Applying a multi-layered, mixed methods approach to evaluate technology and workforce interventions in Kenyan...

Area of Science:

• Global Health
• Health Services Research
• Implementation Science

Background:

• Resource-poor settings present unique challenges for implementing and evaluating healthcare innovations.
• Existing healthcare systems are often strained by complex research interventions.
• Effective strategies are needed to integrate innovations sustainably.

Purpose of the Study:

• To report on the design and implementation of a research program in Kenya.
• To examine the impact of new staff introductions on neonatal care quality, staff, and family experiences.
• To address challenges in implementing and evaluating healthcare innovations in resource-constrained settings.

Main Methods:

• Deep stakeholder engagement and layered methodologies were employed.
• A multidisciplinary research program included routine data analysis, co-creation of data tools, and qualitative research.
• An adaptive approach with continuous feedback minimized participant burden.

Main Results:

• Robust data collection was achieved through an iterative and context-sensitive process.
• Insights were gained into the implementation of new staff within an existing neonatal technology program.
• The study facilitated informed health system improvements.

Conclusions:

• Findings offer valuable insights for implementation and evaluation research in resource-limited environments.
• Ethical and context-sensitive research practices are crucial for sustainable health system strengthening.
• Stakeholder collaboration and adaptive methodologies enhance research robustness.