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Development and implementation of the maternal and child health Handbook in Angola

Although the maternal and child health (MCH) Handbook is widely used in many countries, its development and implementation process has not been sufficiently documented in scientific publications. This is a report of how the Angola MCH Handbook was developed, what challenges we encountered during its...

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Autores principales: Kuramata, Michiru, Mochida, Keiji, Fukushima, Sachi, Sadamori, Toru, Suzuki, Miho, Francisco, Ketha Rubuz, Freitas, Helga Reis, Balogun, Olukunmi Omobolanle, Takehara, Kenji
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9608535/
https://www.ncbi.nlm.nih.gov/pubmed/36283732
http://dx.doi.org/10.1136/bmjgh-2022-010313
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author Kuramata, Michiru
Mochida, Keiji
Fukushima, Sachi
Sadamori, Toru
Suzuki, Miho
Francisco, Ketha Rubuz
Freitas, Helga Reis
Balogun, Olukunmi Omobolanle
Takehara, Kenji
author_facet Kuramata, Michiru
Mochida, Keiji
Fukushima, Sachi
Sadamori, Toru
Suzuki, Miho
Francisco, Ketha Rubuz
Freitas, Helga Reis
Balogun, Olukunmi Omobolanle
Takehara, Kenji
author_sort Kuramata, Michiru
collection PubMed
description Although the maternal and child health (MCH) Handbook is widely used in many countries, its development and implementation process has not been sufficiently documented in scientific publications. This is a report of how the Angola MCH Handbook was developed, what challenges we encountered during its implementation and how they were solved. Leading the process was the MCH Handbook Committee set up to develop the MCH Handbook and implement the programme in liaison with various stakeholders. We developed the MCH Handbook through participatory workshops with the objective of producing user-responsive content and designs, foster healthy interaction and build common understanding among stakeholders. After pilot use in select health facilities, the MCH Handbook programme, which included training, monitoring and supervision, mothers’ class and community awareness raising activities, was gradually implemented in three model provinces. Core members of the committee closely observed each step of the programme to identify challenges in each field, and revised the tool and programme throughout the process. As nationwide implementation of the MCH Handbook Programme progresses, it is important to continually identify challenges specific to different localities while taking measures to address them. In our experience, stakeholder involvement from the early planning and preparation stages was critical to ensure their continued commitment at later stages and for programme continuity. Our approach of tool development involving various stakeholders and flexible implementation strategies were key elements for user acceptance and programme sustainability that may be applicable for introduction of similar interventions in other settings.
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spelling pubmed-96085352022-10-28 Development and implementation of the maternal and child health Handbook in Angola Kuramata, Michiru Mochida, Keiji Fukushima, Sachi Sadamori, Toru Suzuki, Miho Francisco, Ketha Rubuz Freitas, Helga Reis Balogun, Olukunmi Omobolanle Takehara, Kenji BMJ Glob Health Practice Although the maternal and child health (MCH) Handbook is widely used in many countries, its development and implementation process has not been sufficiently documented in scientific publications. This is a report of how the Angola MCH Handbook was developed, what challenges we encountered during its implementation and how they were solved. Leading the process was the MCH Handbook Committee set up to develop the MCH Handbook and implement the programme in liaison with various stakeholders. We developed the MCH Handbook through participatory workshops with the objective of producing user-responsive content and designs, foster healthy interaction and build common understanding among stakeholders. After pilot use in select health facilities, the MCH Handbook programme, which included training, monitoring and supervision, mothers’ class and community awareness raising activities, was gradually implemented in three model provinces. Core members of the committee closely observed each step of the programme to identify challenges in each field, and revised the tool and programme throughout the process. As nationwide implementation of the MCH Handbook Programme progresses, it is important to continually identify challenges specific to different localities while taking measures to address them. In our experience, stakeholder involvement from the early planning and preparation stages was critical to ensure their continued commitment at later stages and for programme continuity. Our approach of tool development involving various stakeholders and flexible implementation strategies were key elements for user acceptance and programme sustainability that may be applicable for introduction of similar interventions in other settings. BMJ Publishing Group 2022-10-25 /pmc/articles/PMC9608535/ /pubmed/36283732 http://dx.doi.org/10.1136/bmjgh-2022-010313 Text en © Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Practice
Kuramata, Michiru
Mochida, Keiji
Fukushima, Sachi
Sadamori, Toru
Suzuki, Miho
Francisco, Ketha Rubuz
Freitas, Helga Reis
Balogun, Olukunmi Omobolanle
Takehara, Kenji
Development and implementation of the maternal and child health Handbook in Angola
title Development and implementation of the maternal and child health Handbook in Angola
title_full Development and implementation of the maternal and child health Handbook in Angola
title_fullStr Development and implementation of the maternal and child health Handbook in Angola
title_full_unstemmed Development and implementation of the maternal and child health Handbook in Angola
title_short Development and implementation of the maternal and child health Handbook in Angola
title_sort development and implementation of the maternal and child health handbook in angola
topic Practice
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9608535/
https://www.ncbi.nlm.nih.gov/pubmed/36283732
http://dx.doi.org/10.1136/bmjgh-2022-010313
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