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Updated: Jul 7, 2026
14:14
The Innovation Arena: A Method for Comparing Innovative Problem-Solving Across Groups
Published on: May 13, 2022
From innovation to implementation: the long and winding road
Christine Galavotti1, Anne K Sebert Kuhlmann, Joan Marie Kraft
1Division of Reproductive Health, US Centers for Disease Control and Prevention, Atlanta, GA, USA. cxg2@cdc.gov
American Journal of Community Psychology
|February 26, 2008
Summary
The MARCH program uses entertainment-education and community reinforcement to reduce HIV/AIDS risk. This study details its adaptation and implementation in African countries, assessing fidelity to the original model.
Area of Science:
- Public Health
- Behavioral Science
- Global Health
Background:
- The MARCH (Modeling and Reinforcement to Combat HIV/AIDS) program was developed to address the HIV/AIDS epidemic.
- It utilizes entertainment-education via mass media and community reinforcement for behavioral change.
Purpose of the Study:
- To describe the elements of the MARCH innovation and its adaptation/implementation process.
- To explore how to maintain fidelity during adaptation and implementation.
- To suggest enhancements to the Interactive Systems Framework for supporting innovation adaptation.
Main Methods:
- Described key elements of the MARCH model and its support framework.
- Detailed adaptation of the radio serial drama component in several African countries.
- Conducted qualitative analysis of Zimbabwean radio scripts to assess fidelity.
Main Results:
- Developed tools and training to build capacity for implementing and adapting the MARCH program.
- Qualitative analysis of Zimbabwean scripts indicated fidelity to the original MARCH design.
- Identified lessons learned and implications for the field of HIV/AIDS prevention.
Conclusions:
- The MARCH model provides a framework for adapting and implementing HIV/AIDS prevention innovations.
- Support for adaptation is crucial for successful field implementation.
- Maintaining fidelity while adapting innovations is achievable and demonstrable.
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