Implementation of an Individual + Policy, System, and Environmental (I + PSE) Technical Assistance Initiative to Increase Capacity of MCH Nutrition Strategic Planning

Autor:	Dena R. Herman, Amy Blom, Angela Tagtow, Leslie Cunningham-Sabo
Rok vydání:	2022
Předmět:	Pediatric Obesity Partnerships Capacity Building Epidemiology Nutritional Status Capacity-building I + PSE Medical and Health Sciences MCH nutrition Sustainable Cities and Communities Behavioral and Social Science Humans Child Nutrition Pediatric Public Health Environmental and Occupational Health Obstetrics and Gynecology Technical assistance Strategic Planning Leadership Policy Studies in Human Society I plus PSE Pediatrics Perinatology and Child Health Female Generic health relevance Public Health
Zdroj:	Maternal and child health journal, vol 26, iss Suppl 1
ISSN:	1573-6628 1092-7875
DOI:	10.1007/s10995-022-03435-0
Popis:	Introduction Childhood obesity disproportionately affects low-income women, children, racial/ethnic minorities, and rural populations. To effectively promote sustainable change, healthy eating and active living initiatives should apply individual plus policy, systems, and environmental (I + PSE) approaches. Methods Four public health maternal and child nutrition teams selected through an application process participated in 12 months of technical assistance (TA) to develop action plans incorporating I + PSE in nutrition programming. TA included: (1) online modules; (2) community of practice (CoP) meetings; and (3) individual coaching sessions. Teams completed midpoint and endpoint surveys to assess TA knowledge and process outcomes. Semi-structured, in-depth interviews conducted post TA were transcribed and content analysis used to characterize themes and sub-themes. Results Facilitators to implementing I + PSE approaches included TA delivery through online modules, participation in the CoP, and individual coaching to address barriers to implementation and leadership support. Barriers were time and funding limitations, working in isolation, and lack of infrastructure and self-efficacy. Co-learning helped TA teams overcome stagnancy and promote development of creative solutions. Teams recognized relationship-building as integral to systems development. Discussion Lessons learned occurred across three main areas: relationships, capacity-building, and barriers encountered. Relationship formation takes time and is often not recognized as an asset impacting public health programing. Relationship direction – upstream, downstream, and lateral - affects ability to build organizational and systems capacity. While this study includes a small number of public health nutrition teams, this practice-based research highlights the value of I + PSE TA to tackle complex problems, with reciprocal, multisectoral support to enhance public health nutrition program impact.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::2dc1a7fb937081c4ae4560b86b7caab6 https://doi.org/10.1007/s10995-022-03435-0 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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