scholarly journals Collaborating to co-produce strategies for delivering adolescent sexual and reproductive health interventions: processes and experiences from an implementation research project in Nigeria

2020 ◽  
Vol 35 (Supplement_2) ◽  
pp. ii84-ii97
Author(s):  
Chinyere Ojiugo Mbachu ◽  
Ifunanya Clara Agu ◽  
Obinna Onwujekwe
Keyword(s):  
Reproductive Health ◽  
Sexual And Reproductive Health ◽  
Qualitative Interviews ◽  
Group Discussion ◽  
Implementation Strategies ◽  
Design Strategies ◽  
Secondary Sources ◽  
Key Stakeholders ◽  
Academic Researchers ◽  
Document Review

Abstract Implementation science embraces collaboration between academic researchers and key stakeholders/implementers for the dual purpose of capacity building and context-adaptation. Co-production ensures that knowledge created with inputs from various groups of stakeholders is more reflective of local contexts. This paper highlights the experiences of academic researchers and non-academic implementers in collaborating to design implementation strategies for improving access to sexual and reproductive information and services for adolescents. Data were collected through primary and secondary sources. Detailed review of project documents such as minutes of research meetings, reports of workshops and outputs of group work activities enabled detailed description of the processes and steps of co-designing implementation strategies. Information on experiences and perspectives of benefits of the collaborative were collected through in-depth interviews of non-academic partners and focus group discussion with academic researchers. Narrative synthesis was done for information extracted through document review. Thematic analysis of qualitative interviews was done. The process of designing implementation strategies happened in three chronological steps of setting up the collaborative, selecting intervention areas and convening partners’ meetings to design strategies. Specific activities include stakeholder engagement, situation analysis, selection of intervention areas, designing the implementation strategies and pre-testing implementation tools. The process of analysing and selecting collaborators was iterative, and facilitated by having an ‘insider’ key informant. Working with key stakeholders enabled knowledge sharing and exchange among partners. Information sharing within the collaborative facilitated shifting of mindsets about adolescent sexual and reproductive health, and contextual adaptation of names and labels given to strategies. Co-producing implementation strategies with non-academic implementers enabled stakeholder ownership of implementation strategies and set the scene for their adoption in implementation settings. Some challenges of co-production of knowledge are that it is time consuming; involves several iterations that may influence coherence of strategies; involves multiple interests and priorities and poses a threat to fidelity.

scholarly journals Challenges and strategies in conducting sexual and reproductive health research among Rohingya refugees in Cox’s Bazar, Bangladesh

2020 ◽  
Vol 14 (1) ◽  
Author(s):  
Rushdia Ahmed ◽  
Bachera Aktar ◽  
Nadia Farnaz ◽  
Pushpita Ray ◽  
Abdul Awal ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Data Collection ◽  
Sexual And Reproductive Health ◽  
Qualitative Interviews ◽  
Mitigation Strategies ◽  
Refugee Camps ◽  
Cross Sectional Survey ◽  
Important Lesson ◽  
Key Stakeholders ◽  
Challenges And Strategies

Abstract Background Rohingya diaspora or Forcibly Displaced Myanmar Nationals (FDMNs), took shelter in the refugee camps of Cox’s Bazar, Bangladesh due to armed conflict in the Rakhine state of Myanmar. In such humanitarian crises, delivering sexual and reproductive health (SRH) services is critical for better health outcomes of this most-at-risk population where more than half are adolescent girls and women. This is a reflective paper on challenges and related mitigation strategies to conduct SRH research among FDMNs. The research on which this paper is based employed a concurrent mixed-method design combining a cross-sectional survey and qualitative interviews and group discussions with FDMNs to understand their SRH needs and demand-side barriers. Assessment of health facilities and qualitative interviews with healthcare providers and key stakeholders were carried out to assess facility readiness and supply-side barriers. Challenges and strategies The researchers faced different challenges while conducting this study due to the unique characteristics of the FDMN population and the location of the refugee camps. The three key challenges researchers encountered include: sensitivity regarding SRH in the FDMNs, identifying appropriate sampling strategies, and community trust issues. The key approaches to overcome these challenges involved: actively engaging community members and gatekeepers in the data collection process to access respondents, identifying sensitive SRH issues through survey and exploring in-depth during qualitative interviews; and contextually modifying the sampling strategy. Conclusion Contextual adaptation of research methods and involving community and local key stakeholders in data collection are the key lessons learnt from this study. Another important lesson was researchers’ identity and positionality as a member of the host country may create distrust and suspicion among the refugees. The multi-level complexities of humanitarian settings may introduce unforeseen challenges and interrupt research plans at different stages of research which require timely and contextual adaptations.

