在尼日利亚北部实施多层次,多组件干预措施,让父亲参与补充养:分娩者和接收者的看法
Diana Allotey1, Valerie L Flax2, Abiodun F Ipadeola3
1Department of Nutrition, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States of America.
PLOS global public health
|October 3, 2025
概括
在尼日利亚,Alive & Thrive干预成功地让父亲参与补充养. 交付者和接收者都认为该计划是可以接受的,适当的,并且可用于未来的扩展.
科学领域:
- 公共卫生 公共卫生
- 营养干预 营养干预
- 实施科学 实施科学
背景情况:
- 此前,Alive & Thrive干预措施在改善尼日利亚的补充养实践方面取得了成功.
- 了解干预提供者和接受者的看法对于成功扩展公共卫生计划至关重要.
研究的目的:
- 探索干预提供者和接收者对尼日利亚卡杜纳州Alive & Thrive补充食干预措施的看法.
- 确定影响干预措施可接受性,适当性和可行性的因素,以告知未来扩大规模的努力.
主要方法:
- 一项定性研究,采用与干预提供者 (社区卫生推广工作者,社区和宗教领袖) 的深入访谈,以及与接受者 (孩子6-23个月的父母) 的焦点小组讨论.
- 数据分析涉及使用Atlas.ti进行描述性编码,并将结果映射到实施研究综合框架 (CFIR) 2.0领域.
- 使用有目的抽样来选择实施或接受干预的参与者.
主要成果:
- 干预组件对交付者和接收者来说都是高度可接受和适当的.
- 外部因素,如文化信仰 (父亲的角色),经济困难和重大事件 (COVID-19) 影响了干预.
- 包括关系联系,兼容性,团队合作和定制战略在内的内部因素对实施产生了积极的影响.
- 提供者重视培训和支持性月度会议,以分享经验和解决问题.
结论:
- 在尼日利亚卡杜纳州,Alive & Thrive干预被干预提供者和接收者都认为是可以接受的,适当的和可行的.
- 解决上下文因素和利用支持性实施策略是成功实施计划和潜在扩展的关键.
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