Revisiting Trials of Improved Practices Methodology_J.Jennings_5.10.11
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Revisiting Trials of Improved Practices Methodology_J.Jennings_5.10.11
- 2. What is a key problem in seeking care?
- 14. Thank you!
Notas del editor
- Innovation in 20 communities Formative research facilitated by NicaSalud Summative research by CIES
- KPC and FGD with volunteers baseline
- Organization: 20 communities selected using pre-established criteria Training CS and MoH team in methodology Field work planning, development of guidelines and interview techniques Invitation to community members Field work Analysis and discussion of findings: Team compiled and analyzed the information 4 session to present the results to governmental authorities in three municipalities (major office, MoH, MoEd, Police, other organizations) 35 participants 8 sessions at community level with men, women for a total of 64 participants In all the sessions participants made recommendations about strategies could be implemented to overcome barriers
- Chose community strategies to launch BCC strategy Selection of community volunteers to become bcc counselors 8 community sessions to validate materials Selection of strategies Development of IEC materials
- FGD and in-depth interview with men and women
- 25 men in three municipalities Men with pregnant women’ Men whose wives where in last two weeks of pregnancy: behavior 1,2 Anecdote about the wife didn’t want to go back and wash the baby’s clothes after one months of probing phase The husband convinced it was important to participate in the ANC came to the H/U but the doctor didn’t let him in The H/U staff brainstorming how to declare “husband friendly units”. “welcome all me who love their wives”
- Selection of men to probe the behaviors was based on the behavior that was going to be probed. For example if the behavior is to seek ANC the man was whose wife is pregnant and didn’t have ANC or was not attending follow up sessions. Men whose wife in the third trimester of pregnancy, post partum and with newborn alive. Development of materials to record the behaviors and mark the days the behavior was practiced Home visits to negotiate the behaviors: selection of 9 behaviors to be practiced 4 times each. ( minimum 3 times, max 5 times) ssess enablers, barriers to probe the behavior Use of job aids to remind the behavior and track the days and number of time the behavior was done
- Follow up visits to assess if the behavior was done every two weeks or monthly The counselor record the days the behavior was practiced and during the session counsel the man about the benefits, and negotiate with them to try again (in the case the man hasn’t been able to practice the behavior). If the men has achieved all the days the behavior was agreed to be practice, the counselor negotiates with him a new behavior To motivate more men, those who have achieved the tasked share with other men and familiy members the experience of practicing the behavior
- Of the 9 behaviors 6 were probed 3 times 1 five times 2 only two times Twenty five visits were done with 25 men Anecdote about the wife didn’t want to go back and wash the baby’s clothes after one months of probing phase The husband convinced it was important to participate in the ANC came to the H/U but the doctor didn’t let him in The H/U staff brainstorming how to declare “husband friendly units”. “welcome all me who love their wives”