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

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.

2000 ◽  
Vol 6 (2-3) ◽  
pp. 246-259
Author(s):  
M. S. Khattab

We randomly selected 100 mothers with children under 2 years attending an immunization clinic to measure satisfaction with and the effects of a child health care programme. Mean duration of breastfeeding was 10.7 +/- 6.9 months; 37% of children were exclusively breastfed, 16% artificially fed and 47% mixed fed. Breastfeeding knowledge scores were good or fair for most mothers. Only 26% used effective contraception and 46% had a child-spacing of < 12 months. We found 78.6% of lactating mothers had well or fairly balanced diets. Process of care was satisfactory in 73% of records reviewed, programme structure was satisfactory and 91% of mothers were satisfied with the programme


BMJ ◽  
1988 ◽  
Vol 296 (6626) ◽  
pp. 906-907 ◽  
Author(s):  
K S Joseph ◽  
K N Brahmadathan ◽  
S. Abraham ◽  
A. Joseph

2019 ◽  
Vol 21 (1) ◽  
pp. 53-84 ◽  
Author(s):  
Partha Saha

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.


2016 ◽  
Vol 34 (5) ◽  
pp. 197-205 ◽  
Author(s):  
Johanna Tell ◽  
Ewy Olander ◽  
Peter Anderberg ◽  
Johan Sanmartin Berglund

Author(s):  
Walisa Romsaiyud ◽  
Wichian Premchaiswadi

Addressing efforts towards the improvement of maternal and child health management can often prove to be problematic in context to successfully obtaining healthcare and medical treatment information from health care professionals. In this regard, the authors propose an adaptive multi-service system that contains fully integrated health care services, medical treatment services, and maternal and child health management. The system utilized both web-based and mobile technology for implementing the application. A practical framework for generating individual maternal and child health care is also presented from data repositories and fully integrated functional health care services to support an improved quality of life for both mother and children. The application, namely AM-Care, consists of the three main components, i.e., Control Centre Component, Web-based Components, and Mobile Components. Also, AM-Care has the important add-on features such as emergency services and warning services.


Author(s):  
Kinga Zdunek ◽  
Peter Schröder-Bäck ◽  
Denise Alexander ◽  
Eline Vlasblom ◽  
Paul Kocken ◽  
...  

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.


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