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Using Implementation Research to Inform Scaling of Parenting Programs: Independently Conducted Case Studies from
Frances Aboud1, Karma Choden2, Given Hapunda3
1Department of Psychology, McGill University, Montreal, QC H3A 1G1, Canada.
Children (Basel, Switzerland)
|April 27, 2024
Summary
Parenting programs in Bhutan and Zambia improved delivery and scaling by using implementation research feedback. Revisions included updated manuals, training, and monitoring to enhance quality and reach more families.
Area of Science:
- Early Childhood Development
- Public Health Program Implementation
- Implementation Science
Background:
- Parenting programs are crucial for early childhood development (0-36 months).
- Effective program delivery and scaling are essential for maximizing impact.
- Implementation research provides valuable feedback for program refinement.
Purpose of the Study:
- To analyze how implementation research feedback informed revisions in parenting program delivery and scale-up.
- To identify strategies used to address challenges in program delivery and scaling in Bhutan and Zambia.
- To understand the process of adapting programs based on real-world implementation data.
Main Methods:
- Case studies of parenting programs in Bhutan and Zambia.
- Utilized implementation research, including workforce observations, surveys, and interviews.
- Analyzed feedback to understand revisions in program delivery and scaling strategies.
Main Results:
- Program delivery quality was enhanced through revised manuals, refresher courses, and monitoring.
- Scaling strategies included group sessions in Zambia to improve reach and address attrition.
- Bhutan addressed low attendance and provider workload challenges.
- Both countries faced vertical scaling challenges related to sustained financing and demonstrating outcomes.
Conclusions:
- Implementation research is vital for adapting and improving parenting programs.
- Addressing workforce quality, delivery methods, and attrition is key to successful scaling.
- Sustained advocacy and outcome demonstration are critical for long-term program viability and financing.
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