scholarly journals Adolescents' Perceptions About Dating and Sexual Permissiveness in Ebonyi State, Nigeria: What Can Be Done to Enhance Adolescents' Sexual Health and Well-Being

2021 ◽  
Vol 3 ◽  
Author(s):  
Nkoli Ezumah ◽  
Ifunanya Clara Agu ◽  
Chinyere Okeke ◽  
Chibuike Agu ◽  
Chinyere Ojiugo Mbachu ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Sexual Health ◽  
Sexual Behaviors ◽  
Sexual And Reproductive Health ◽  
Group Discussion ◽  
Well Being ◽  
Casual Sex ◽  
Reproductive Capacity ◽  
Southeastern Nigeria ◽  
Health And Well Being

Introduction: Adolescent sexual and reproductive health (SRH) issues constitute key health concerns as some adolescents are directly or indirectly involved in sexual engagements, with increased risks and health consequences. The study aims to explore adolescents' perceptions about dating and permissive sexual behaviors which will contribute to designing sexual and reproductive health interventions. This paper adds to knowledge on adolescents' perceptions about dating, pre-marital, casual, transactional and age-disparate sex in southeastern, Nigeria.Methods: A qualitative study was undertaken in the three senatorial zones of Ebonyi state, south eastern Nigeria. The study population comprised unmarried in- and out-of-school adolescents aged 13–18 years. Data were collected using a pre-tested focus group discussion (FGD) guide. There were six FGDs for boys and six FGDs for girls. A thematic framework approach was used for data analysis.Results: Adolescents' views about dating and other sexual behaviors were varied. The dominant view is that hugging, touching and kissing are inappropriate for unmarried adolescents. Similarly, pre-marital, casual, transactional, and age-disparate sex were viewed as unacceptable. However, some adolescents perceived pre-marital abstinence as a hindrance to the attainment of sexual satisfaction and reproductive capacity in marriage. Some boys and girls indicated that casual sex is good, because it enables girls from poor homes to socialize with more privileged boys/men, and that such relationships could lead to marriage. Some considered transactional and age-disparate sex as a means of survival from poverty and unemployment. Boys were more permissive in their views about sexual behaviors compared to the girls.Conclusion: Adolescents' perceptions of sexual behaviors as acceptable/unacceptable vary and are gendered. This should be considered in designing innovative strategies to improve adolescents' sexual health and well-being.

scholarly journals 'I feel like a person has a right to use a product to protect themselves…': a qualitative study of the risk–benefit calculus on women's contraceptive use and choice

Sexual Health ◽  
2020 ◽  
Vol 17 (3) ◽  
pp. 262
Author(s):  
Sofía L. Carbone ◽  
Melissa Guillen ◽  
Jaime J. Ramirez ◽  
Sara E. Vargas ◽  
Connie Fei Lu ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Sexual And Reproductive Health ◽  
Contraceptive Use ◽  
Qualitative Interviews ◽  
Attitudes And Beliefs ◽  
Pregnancy Risk ◽  
Oral Contraceptive Pills ◽  
Contraceptive Pills ◽  
Health Products ◽  
Beliefs And Attitudes

Background Reducing pregnancy risk requires a multidimensional approach to sexual and reproductive health product development. The purpose of this analysis is to identify, compare, and contrast women’s pre-use beliefs and attitudes about three different forms of contraceptives: intravaginal rings; spermicide in conjunction with condoms; and oral contraceptive pills – and explore how those attitudes and beliefs, along with actual method-use experience, may affect potential choices in contraceptive method moving forward. The relationship of beliefs and attitudes to their risk–benefit calculations when using these methods was also considered.? Methods: Women used one or more contraceptive methods, each for 3–6 months. Qualitative data from individual in-depth interviews completed after each 3-month use period were analysed using a summary matrix framework. Data were extracted and summarised into themes. Each woman’s experiences were compared among the methods she used; comparisons were also made across participants. Results: The data consist of 33 90–120 min in-depth qualitative interviews from 16 women aged 20–34 years, in which they discussed various elements of their method use experience. One prominent theme was identified: the influence of attitudes and beliefs on the risk–benefit calculus. There were six key elements within the theme: pregnancy prevention; dosing and the potential for user error; side-effects; familiarity; disclosure; and sexual partnerships. Conclusions: Women weighed perceived risks and benefits in their decision-making and, ultimately, their contraception choices. Understanding women’s beliefs and attitudes that contribute to a calculation of risk–benefit can inform the development of sexual and reproductive health products.

scholarly journals Evaluating the Experience of Organizations Implementing Medication Management Services Using a Variety of Implementation Strategies

2021 ◽  
Vol 12 (1) ◽  
pp. 12
Author(s):  
Deborah L. Pestka ◽  
Todd D. Sorensen
Keyword(s):  
Qualitative Interviews ◽  
Medication Management ◽  
Implementation Strategies ◽  
Structured Interviews ◽  
Learning Collaborative ◽  
Management Learning ◽  
Evaluation Approach ◽  
Key Stakeholders ◽  
Learning Collaboratives ◽  
Management Services

Purpose: The purpose of this project was to evaluate the experience of organizations who participated in a medication management learning collaborative and their perceptions of the different implementation strategies that were employed. Methods: Using a utilization-focused evaluation approach, qualitative interviews were conducted with former participants (clinicians, managers, or other key stakeholders) of medication management learning collaboratives organized and delivered by Alliance for Integrated Medication Management (AIMM). The purpose of the learning collaboratives was to provide structure and facilitation to accelerate the implementation of medication management services. One-on-one semi-structured interviews were carried out with a lead member of 11 different organizations that participated in an AIMM collaborative about their experience in the collaborative and the different implementation strategies that were used. Results: Three themes emerged: (1) perspectives on the implementation strategies, (2) external facilitators, and (3) additional benefits of being in the collaborative. Certain implementation strategies used by AIMM, such as coaching, were considered beneficial by almost everyone while other strategies, such as webinars, had mixed opinions. Participants also highlighted the importance of external facilitators, like dedicated time to work on implementation strategies, as well as the additional benefits like the professional development that comes from being in a learning collaborative and learning different implementation strategies. Conclusion: Implementation strategies may help accelerate the adoption and expansion of medication management services within and across organizations. The results of this evaluation shed light on the experiences of different organizations using select implementation strategies in their medication management implementation efforts. The perspectives of participants in this study may help other organizations in selecting and developing similar implementation strategies.

scholarly journals Parent’s Perception regarding the Delivery of Sexual and Reproductive Health (SRH) Education in Secondary Schools in Fiji: A Qualitative Study

2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Sharan Ram ◽  
Sari Andajani ◽  
Masoud Mohammadnezhad
Keyword(s):  
Reproductive Health ◽  
Qualitative Study ◽  
Secondary Schools ◽  
Sex Education ◽  
Sexual And Reproductive Health ◽  
Group Discussion ◽  
School Based ◽  
Effective Interventions ◽  
Change Policy ◽  
Policy Program

