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Integration of parenting and nutrition interventions in a community health program in Pakistan: an implementation evaluation
Author(s) -
Yousafzai Aisha K.,
Rasheed Muneera A.,
Siyal Saima
Publication year - 2018
Publication title -
annals of the new york academy of sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.712
H-Index - 248
eISSN - 1749-6632
pISSN - 0077-8923
DOI - 10.1111/nyas.13649
Subject(s) - psychological intervention , psychosocial , fidelity , scale (ratio) , medicine , nursing , program evaluation , service delivery framework , implementation research , health care , psychology , service (business) , psychiatry , business , computer science , political science , telecommunications , physics , public administration , quantum mechanics , marketing , law
Policy and program implementers require evidence on whether integrated psychosocial stimulation and nutrition interventions can be effectively delivered at‐scale, how, and at what cost? To address some of these issues, a comprehensive evaluation of implementation was designed for a trial in Pakistan that integrated psychosocial stimulation and nutrition interventions in a community health service. The first objective was to describe, analyze, and assess the quality and accuracy of the implementation of the interventions. The second objective was to identify barriers and facilitators for uptake of interventions. A mixed‐methods evaluation of implementation processes was conducted. Interventions were accepted by the community and health providers and there was evidence for behavior change uptake of the care for early childhood care recommendations. The new interventions did not dilute delivery of routine services. However, fidelity and quality required supportive supervision and active use of monitoring data, which would require attention in scale‐up.