scholarly journals Tailored communication methods as key to implementation of evidence-based solutions in primary child health care

2020 ◽  
Author(s):  
Kinga Zdunek ◽  
Peter Schröder-Bäck ◽  
Denise Alexander ◽  
Eline Vlasblom ◽  
Paul Kocken ◽  
...  
Keyword(s):  
Health Care ◽  
Child Health ◽  
Research Evidence ◽  
Effective Communication ◽  
Target Audience ◽  
Child Health Services ◽  
Successful Implementation ◽  
Evidence Based ◽  
Child Health Care ◽  
Research Recommendations

Abstract Background Evidence-based policies should underpin successful implementation of innovations within child health care. The EU-funded Models of Child Health Appraised project enabled research into effective methods to communicate research evidence. The objective of this study was to identify and categorize methods to communicate evidence-based research recommendations and means to tailor this to stakeholder audiences. Methods We conducted an online survey among national stakeholders in child health. Analysis of the most effective strategies to communicate research evidence and reach the target audience was carried out in order to ensure implementation of optimal child health care models at a national level. Results Representatives of stakeholders from 21 of the then 30 EU MS and EEA countries responded to the questionnaire. Three main approaches in defining the strategies for effective communication of research recommendations were observed, namely: dissemination of information, involvement of stakeholders and active attitude towards change expressed in actions. The target audience for communicating recommendations was divided into two layers: proximal, which includes those who are remaining in close contact with the child, and distal, which contains those who are institutionally responsible for high quality of child health services. They should be recipients of evidence-based results communicated by different formats, such as scientific, administrative, popular and personal. Conclusions Influential stakeholders impact the process of effective research dissemination and guide necessary actions to strengthen the process of effective communication of recommendations. Communication of evidence-based results should be targeted to each audience’s profile, both professional and non-professionals, by adjusting appropriate communication formats.

Health Cadres Commitmentin Child Health Care in Moslem Society of Banyumas District

2016 ◽  
Vol 1 ◽  
pp. 60-65
Author(s):  
Umi Solikhah ◽  
Hari Kusnanto ◽  
Fitri Haryanti
Keyword(s):  
Health Care ◽  
Child Health ◽  
Health Services ◽  
Group Discussion ◽  
Community Empowerment ◽  
Child Health Services ◽  
Child Health Care ◽  
Minimum Requirements ◽  
Social Esteem ◽  
The Government

Community empowerment with regard to maternal and child health services at the community level carried out by cadre.Cadre is health volunteers, selected by the community.404 number of active cadres in primary health care of South Purwokerto entirely female, although it may be a cadre of men. Active cadre toddler actively providing services every month for child before 5 years age. Interest to know the various reasons committed cadres in performing their duties. The method used is qualitative study,to describe a variety of reasons commitment to perform cadre duties in child health care. Retrieving data using interview techniques through the focus group discussion. Data from 30 cadres.Results of interviews taken until the data saturation, as a reason believed by cadres in the commitment to carry out tasks of serving the Muslim community. Characteristic respondent are mean of age 38 years (the youngest age of 25 years and the oldest 55 years old), a 100% Islamic religion, level of education majority of senior high school(at least primary school). Educational level health cadres in Banyumas has met the minimum requirements by the WHO.Results of the analysis showed thatcommitment includes a cadre of dedicated, caring community, a desire to learn, social esteem, individual satisfaction, togetherness, organization, and spirituality. The spirit of cadre to the community need the attention of the government for development and prosperity in accordance with their duties.Spiritual reasons become one of the motivations in providing health services to the community, albeit to a spirit of dedication and a great desire to learn. Cadres continue to provide services, even to families with different spiritual.

scholarly journals Decision Support System to Develop Evidence-based Policies for Inequity Reduction in Maternal and Child Health Care

2019 ◽  
Vol 21 (1) ◽  
pp. 53-84 ◽  
Author(s):  
Partha Saha
Keyword(s):  
Health Care ◽  
Decision Support ◽  
Child Health ◽  
Support System ◽  
High Impact ◽  
Evidence Based ◽  
Child Health Care ◽  
Health Care Interventions ◽  
Health Care Indicators ◽  
And Child Health

