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Health workers’ social networks and their influence in the adoption of strategies to address the stillbirth burden at a subnational level health system in Uganda

Health workers’ peer networks are known to influence members’ behaviours and practices while translating policies into service delivery. However, little remains known about the extent to which this remains true within interventions aimed at addressing the stillbirth burden in low-resource settings l...

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Autores principales: Ssegujja, Eric, Ddumba, Isaac, Andipatin, Michelle
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10021602/
https://www.ncbi.nlm.nih.gov/pubmed/36962455
http://dx.doi.org/10.1371/journal.pgph.0000798
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author Ssegujja, Eric
Ddumba, Isaac
Andipatin, Michelle
author_facet Ssegujja, Eric
Ddumba, Isaac
Andipatin, Michelle
author_sort Ssegujja, Eric
collection PubMed
description Health workers’ peer networks are known to influence members’ behaviours and practices while translating policies into service delivery. However, little remains known about the extent to which this remains true within interventions aimed at addressing the stillbirth burden in low-resource settings like Uganda. The objective of this study was to examine the health workers’ social networks and their influence on the adoption of strategies to address the stillbirth burden at a subnational level health system in Uganda. A qualitative exploratory design was adopted on a purposively selected sample of 16 key informants. The study was conducted in Mukono district among sub-national health systems, managers, health facility in-charges, and frontline health workers. Data was collected using semi-structured interview guides in a face-to-face interview with respondents. The analysis adopted a thematic approach utilising Atlas. ti software for data management. Participants acknowledged that workplace social networks were influential during the implementation of policies to address stillbirth. The influence exerted was in form of linkage with other services, caution, and advice regarding strict adherence to policy recommendations perhaps reflective of the level of trust in providers’ ability to adhere to policy provisions. At the district health management level and among non-state actors, support in perceived areas of weak performance in policy implementation was observed. In addition, timely initiation of contact and subsequent referral was another aspect where health workers exerted influence while translating policies to address the stillbirth burden. While the level of support from among network peers was observed to influence health workers’ adoption and implementation of strategies to address the stillbirth burden, different mechanisms triggered subsequent response and level of adherence to recommended policy aspects. Drawing from the elicited responses, we infer that health workers’ social networks influence the direction and extent of success in policy implementation to address the stillbirth burden at the subnational level.
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spelling pubmed-100216022023-03-17 Health workers’ social networks and their influence in the adoption of strategies to address the stillbirth burden at a subnational level health system in Uganda Ssegujja, Eric Ddumba, Isaac Andipatin, Michelle PLOS Glob Public Health Research Article Health workers’ peer networks are known to influence members’ behaviours and practices while translating policies into service delivery. However, little remains known about the extent to which this remains true within interventions aimed at addressing the stillbirth burden in low-resource settings like Uganda. The objective of this study was to examine the health workers’ social networks and their influence on the adoption of strategies to address the stillbirth burden at a subnational level health system in Uganda. A qualitative exploratory design was adopted on a purposively selected sample of 16 key informants. The study was conducted in Mukono district among sub-national health systems, managers, health facility in-charges, and frontline health workers. Data was collected using semi-structured interview guides in a face-to-face interview with respondents. The analysis adopted a thematic approach utilising Atlas. ti software for data management. Participants acknowledged that workplace social networks were influential during the implementation of policies to address stillbirth. The influence exerted was in form of linkage with other services, caution, and advice regarding strict adherence to policy recommendations perhaps reflective of the level of trust in providers’ ability to adhere to policy provisions. At the district health management level and among non-state actors, support in perceived areas of weak performance in policy implementation was observed. In addition, timely initiation of contact and subsequent referral was another aspect where health workers exerted influence while translating policies to address the stillbirth burden. While the level of support from among network peers was observed to influence health workers’ adoption and implementation of strategies to address the stillbirth burden, different mechanisms triggered subsequent response and level of adherence to recommended policy aspects. Drawing from the elicited responses, we infer that health workers’ social networks influence the direction and extent of success in policy implementation to address the stillbirth burden at the subnational level. Public Library of Science 2022-07-25 /pmc/articles/PMC10021602/ /pubmed/36962455 http://dx.doi.org/10.1371/journal.pgph.0000798 Text en © 2022 Ssegujja et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Ssegujja, Eric
Ddumba, Isaac
Andipatin, Michelle
Health workers’ social networks and their influence in the adoption of strategies to address the stillbirth burden at a subnational level health system in Uganda
title Health workers’ social networks and their influence in the adoption of strategies to address the stillbirth burden at a subnational level health system in Uganda
title_full Health workers’ social networks and their influence in the adoption of strategies to address the stillbirth burden at a subnational level health system in Uganda
title_fullStr Health workers’ social networks and their influence in the adoption of strategies to address the stillbirth burden at a subnational level health system in Uganda
title_full_unstemmed Health workers’ social networks and their influence in the adoption of strategies to address the stillbirth burden at a subnational level health system in Uganda
title_short Health workers’ social networks and their influence in the adoption of strategies to address the stillbirth burden at a subnational level health system in Uganda
title_sort health workers’ social networks and their influence in the adoption of strategies to address the stillbirth burden at a subnational level health system in uganda
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10021602/
https://www.ncbi.nlm.nih.gov/pubmed/36962455
http://dx.doi.org/10.1371/journal.pgph.0000798
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