Background. Adolescent Sexual and Reproductive Health (SRH) remains a challenge globally. This study aims to gauge the perceptions of parents towards the delivery of SRH education in mainstream public secondary schools in Fiji. Methods. The qualitative study design was used to collect the data from parents in Suva, Fiji, from July to August 2018. A semistructured questionnaire was developed to run Focus Group Discussion (FGD) among parents residing in Suva who had school-attending children from years 11 to 13. Parents were recruited from five schools with the help of students. Twenty-six parents of which 10 were males, aged between 38 and 65, participated in this study. Consent was obtained from each participant prior to the data collection stage. Data collected were transcribed verbatim and were analyzed thematically. Ethical approvals were obtained before collecting the data. Results. Seven themes emerged which included the provision of school-based sex education, parental involvement with school-based sex education, sex education at home, age-appropriate incremental sex education, ethnic variations regarding sex education, barriers and facilitators for the delivery of school-based sex education, and perceived ideal version of sex education. Conclusions. Findings from this study suggest for policy and programs to match parents, schools, and students’ expectations. Effective interventions need to involve and help parents to take a more active part to change policy, program, and advocacy for relevant SRH education.

Unleashing the Political Economy of Land Expropriation in Ethiopia, beyond the Rhetoric: Flower Farms’ in Amhara Region in Focus

2021 ◽  
Vol 8 (1) ◽  
pp. 102-123
Author(s):  
Asabu Sewenet Alamineh ◽  
Belachew Getnet Eneyew
Keyword(s):  
Political Economy ◽  
Group Discussion ◽  
Public Consultation ◽  
The Political ◽  
Amhara Region ◽  
Land Expropriation ◽  
Secondary Sources ◽  
Valuation Process ◽  
Displaced People ◽  
Document Review

Abstract The recognition of commercial agricultural investment unfolded the allocation of land to investors for the production of different cash and food crops in Ethiopia. But anti-expropriation voices and subsequent vandalizing of investment sites have been mushroomed and become far reminder occasions in Ethiopia. This study, thus, tried to uncover the Political-Economy of land expropriation in Ethiopia: a focus on flower farms in Amhara region. A mixed research design was employed by involving primary and secondary sources of data gathered via interview, focused group discussion, questionnaire and document review. Then, the data were presented, analyzed and interpreted through statistics-by-themes and side-by-side jointly. In the study, land expropriation was carried out without genuine public consultation, ascertaining popular consent and written notification. And, compensation was paid to evictees albeit the valuation process was full of uncertainty and jumping. Moreover, flower farms have negatively affected the livelihood and food security of peasants, which in turn brought violence, tenure insecurity and strained government-society relations. This indicated that the expansion of commercial farming was not made vis-à-vis empowering the displaced people. Thus, evictees should be part of the development process for the sustainability and success of farms.

Moving From Interprofessional Education Toward Interprofessional Practice: Bridging the Translation Gap

2019 ◽  
Vol 4 (5) ◽  
pp. 971-976
Author(s):  
Imran Musaji ◽  
Trisha Self ◽  
Karissa Marble-Flint ◽  
Ashwini Kanade
Keyword(s):  
Interprofessional Education ◽  
Interprofessional Collaboration ◽  
Evaluation Model ◽  
Implementation Strategies ◽  
Future Research ◽  
Successful Implementation ◽  
Interprofessional Practice ◽  
Translational Model ◽  
Key Stakeholders ◽  
Clear Identification

Purpose The purpose of this article was to propose the use of a translational model as a tool for identifying limitations of current interprofessional education (IPE) research. Translational models allow researchers to clearly define next-step research needed to translate IPE to interprofessional practice (IPP). Method Key principles, goals, and limitations of current IPE research are reviewed. A popular IPE evaluation model is examined through the lens of implementation research. The authors propose a new translational model that more clearly illustrates translational gaps that can be used to direct future research. Next steps for translating IPE to IPP are discussed. Conclusion Comprehensive reviews of the literature show that the implementation strategies adopted to date have fostered improved buy-in from key stakeholders, as evidenced by improved attitudes and perceptions toward interprofessional collaboration/practice. However, there is little evidence regarding successful implementation outcomes, such as changed clinician behaviors, changed organizational practices, or improved patient outcomes. The authors propose the use of an IPE to IPP translational model to facilitate clear identification of research gaps and to better identify future research targets.

Sign in / Sign up

Export Citation Format

Share Document