How do community health committees contribute to capacity building for maternal and child health? A realist evaluation protocol
| Autor: | Nazarius Mbona Tumwesigye, Brynne Gilmore, Henry Mollel, Eilish McAuliffe, Fiona Larkan, Michele Gaudrault, Frédérique Vallières, Magnus Mordu Conteh, Nicola Martina Dunne |
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| Rok vydání: | 2016 |
| Předmět: |
Program evaluation
medicine.medical_specialty Evidence-based practice Capacity Building Maternal Health Population Global Health Tanzania 03 medical and health sciences 0302 clinical medicine Environmental health Global health Protocol Medicine Humans Uganda realist evaluation 030212 general & internal medicine Community Health Services education education.field_of_study business.industry 030503 health policy & services Public health Health services research Child Health Capacity building General Medicine Public relations maternal and child health Health Surveys community health committees Research Design Community health community capacity building 0305 other medical science business Program Evaluation operations research |
| Zdroj: | BMJ Open |
| ISSN: | 2044-6055 |
| Popis: | Introduction The proposed research is part of ongoing operations research within World Vision9s Access: Infant and Maternal Health Programme. This study aims to identify key context features and underlying mechanisms through which community health committees build community capacity within the field of maternal and child health. This may help to improve programme implementation by providing contextually informed and explanatory findings for how community health committees work, what works best and for whom do they work for best for. Though frequently used within health programmes, little research is carried out on such committees’ contribution to capacity building—a frequent goal or proposed outcome of these groups. Methods and analysis The scarce information that does exist often fails to explain ‘how, why, and for whom’ these committees work best. Since such groups typically operate within or as components of complex health interventions, they require a systems thinking approach and design, and thus so too does their evaluation. Using a mixed methods realist evaluation with intraprogramme case studies, this protocol details a proposed study on community health committees in rural Tanzania and Uganda to better understand underlying mechanisms through which these groups work (or do not) to build community capacity for maternal and child health. This research protocol follows the realist evaluation methodology of eliciting initial programme theories, to inform the field study design, which are detailed within. Thus far, the methodology of a realist evaluation has been well suited to the study of community health committees within these contexts. Implications for its use within these contexts are discussed within. Ethics and dissemination Institutional Review Boards and the appropriate research clearance bodies within Ireland, Uganda and Tanzania have approved this study. Planned dissemination activities include via academic and programme channels, as well as feedback to the communities in which this work occurs. |
| Databáze: | OpenAIRE |
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