing health facility– and community-based services for young children in rural Mozambique. We completed individual interviews with caregivers (N = 36), providers (N = 27), and district stakeholders (N = 10) and nine facility observational visits at three primary health facilities in October–November 2020. We analyzed data using thematic content analysis. Results supported fidelity to the intended pilot model and acceptability of nurturing care services. Respondents expressed various program benefits, including strengthened health system capacity and improved knowledge, attitudes, and practices regarding nurturing care and ECD. Government leadership and supportive supervision were key facilitators, whereas health system resource constraints were key barriers. We conclude that health systems are promising platforms for supporting ECD and discuss several programmatic recommendations for enhancing service delivery and increasing potential impacts on nurturing care and ECD outcomes. We conducted a qualitative implementation evaluation to assess the delivery, acceptability, perceived changes, and barriers and facilitators associated with a pilot strategy that integrated developmental monitoring, nutritional screening, and early learning and nutrition counseling into the existing health facility– and community-based services for young children in rural Mozambique. We completed individual interviews with caregivers (N = 36), providers (N = 27), and district stakeholders (N = 10) and nine facility observational visits at three primary health facilities in October–November 2020. Results of thematic content analysis supported fidelity to the intended pilot model and acceptability of nurturing care services.
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影响因子：
12.7
作者：
Glasgow, RE;Vogt, TM;Boles, SM
通讯作者：
Boles, SM
DOI：
10.1016/s0140-6736(16)31389-7
发表时间：
2017-01-07
期刊：
Lancet (London, England)
影响因子：
--
作者：
Black MM;Walker SP;Fernald LCH;Andersen CT;DiGirolamo AM;Lu C;McCoy DC;Fink G;Shawar YR;Shiffman J;Devercelli AE;Wodon QT;Vargas-Barón E;Grantham-McGregor S;Lancet Early Childhood Development Series Steering Committee
通讯作者：
Lancet Early Childhood Development Series Steering Committee
DOI：
10.1016/s2214-109x(20)30469-1
发表时间：
2021-03
期刊：
The Lancet. Global health
影响因子：
--
作者：
Luoto JE;Lopez Garcia I;Aboud FE;Singla DR;Fernald LCH;Pitchik HO;Saya UY;Otieno R;Alu E
通讯作者：
Alu E
影响因子：
8
作者：
Chang, Susan M.;Grantham-McGregor, Sally M.;Walker, Susan P.
通讯作者：
Walker, Susan P.
影响因子：
5.4
作者：
Jeong, Joshua;Ahun, Marilyn N.;Yousafzai, Aisha K.
通讯作者：
Yousafzai, Aisha K.