| Autor: |
Aboud F; Department of Psychology, McGill University, Montreal, QC H3A 1G1, Canada., Choden K; Independent Researcher, Thimphu 22001, Bhutan., Hapunda G; Department of Psychology, Great East Road, University of Zambia, Lusaka 10101, Zambia., Sichimba F; Department of Psychology, Great East Road, University of Zambia, Lusaka 10101, Zambia., Chaluda A; FHI 360, 2101 L Street NW, Washington, DC 20037, USA., Contreras Gomez R; FHI 360, 2101 L Street NW, Washington, DC 20037, USA., Hatch R; FHI 360, 2101 L Street NW, Washington, DC 20037, USA., Dang S; Save the Children, 899 North Capitol Street NE, Suite 900, Washington, DC 20002, USA., Dyenka K; Save the Children, 899 North Capitol Street NE, Suite 900, Washington, DC 20002, USA., Banda C; UNICEF Zambia, UN House, Alick Nkhata Road, P.O. Box 33610, Lusaka 10101, Zambia., Omoeva C; FHI 360, 2101 L Street NW, Washington, DC 20037, USA. |
| Abstrakt: |
Two case studies of parenting programs for parents of children 0 to 36 months of age, developed and implemented by Save the Children/Ministry of Health/Khesar Gyalpo University in Bhutan and UNICEF Zambia, were conducted by an independent research group. The focus was on how program delivery and scale-up were revised on the basis of feedback from implementation research. Feedback on workforce delivery quality was based on observations of deliveries using a monitoring form, as well as survey and interview data collected from the workforce. In-depth interviews with the resource team during the fourth year of implementation revealed how the feedback was used to address horizontal and vertical scaling. Delivery quality was improved in some cases by revising the delivery manual, offering refresher courses, and instituting regular monitoring. Scaling challenges in Zambia included slow progress with regard to reaching families in the two districts, which they addressed by trialing group sessions, and stemming workforce attrition. The challenges in Bhutan were low attendance and reducing the workload of providers. Vertical scaling challenges for both countries concerned maintaining demand through continuous advocacy at community and government levels to sustain financing and to show effectiveness in outcomes. |
