After reviewing the literature for implementation strategy frameworks, particularly those with relevance to maternal and newborn health or the low-income country setting, we chose a framework by the Expert Recommendations for Implementing Change project (Powell et al., 2015). Financial strategies have either been absent from other reviews of implementation strategies (Stokes et al., 2016; Imamura et al., 2017) or were largely absent from the relevant literature (Althabe et al., 2008). Although implementation research has recently been prioritized by policy makers, implementers and researchers (Ghaffar et al., 2017), including the launch of an implementation research platform within WHO (2016), inconsistent terms and definitions of implementation strategies have complicated the field (McKibbon et al., 2010). Would you like email updates of new search results? The two studies specifically addressing sustainability outcomes were both reporting evaluations taking place 2 or more years after implementation. Karim AM, et al. We included studies of implementation of delayed cord clamping, immediate drying, skin-to-skin contact (SSC) and/or early initiation of breastfeeding implemented in the first hour (facility-based studies) or the 1st day (community-based studies) of life. Keywords: Fourteen strategies were not identified in any included studies, including six strategies within the ‘utilize financial strategies’ cluster. This article is part of the supplement ‘nnovations in Implementation Research in Low- and Middle-Income Countries’, a collaboration of the Alliance for Health Policy and Systems Research and Health Policy and Planning. et al. https://reviewersmanual.joannabriggs.org/, NCI CPTC Antibody Characterization Program, Althabe F, Bergel E, Cafferata ML et al. Evaluating the Strategy's Results. Forty-three papers met inclusion criteria. Divided into separate sections on Parallel and Concurrent Haskell, this book also includes exercises to help you become familiar with the concepts presented: Express parallelism in Haskell with the Eval monad and Evaluation Strategies ... Performance evaluation and measurement tools are important to gauge the effectiveness of a strategy. Implementation strategies and outcomes were categorized according to published frameworks: Expert Recommendations for Implementing Change and Outcomes for Implementation Research. • Post Hoc Evaluation - evaluation of a strategy that has already been in operation. The success of every organization rests on its capacity to implement decisions and execute key processes efficiently, effectively, and consistently. In facility settings, educational meetings were held for facility staff with different durations and intensities. (2014) found 33% (n = 55) of mothers reported an ASHA visited them within 24 h of home delivery. The bad Rule ARL, To achieve excellent implementation of my business strategy, I intend to have the best . et al. It furthers the University's objective of excellence in research, scholarship, and education by publishing worldwide, This PDF is available to Subscribers Only. Strategic evaluation is performed during the execution phase, but you create the process during implementation. Implementation strategies reported in these papers were mostly researcher-led. The choice of study design for guideline implementation studies will determine the confidence A review of guideline implementation strategies to improve obstetric care in LMICs found audit and feedback to be frequently used while education interventions were only used in two of nine studies (Stokes et al., 2016). For example, Darmstadt et al. et al. Baqui AH, This site needs JavaScript to work properly. The ‘provide interactive assistance’ cluster had high use across all four strategies in the cluster: facilitation (49%, n = 21), provide local technical assistance (35%, n = 15), provide clinical supervision (56%, n = 24) and centralize technical assistance (19%, n = 8). This second edition is a practical, easy-to-read resource on web-based learning. To simply put, strategy evaluation entails reviewing and appraising the strategy implementation process and measuring organizational performance. Listing a study does not mean it has been evaluated by the U.S. Federal Government. (2015) (scatter plots and correlation coefficients presented in the Supplementary file). (2015) found 72% (n = 826) of women reported being visited 3 or more times by an ASHA worker in the postpartum period and that 73% (n = 215) of ASHAs felt effective in their ability to provide newborn advice or care. Evaluation is a methodological area that is closely related to, but distinguishable from more traditional social research. Characteristics of included studies are summarized in Table 1. "The term 'evidence' is defined as "information produced as a result of statistical activities conducted for a statistical purpose" (given that term in . Privacy, Help It is widely acknowledged that health policy and management decisions rarely reflect research evidence. Sustainability was addressed specifically in only two included studies. This workbook applies the CDC Frameword for Program Evaluation in Public Health. et al. You may be pleasantly surprised at the number of people who can use your hard work to further their own initiatives. Kc A, Waters HR Pariyo G, Found inside – Page 207Chapter 11 Strategy Implementation and Evaluation INTRODUCTION Developing a competitive business strategy that will improve hospital performance is ... Subsequently, specific attention is paid to determining the fidelity . The definitive work in D&I research -- now completely updated and expandedDissemination and Implementation Research in Health is a practical guide to making research more consequential, a collection assembled and written by today's leading ... During your post-implementation evaluation, you should check that the practice/hospital/health center team is still . Florence Nightingale Faculty of Nursing, Midwifery & Palliative Care, King’s College London. Maji P, Communication plan for effective teamwork. (2015). Bethesda, MD 20894, Copyright The implementation strategies applied within included papers were categorised according to the typology provided by Powell et al., (2015). Program Implementation and Key Performance Indicators . 