du.sePublikasjoner
Endre søk
RefereraExporteraLink to record
Permanent link

Direct link
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • chicago-author-date
  • chicago-note-bibliography
  • Annet format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annet språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf
Ready to deliver maternal and newborn care? Health providers' perceptions of their work context in rural Mozambique
Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Socialt arbete.ORCID-id: 0000-0002-8795-7555
Vise andre og tillknytning
2018 (engelsk)Inngår i: Global Health Action, ISSN 1654-9716, E-ISSN 1654-9880, Vol. 11, nr 1, artikkel-id 1532631Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

BACKGROUND: Deficiencies in the provision of evidence-based obstetric care are common in low-income countries, including Mozambique. Constraints relate to lack of human and financial resources and weak health systems, however limited resources alone do not explain the variance. Understanding the healthcare context ahead of implementing new interventions can inform the choice of strategies to achieve a successful implementation. The Context Assessment for Community Health (COACH) tool was developed to assess modifiable aspects of the healthcare context that theoretically influence the implementation of evidence.

OBJECTIVES: To investigate the comprehensibility and the internal reliability of COACH and its use to describe the healthcare context as perceived by health providers involved in maternal care in Mozambique.

METHODS: A response process evaluation was completed with six purposively selected health providers to uncover difficulties in understanding the tool. Internal reliability was tested using Cronbach's α. Subsequently, a cross-sectional survey using COACH, which contains 49 items assessing eight dimensions, was administered to 175 health providers in 38 health facilities within six districts in Mozambique.

RESULTS: The content of COACH was clear and most items were understood. All dimensions were near to or exceeded the commonly accepted standard for satisfactory internal reliability (0.70). Analysis of the survey data indicated that items on all dimensions were rated highly, revealing positive perception of context. Significant differences between districts were found for the Work culture, Leadership, and Informal payment dimensions. Responses to many items had low variance and were left-skewed.

CONCLUSIONS: COACH was comprehensible and demonstrated good reliability, although biases may have influenced participants' responses. The study suggests that COACH has the potential to evaluate the healthcare context to identify shortcomings and enable the tailoring of strategies ahead of implementation. Supplementing the tool with qualitative approaches will provide an in-depth understanding of the healthcare context.

sted, utgiver, år, opplag, sider
2018. Vol. 11, nr 1, artikkel-id 1532631
Emneord [en]
Context assessment, health personnel, implementation science, maternal and neonatal care, validity
HSV kategori
Forskningsprogram
Hälsa och välfärd
Identifikatorer
URN: urn:nbn:se:du-28866DOI: 10.1080/16549716.2018.1532631ISI: 000449336300001PubMedID: 30387378Scopus ID: 2-s2.0-85055915025OAI: oai:DiVA.org:du-28866DiVA, id: diva2:1260714
Tilgjengelig fra: 2018-11-05 Laget: 2018-11-05 Sist oppdatert: 2018-12-28bibliografisk kontrollert

Open Access i DiVA

fulltext(1768 kB)79 nedlastinger
Filinformasjon
Fil FULLTEXT01.pdfFilstørrelse 1768 kBChecksum SHA-512
8e44c749253037af1624020d7decb77fe85bf0b97de5e256f9ecf75b00cbee73294de877258cf9362a25e86bcbf5bf51498bafa13ae1199b1f3377923dbe7525
Type fulltextMimetype application/pdf

Andre lenker

Forlagets fulltekstPubMedScopus

Personposter BETA

McKee, KevinWallin, Lars

Søk i DiVA

Av forfatter/redaktør
McKee, KevinWallin, Lars
Av organisasjonen
I samme tidsskrift
Global Health Action

Søk utenfor DiVA

GoogleGoogle Scholar
Totalt: 79 nedlastinger
Antall nedlastinger er summen av alle nedlastinger av alle fulltekster. Det kan for eksempel være tidligere versjoner som er ikke lenger tilgjengelige

doi
pubmed
urn-nbn

Altmetric

doi
pubmed
urn-nbn
Totalt: 89 treff
RefereraExporteraLink to record
Permanent link

Direct link
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • chicago-author-date
  • chicago-note-bibliography
  • Annet format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annet språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf