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Exploring the influ...
Exploring the influence of context in a community-based facilitation intervention focusing on neonatal health and survival in Vietnam : a qualitative study
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- Duong, Duc M. (author)
- Uppsala universitet,Internationell mödra- och barnhälsovård (IMCH),Hanoi School of Public Health; International Maternal and Child Health (IMCH), Department of Women's and Children's Health, Uppsala University
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- Bergström, Anna (author)
- Uppsala universitet,Internationell mödra- och barnhälsovård (IMCH),International Maternal and Child Health (IMCH), Department of Women's and Children's Health, Uppsala University; Division of Global Health/IHCAR, Department of Public Health Sciences, Karolinska Institutet
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- Wallin, Lars (author)
- Karolinska Institutet,Högskolan Dalarna,Omvårdnad,School of Education, Health and Social Studies, Dalarna University; Department of Neurobiology, Care Sciences and Society, Division of Nursing, Karolinska Institutet
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- Bui, Ha T. T. (author)
- Hanoi School of Public Health
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- Eriksson, Leif (author)
- Uppsala universitet,Internationell mödra- och barnhälsovård (IMCH),nternational Maternal and Child Health (IMCH), Department of Women's and Children's Health, Uppsala University
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- Eldh, Ann Catrine, 1965- (author)
- Karolinska Institutet,Högskolan Dalarna,Omvårdnad,School of Education, Health and Social Studies, Dalarna University; Department of Neurobiology, Care Sciences and Society, Division of Nursing, Karolinska Institutet
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(creator_code:org_t)
- 2015-08-22
- 2015
- English.
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In: BMC Public Health. - : Springer Science and Business Media LLC. - 1471-2458. ; :15
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Abstract
Subject headings
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- BackgroundIn the Neonatal health – Knowledge into Practice (NeoKIP) trial in Vietnam, local stakeholder groups, supported by trained laywomen acting as facilitators, promoted knowledge translation (KT) resulting in decreased neonatal mortality. In general, as well as in the community-based NeoKIP trial, there is a need to further understand how context influences KT interventions in low- and middle-income countries (LMICs). Thus, the objective of this study was to explore the influence of context on the facilitation process in the NeoKIP intervention.MethodsA secondary content analysis was performed on 16 Focus Group Discussions with facilitators and participants of the stakeholder groups, applying an inductive approach to the content on context through naïve understanding and structured analysis.ResultsThe three main-categories of context found to influence the facilitation process in the NeoKIP intervention were: (1) Support and collaboration of local authorities and other communal stakeholders; (2) Incentives to, and motivation of, participants; and (3) Low health care coverage and utilization. In particular, the role of local authorities in a KT intervention was recognized as important. Also, while project participants expected financial incentives, non-financial benefits such as individual learning were considered to balance the lack of reimbursement in the NeoKIP intervention. Further, project participants recognized the need to acknowledge the needs of disadvantaged groups.ConclusionsThis study provides insight for further understanding of the influence of contextual aspects to improve effects of a KT intervention in Vietnam. We suggest that future KT interventions should apply strategies to improve local authorities’ engagement, to identify and communicate non-financial incentives, and to make disadvantaged groups a priority. Further studies to evaluate the contextual aspects in KT interventions in LMICs are also needed.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
- 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)
Keyword
- Hälsa och välfärd
- Health and Welfare
Publication and Content Type
- ref (subject category)
- art (subject category)
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