To reduce inequity in maternal and child health care indicators among socio-economically different regions, strategic location-specific policies should be designed. In this research work, a knowledge-discovery-based interactive decision support system has been developed on a web platform which would assist health care policymakers to design evidence-based decisions. Two modules have been prepared under this system to find out key influential Maternal and Child Healthcare (MCH) interventions for socio-economically different regions which had high impact on health care indicators. Data of 284 districts of nine high-focus states of India have been provided into the system to find out the efficiency of the system. Those data have been collected from district- level household survey part three (DLHS-3). The first module of the system has segregated all 284 districts into three segments based on their educational, social and economic conditions, and the second module has found out key influential health care interventions for all three segments separately which had high impact on health care indicators. It has been observed that adolescent health care intervention like female sterilization and childhood health care interventions such as DPT (diphtheria, pertussis, and tetanus) vaccine and measles vaccine were key influential health care interventions. The improvement of coverage of these interventions would help to reduce inequity and improve health care indicators of regions. Further research should be done to understand how the coverage of these interventions can be improved, especially in socio-economically poor regions.

MISSION AND MANPOWER

PEDIATRICS ◽  
1963 ◽  
Vol 31 (2) ◽  
pp. 193-196
Author(s):  
ALEX J. STEIGMAN
Keyword(s):  
United States ◽  
Health Care ◽  
Child Health ◽  
Health Services ◽  
The United States ◽  
Child Health Services ◽  
Child Health Care ◽  
Long Term Trends

THE SPECIAL ARTICLE by Stewart and Pennell, "Pediatric Manpower in the United States and Its Implications," is interesting and timely. It will be viewed differently by various readers, by some as seen from their personal perch, by others in terms of the broad reaches past and present of pediatrics as a discipline. The purposes of the Special Article are to highlight the manpower situation and to point out long-term trends and implications in the light of the growing responsibility of pediatrics. The authors say that one requires a "delineation of the role of the specialty of pediatrics in child health care," and "while this role may be shared by other types of physicians, the responsibility for the development, maintenance, and improvement of child health services was clearly assumed by pediatrics when, as a specialty, it adopted as its objectives the protection and promotion of the health of children."

scholarly journals Implementation of a web-based national child health-care programme in a local context: A complex facilitator role

2018 ◽  
Vol 46 (20_suppl) ◽  
pp. 80-86 ◽  
Author(s):  
Johanna Tell ◽  
Ewy Olander ◽  
Peter Anderberg ◽  
Johan Sanmartin Berglund
Keyword(s):  
Health Care ◽  
Decision Support ◽  
Child Health ◽  
Local Context ◽  
Successful Implementation ◽  
Child Health Care ◽  
Care Programme ◽  
Web Based ◽  
Health Care Programme ◽  
Care Coordinators

Aim: The aim of this study was to investigate child health-care coordinators’ experiences of being a facilitator for the implementation of a new national child health-care programme in the form of a web-based national guide. Methods: The study was based on eight remote, online focus groups, using Skype for Business. A qualitative content analysis was performed. Results: The analysis generated three categories: adapt to a local context, transition challenges and led by strong incentives. There were eight subcategories. In the latent analysis, the theme ‘Being a facilitator: a complex role’ was formed to express the child health-care coordinators’ experiences. Conclusions: Facilitating a national guideline or decision support in a local context is a complex task that requires an advocating and mediating role. For successful implementation, guidelines and decision support, such as a web-based guide and the new child health-care programme, must match professional consensus and needs and be seen as relevant by all. Participation in the development and a strong bottom-up approach was important, making the web-based guide and the programme relevant to whom it is intended to serve, and for successful implementation. The study contributes valuable knowledge when planning to implement a national web-based decision support and policy programme in a local health-care context.

scholarly journals ‘It Was Hell in the Community’: A Qualitative Study of Maternal and Child Health Care During Health Care Worker Strikes in Kenya

2021 ◽  
Author(s):  
Michael L Scanlon ◽  
Lauren Y. Maldonado ◽  
Justus E. Ikemeri ◽  
Anjellah Jumah ◽  
Getrude Anusu ◽  
...  
Keyword(s):  
Health Care ◽  
Child Health ◽  
Health Facility ◽  
Maternal And Child Health ◽  
Health Care Workers ◽  
Economic Effects ◽  
Child Health Services ◽  
Child Health Care ◽  
Care Workers ◽  
And Child Health

