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Developing Behaviour Change Interventions for Improving Access to Health and Hygiene for People with Disabilities: Two Case Studies from Nepal and Malawi

Limited evidence exists about how to design interventions to improve access to health care for people with disabilities in low and middle-income countries (LMICs). This paper documents the development of two behaviour change interventions. Case study one outlines the design of an intervention to imp...

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Autores principales: Wilbur, Jane, Bright, Tess, Mahon, Thérèse, Hameed, Shaffa, Torondel, Belen, Mulwafu, Wakisa, Kuper, Hannah, Polack, Sarah
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6313611/
https://www.ncbi.nlm.nih.gov/pubmed/30563096
http://dx.doi.org/10.3390/ijerph15122746
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author Wilbur, Jane
Bright, Tess
Mahon, Thérèse
Hameed, Shaffa
Torondel, Belen
Mulwafu, Wakisa
Kuper, Hannah
Polack, Sarah
author_facet Wilbur, Jane
Bright, Tess
Mahon, Thérèse
Hameed, Shaffa
Torondel, Belen
Mulwafu, Wakisa
Kuper, Hannah
Polack, Sarah
author_sort Wilbur, Jane
collection PubMed
description Limited evidence exists about how to design interventions to improve access to health care for people with disabilities in low and middle-income countries (LMICs). This paper documents the development of two behaviour change interventions. Case study one outlines the design of an intervention to improve uptake of referral for ear and hearing services for children in Malawi. Case study two describes the design of an intervention to improve menstrual hygiene management for people with intellectual impairments in Nepal. Both followed existing approaches—Medical Research Council Guidance for developing and evaluating complex interventions and Behaviour Centred Design. The purpose is to demonstrate how these frameworks can be applied, to document the interventions developed, and encourage further initiatives to advance health services targeting people with disabilities. Important components of the intervention design process were: (1) systematic reviews and formative research ensure that interventions designed are relevant to current discourse, practice and context; (2) people with disabilities and their family/carers must be at the heart of the process; (3) applying the theory of change approach and testing it helps understand links between inputs and required behaviour change, as well as ensuring that the interventions are relevant to local contexts; (4) involving creative experts may lead to the development of more engaging and appealing interventions. Further evidence is needed on the effectiveness of these types of interventions for people with disabilities to ensure that no one is left behind.
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spelling pubmed-63136112019-06-17 Developing Behaviour Change Interventions for Improving Access to Health and Hygiene for People with Disabilities: Two Case Studies from Nepal and Malawi Wilbur, Jane Bright, Tess Mahon, Thérèse Hameed, Shaffa Torondel, Belen Mulwafu, Wakisa Kuper, Hannah Polack, Sarah Int J Environ Res Public Health Article Limited evidence exists about how to design interventions to improve access to health care for people with disabilities in low and middle-income countries (LMICs). This paper documents the development of two behaviour change interventions. Case study one outlines the design of an intervention to improve uptake of referral for ear and hearing services for children in Malawi. Case study two describes the design of an intervention to improve menstrual hygiene management for people with intellectual impairments in Nepal. Both followed existing approaches—Medical Research Council Guidance for developing and evaluating complex interventions and Behaviour Centred Design. The purpose is to demonstrate how these frameworks can be applied, to document the interventions developed, and encourage further initiatives to advance health services targeting people with disabilities. Important components of the intervention design process were: (1) systematic reviews and formative research ensure that interventions designed are relevant to current discourse, practice and context; (2) people with disabilities and their family/carers must be at the heart of the process; (3) applying the theory of change approach and testing it helps understand links between inputs and required behaviour change, as well as ensuring that the interventions are relevant to local contexts; (4) involving creative experts may lead to the development of more engaging and appealing interventions. Further evidence is needed on the effectiveness of these types of interventions for people with disabilities to ensure that no one is left behind. MDPI 2018-12-05 2018-12 /pmc/articles/PMC6313611/ /pubmed/30563096 http://dx.doi.org/10.3390/ijerph15122746 Text en © 2018 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Wilbur, Jane
Bright, Tess
Mahon, Thérèse
Hameed, Shaffa
Torondel, Belen
Mulwafu, Wakisa
Kuper, Hannah
Polack, Sarah
Developing Behaviour Change Interventions for Improving Access to Health and Hygiene for People with Disabilities: Two Case Studies from Nepal and Malawi
title Developing Behaviour Change Interventions for Improving Access to Health and Hygiene for People with Disabilities: Two Case Studies from Nepal and Malawi
title_full Developing Behaviour Change Interventions for Improving Access to Health and Hygiene for People with Disabilities: Two Case Studies from Nepal and Malawi
title_fullStr Developing Behaviour Change Interventions for Improving Access to Health and Hygiene for People with Disabilities: Two Case Studies from Nepal and Malawi
title_full_unstemmed Developing Behaviour Change Interventions for Improving Access to Health and Hygiene for People with Disabilities: Two Case Studies from Nepal and Malawi
title_short Developing Behaviour Change Interventions for Improving Access to Health and Hygiene for People with Disabilities: Two Case Studies from Nepal and Malawi
title_sort developing behaviour change interventions for improving access to health and hygiene for people with disabilities: two case studies from nepal and malawi
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6313611/
https://www.ncbi.nlm.nih.gov/pubmed/30563096
http://dx.doi.org/10.3390/ijerph15122746
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