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Process evaluation ...
Process evaluation of a knowledge translation intervention using facilitation of local stakeholder groups to impove neonatal survival in Quang Ninh province, Vietnam
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- Eriksson, Leif, 1971- (författare)
- Uppsala universitet,Institutionen för kvinnors och barns hälsa,Internationell barnhälsa och nutrition/Mårtensson
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- Huy, Tran Q (författare)
- Nursing office, Department of Medical Services Administration, Ministry of Health Vietnam
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- Duc, Duong M, 1984- (författare)
- Uppsala universitet,Internationell mödra- och barnhälsovård (IMCH),Hanoi School of Public Health, Hanoi, Vietnam,Internationell barnhälsa och nutrition/Mårtensson
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- Ekholm Selling, Katarina, 1976- (författare)
- Uppsala universitet,Institutionen för kvinnors och barns hälsa,Internationell barnhälsa och nutrition/Mårtensson
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- Hoa, Dinh P (författare)
- Hanoi School of Public Health, Vietnam
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- Nga, Nguyen Thu (författare)
- Uppsala universitet,Institutionen för kvinnors och barns hälsa,Vietnam Sweden Uong Bi General Hospital, Quang Ninh, Vietnam,Internationell barnhälsa och nutrition/Mårtensson
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- Nga, Nguyen Thu (författare)
- Uppsala universitet,Institutionen för kvinnors och barns hälsa,Vietnam Sweden Uong Bi General Hospital, Quang Ninh, Vietnam,Internationell barnhälsa och nutrition/Mårtensson
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- Persson, Lars-Åke, 1947- (författare)
- Uppsala universitet,Institutionen för kvinnors och barns hälsa,Internationell barnhälsa och nutrition
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- Wallin, Lars (författare)
- Högskolan Dalarna,Karolinska Institutet,Omvårdnad,Department of Neurobiology, Care Sciences and Society, Division of Nursing, Karolinska Institutet. School of Education, Health and Social Studies, Dalarna University, Falun, Sweden.
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(creator_code:org_t)
- 2016-01-13
- 2016
- Engelska.
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Ingår i: Trials. - : Springer Science and Business Media LLC. - 1745-6215. ; 17:1
- Relaterad länk:
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https://doi.org/10.1...
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https://uu.diva-port... (primary) (Raw object)
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https://doi.org/10.1...
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https://du.diva-port... (primary) (Raw object)
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https://urn.kb.se/re...
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https://doi.org/10.1...
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http://kipublication...
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https://urn.kb.se/re...
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Abstract
Ämnesord
Stäng
- BackgroundAnnually, 2.8 million neonatal deaths occur worldwide, despite the fact that three-quarters of them could be prevented if available evidence-based interventions were used. Facilitation of community groups has been recognized as a promising method to translate knowledge into practice. In northern Vietnam, the Neonatal Health – Knowledge Into Practice trial evaluated facilitation of community groups (2008–2011) and succeeded in reducing the neonatal mortality rate (adjusted odds ratio, 0.51; 95 % confidence interval 0.30–0.89). The aim of this paper is to report on the process (implementation and mechanism of impact) of this intervention.MethodsProcess data were excerpted from diary information from meetings with facilitators and intervention groups, and from supervisor records of monthly meetings with facilitators. Data were analyzed using descriptive statistics. An evaluation including attributes and skills of facilitators (e.g., group management, communication, and commitment) was performed at the end of the intervention using a six-item instrument. Odds ratios were analyzed, adjusted for cluster randomization using general linear mixed models.ResultsTo ensure eight active facilitators over 3 years, 11 Women’s Union representatives were recruited and trained. Of the 44 intervention groups, composed of health staff and commune stakeholders, 43 completed their activities until the end of the study. In total, 95 % (n = 1508) of the intended monthly meetings with an intervention group and a facilitator were conducted. The overall attendance of intervention group members was 86 %. The groups identified 32 unique problems and implemented 39 unique actions. The identified problems targeted health issues concerning both women and neonates. Actions implemented were mainly communication activities. Communes supported by a group with a facilitator who was rated high on attributes and skills (n = 27) had lower odds of neonatal mortality (odds ratio, 0.37; 95 % confidence interval, 0.19–0.73) than control communes (n = 46).ConclusionsThis evaluation identified several factors that might have influenced the outcomes of the trial: continuity of intervention groups’ work, adequate attributes and skills of facilitators, and targeting problems along a continuum of care. Such factors are important to consider in scaling-up efforts.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences (hsv//eng)
Nyckelord
- community health workers
- facilitation
- knowledge translation
- neonatal health
- neonatal mortality
- process evaluation
- Vietnam
- International Health
- Internationell hälsa
- Hälsa och välfärd
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
Hitta via bibliotek
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Trials
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- Av författaren/redakt...
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Eriksson, Leif, ...
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Huy, Tran Q
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Duc, Duong M, 19 ...
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Ekholm Selling, ...
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Hoa, Dinh P
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Nga, Nguyen Thu
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Persson, Lars-Åk ...
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Wallin, Lars
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- MEDICIN OCH HÄLSOVETENSKAP
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Trials
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Uppsala universitet
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Karolinska Institutet
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Högskolan Dalarna