Abstract Background: Health care workers in Kenya have launched major strikes in the public health sector in recent years but how strikes by health care workers affect health systems and services is under-explored. We conducted a qualitative study to explore maternal and child health care and services during nationwide strikes by health care workers in 2017 from the perspective of pregnant women, community health volunteers (CHVS), and health facility managers. Methods:We conducted interviews and focus group discussions (FGDs) with three populations: women who were pregnant in 2017, CHVs, and health facility managers. Participants were part of a previous study and recruited using convenience sampling from a single County in western Kenya. Interviews and FGDs were conducted in English or Kiswahili using semi-structured guides that probed women’s pregnancy experiences and maternal and child health services in 2017. Interviews and FGDs were audio-recorded, translated, and transcribed. Content analysis followed a thematic framework approach using deductive and inductive approaches. Data were collected March to July 2019. All participants provided written informed consent.Results:Forty-three women (mean age 28) and 22 CHVs (mean age 47) participated in 4 FGDs and 3 FGDs, respectively, and 8 health facility managers (mean age 38) participated in interviews. CHVs and health facility managers were majority female (80%). Participants reported that strikes by health care workers significantly impacted the availability and quality of maternal and child health services in 2017 and led to indirect economic effects due to households paying for services in the private sector. Participants overwhelmingly felt it was the poor, particularly poor women, who were most affected since they were more likely to rely on public services, while CHVs highlighted their own poor working conditions in response to strikes by other health care workers. Strikes strained relationships and trust between communities and the health system that were identified as particularly important to maternal and child health care. Conclusion: The impacts of strikes by health care workers extend beyond negative health and economic effects and exacerbate fundamental inequities in the health system with important implications for health systems strengthening and universal health coverage in Kenya and other countries.

scholarly journals ‘It was hell in the community’: a qualitative study of maternal and child health care during health care worker strikes in Kenya

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Michael L. Scanlon ◽  
Lauren Y. Maldonado ◽  
Justus E. Ikemeri ◽  
Anjellah Jumah ◽  
Getrude Anusu ◽  
...  
Keyword(s):  
Health Care ◽  
Child Health ◽  
Health Facility ◽  
Maternal And Child Health ◽  
Health Care Workers ◽  
Economic Effects ◽  
Child Health Services ◽  
Child Health Care ◽  
Care Workers ◽  
And Child Health

Abstract Background Health care workers in Kenya have launched major strikes in the public health sector in the past decade but the impact of strikes on health systems is under-explored. We conducted a qualitative study to investigate maternal and child health care and services during nationwide strikes by health care workers in 2017 from the perspective of pregnant women, community health volunteers (CHVs), and health facility managers. Methods We conducted in-depth interviews and focus group discussions (FGDs) with three populations: women who were pregnant in 2017, CHVs, and health facility managers. Women who were pregnant in 2017 were part of a previous study. All participants were recruited using convenience sampling from a single County in western Kenya. Interviews and FGDs were conducted in English or Kiswahili using semi-structured guides that probed women’s pregnancy experiences and maternal and child health services in 2017. Interviews and FGDs were audio-recorded, translated, and transcribed. Content analysis followed a thematic framework approach using deductive and inductive approaches. Results Forty-three women and 22 CHVs participated in 4 FGDs and 3 FGDs, respectively, and 8 health facility managers participated in interviews. CHVs and health facility managers were majority female (80%). Participants reported that strikes by health care workers significantly impacted the availability and quality of maternal and child health services in 2017 and had indirect economic effects due to households paying for services in the private sector. Participants felt it was the poor, particularly poor women, who were most affected since they were more likely to rely on public services, while CHVs highlighted their own poor working conditions in response to strikes by physicians and nurses. Strikes strained relationships and trust between communities and the health system that were identified as essential to maternal and child health care. Conclusion We found that the impacts of strikes by health care workers in 2017 extended beyond negative health and economic effects and exacerbated fundamental inequities in the health system. While this study was conducted in one County, our findings suggest several potential avenues for strengthening maternal and child health care in Kenya that were highlighted by nationwide strikes in 2017.

Improving Maternal and Child Health Care: A Blueprint for Community Action in Pittsburgh Region: Summary

2005 ◽  
Author(s):  
Harold Alan Pincus ◽  
Stephen B. Thomas ◽  
Donna J. Keyser ◽  
Nicholas Castle ◽  
Jacob W. Dembosky ◽  
...  
Keyword(s):  
Health Care ◽  
Child Health ◽  
Maternal And Child Health ◽  
Community Action ◽  
Child Health Care ◽  
And Child Health
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