1. Health Education, Health Promotion, Health Educators, and Program Planning Part One: Planning a Health Promotion Program 2. Theobald S, Brandes N, Gyapong M BMC Pregnancy Childbirth. A Post-Implementation Review (PIR) is conducted after completing a project. Ndiaye MB Sub-Saharan Africa’s mothers, newborns, and children: where and why do they die? Effectiveness and cost-effectiveness of home-based postpartum care on neonatal mortality and exclusive breastfeeding practice in low-and-middle-income countries: a systematic review and meta-analysis. ), all sites were large VHA medical centres or satellite sites within an integrated health care system. Mcclure EM You will need to be able to describe the anticipated impact of the implementation strategies and report on the evaluation of the impact. et al. et al. Further research is needed to determine effectiveness of implementation strategies for improved coverage of newborn care in low-income settings. In the absence of such a comprehensive list of defined implementation strategies specifically for newborn health or the low- and low middle-income country setting, the strategies defined by Powell et al. These interventions are recommended for all births (community and facility) (World Health Organization, 2017), can be implemented without advanced infrastructure, and are accepted as effective and cost-effective (Darmstadt et al., 2005). Brainstorm ways to share your success and maintain the energy of the CHANGE process. monthly supervision visits). Implementation strategy is the process of defining how to bring the strategic plan to life. While the MRC guidance does not include a reporting checklist for process evaluations due to variability in methodology, Pinnock et al. Admassu K, Found insideThe Handbook of Research on Innovative Pedagogies and Best Practices in Teacher Education is an essential research book that takes an in-depth look at the methods by which educators are prepared to address shifting demographics and ... Here are the following stages that you may follow when making a strategic plan. participated in study screening, advised on data analysis and interpretation. There may be successes in the two or more sectors you examined in one year; reassessment may necessitate adding more sectors so you have current, reliable data to modify your Community Action Plan. Improved care around the time of birth, including essential newborn care (ENC) as prioritized by the World Health Organisation (WHO, 2017), could potentially prevent many of these deaths. Found inside – Page 141Evaluation questions tend to fall into three categories taken from your logic model: measuring the implementation of strategies (process ... Coverage and fidelity were the most frequently reported implementation outcomes in this review. K.P. (2017) developed standards for reporting on implementation studies (StaRI) which included guidance to enable researchers to describe implementation strategies used, alongside reporting of intervention effectiveness. Strategy Evaluation is as significant as strategy formulation because it throws light on the efficiency and effectiveness of the comprehensive plans in achieving the desired results. Design considerations for evaluating implementation research studies. and the strategy importance ratings established by Waltz et al. (2011) were infrequently reported. To execute the objectives outlined in the strategic plan, you must define how you will implement each aspect, from funding and personnel to organization and deliverables. The remaining 193 were assessed by reviewing the full text. 3. Introduction of community-based skin-to-skin care in rural Uttar Pradesh, India, Evaluation of a cluster-randomized controlled trial of a package of community-based maternal and newborn interventions in Mirzapur, Bangladesh Jose M. Belizan (ed, Breast feeding practices in ateaching hospital of Calcutta before and after the adoption of BFHI (Baby Friendly Hospital Initiative), Journal of the Indian Medical Association, Improving Adherence to Essential Birth Practices Using the WHO Safe Childbirth Checklist With Peer Coaching: Experience From 60 Public Health Facilities in Uttar Pradesh, India, Uganda Newborn Study (UNEST) trial: community-based maternal and newborn care economic analysis, Assessment of ‘accredited social health activists’—a national community health volunteer scheme in Karnataka State, India, Journal of Health, Population, and Nutrition, The RE-AIM framework: a systematic review of use over time, Strengthening health systems through embedded research, Reducing waste from incomplete or unusable reports of biomedical research, ENC training reduces perinatal mortality in Karnataka, India, The Journal of Maternal-Fetal & Neonatal Medicine: The Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians, Malawi three district evaluation: Community-based maternal and newborn care economic analysis, Learning before leaping: integration of an adaptive study design process prior to initiation of BetterBirth, a large-scale randomized controlled trial in Uttar Pradesh, India, Integration of the Opportunity-Ability-Motivation behavior change framework into a coaching-based WHO Safe Childbirth Checklist program in India, International Journal of Gynecology & Obstetrics, A systematic review of implementation strategies to deliver guidelines on obstetric care practice in low- and middle-income countries, Adherence to evidence based care practices for childbirth before and after a quality improvement intervention in health facilities of Rajasthan, India, Antenatal counseling in maternal and newborn care: use of job aids to improve health worker performance and maternal understanding in Benin, Use of job aids to improve facility-based postnatal counseling and care in rural Benin, G, Steketee RW, Black RE, Bhutta ZA, Morris SS. Your Community Action Plan has tight timelines associated with it, so begin to coordinate your resources to make sure your plans are completed. As part of the intervention, opinion leaders selected as facilitators observed clinical practice and held discussions with staff during the initial implementation phase.
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