Exploring the influence of context in a community-based facilitation intervention focusing on neonatal health and survival in Vietnam: a qualitative study

BMC Public Health

Research Article

Ha TT Bui¹  Duc M. Duong²  Leif Eriksson³  Anna Bergström⁴  Lars Wallin⁵  Ann Catrine Eldh⁵ 

[1] Hanoi School of Public Health, 138 Giang Vo Street, Ba Dinh District, Ha Noi, Vietnam;Hanoi School of Public Health, 138 Giang Vo Street, Ba Dinh District, Ha Noi, Vietnam;International Maternal and Child Health (IMCH), Department of Women’s and Children’s Health, Uppsala University, SE-751 85, Uppsala, Sweden;International Maternal and Child Health (IMCH), Department of Women’s and Children’s Health, Uppsala University, SE-751 85, Uppsala, Sweden;International Maternal and Child Health (IMCH), Department of Women’s and Children’s Health, Uppsala University, SE-751 85, Uppsala, Sweden;Division of Global Health/IHCAR, Department of Public Health Sciences, Karolinska Institutet, Nobels vag 9, SE-171 77, Stockholm, Sweden;School of Education, Health and Social Studies, Dalarna University, SE-791 88, Falun, Sweden;Department of Neurobiology, Care Sciences and Society, Division of Nursing, Karolinska Institutet, SE-171 77, Stockholm, Sweden;

关键词: Local Authority;    Knowledge Translation;    Neonatal Mortality;    Commune Health Centre;    Ethnic Minority Group;   

DOI  :  10.1186/s12889-015-2142-2

 received in 2015-01-08, accepted in 2015-08-11,  发布年份 2015

来源: Springer

【 摘 要 】

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.

【 授权许可】

CC BY   
© Duong et al. 2015