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Community, intervention and provider support influences on implementation: reflections from a South African illustration of safety, peace and health promotion

BACKGROUND: The development, implementation and evaluation of community interventions are important for reducing child violence and injuries in low- to middle-income contexts, with successful implementation critical to effective intervention outcomes. The assessment of implementation processes is re...

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Autores principales: van Niekerk, Ashley, Seedat, Mohamed, Kramer, Sherianne, Suffla, Shahnaaz, Bulbulia, Samed, Ismail, Ghouwa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4120158/
https://www.ncbi.nlm.nih.gov/pubmed/25081088
http://dx.doi.org/10.1186/1471-2458-14-S2-S7
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author van Niekerk, Ashley
Seedat, Mohamed
Kramer, Sherianne
Suffla, Shahnaaz
Bulbulia, Samed
Ismail, Ghouwa
author_facet van Niekerk, Ashley
Seedat, Mohamed
Kramer, Sherianne
Suffla, Shahnaaz
Bulbulia, Samed
Ismail, Ghouwa
author_sort van Niekerk, Ashley
collection PubMed
description BACKGROUND: The development, implementation and evaluation of community interventions are important for reducing child violence and injuries in low- to middle-income contexts, with successful implementation critical to effective intervention outcomes. The assessment of implementation processes is required to identify the factors that influence effective implementation. This article draws on a child safety, peace and health initiative to examine key factors that enabled or hindered its implementation, in a context characterised by limited resources. METHODS: A case study approach was employed. The research team was made up of six researchers and intervention coordinators, who led the development and implementation of the Ukuphepha Child Study in South Africa, and who are also the authors of this article. The study used author observations, reflections and discussions of the factors perceived to influence the implementation of the intervention. The authors engaged in an in-depth and iterative dialogic process aimed at abstracting the experiences of the intervention, with a recursive cycle of reflection and dialogue. Data were analysed utilising inductive content analysis, and categorised using classification frameworks for understanding implementation. RESULTS: The study highlights key factors that enabled or hindered implementation. These included the community context and concomitant community engagement processes; intervention compatibility and adaptability issues; community service provider perceptions of intervention relevance and expectations; and the intervention support system, characterised by training and mentorship support. CONCLUSIONS: This evaluation illustrated the complexity of intervention implementation. The study approach sought to support intervention fidelity by fostering and maintaining community endorsement and support, a prerequisite for the unfolding implementation of the intervention.
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spelling pubmed-41201582014-08-11 Community, intervention and provider support influences on implementation: reflections from a South African illustration of safety, peace and health promotion van Niekerk, Ashley Seedat, Mohamed Kramer, Sherianne Suffla, Shahnaaz Bulbulia, Samed Ismail, Ghouwa BMC Public Health Research BACKGROUND: The development, implementation and evaluation of community interventions are important for reducing child violence and injuries in low- to middle-income contexts, with successful implementation critical to effective intervention outcomes. The assessment of implementation processes is required to identify the factors that influence effective implementation. This article draws on a child safety, peace and health initiative to examine key factors that enabled or hindered its implementation, in a context characterised by limited resources. METHODS: A case study approach was employed. The research team was made up of six researchers and intervention coordinators, who led the development and implementation of the Ukuphepha Child Study in South Africa, and who are also the authors of this article. The study used author observations, reflections and discussions of the factors perceived to influence the implementation of the intervention. The authors engaged in an in-depth and iterative dialogic process aimed at abstracting the experiences of the intervention, with a recursive cycle of reflection and dialogue. Data were analysed utilising inductive content analysis, and categorised using classification frameworks for understanding implementation. RESULTS: The study highlights key factors that enabled or hindered implementation. These included the community context and concomitant community engagement processes; intervention compatibility and adaptability issues; community service provider perceptions of intervention relevance and expectations; and the intervention support system, characterised by training and mentorship support. CONCLUSIONS: This evaluation illustrated the complexity of intervention implementation. The study approach sought to support intervention fidelity by fostering and maintaining community endorsement and support, a prerequisite for the unfolding implementation of the intervention. BioMed Central 2014-06-20 /pmc/articles/PMC4120158/ /pubmed/25081088 http://dx.doi.org/10.1186/1471-2458-14-S2-S7 Text en Copyright © 2014 van Niekerk et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/4.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research
van Niekerk, Ashley
Seedat, Mohamed
Kramer, Sherianne
Suffla, Shahnaaz
Bulbulia, Samed
Ismail, Ghouwa
Community, intervention and provider support influences on implementation: reflections from a South African illustration of safety, peace and health promotion
title Community, intervention and provider support influences on implementation: reflections from a South African illustration of safety, peace and health promotion
title_full Community, intervention and provider support influences on implementation: reflections from a South African illustration of safety, peace and health promotion
title_fullStr Community, intervention and provider support influences on implementation: reflections from a South African illustration of safety, peace and health promotion
title_full_unstemmed Community, intervention and provider support influences on implementation: reflections from a South African illustration of safety, peace and health promotion
title_short Community, intervention and provider support influences on implementation: reflections from a South African illustration of safety, peace and health promotion
title_sort community, intervention and provider support influences on implementation: reflections from a south african illustration of safety, peace and health promotion
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4120158/
https://www.ncbi.nlm.nih.gov/pubmed/25081088
http://dx.doi.org/10.1186/1471-2458-14-S2-S7
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