Developing Behaviour Change Interventions for Improving Access to Health and Hygiene for People with Disabilities: Two Case Studies from Nepal and Malawi
Limited evidence exists about how to design interventions to improve access to health care for people with disabilities in low and middle-income countries (LMICs). This paper documents the development of two behaviour change interventions. Case study one outlines the design of an intervention to imp...
Main Authors: | , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
MDPI AG
2018-12-01
|
Series: | International Journal of Environmental Research and Public Health |
Subjects: | |
Online Access: | https://www.mdpi.com/1660-4601/15/12/2746 |
id |
doaj-2611e4cccab440cebfc7d7aa383f6057 |
---|---|
record_format |
Article |
spelling |
doaj-2611e4cccab440cebfc7d7aa383f60572020-11-25T00:13:13ZengMDPI AGInternational Journal of Environmental Research and Public Health1660-46012018-12-011512274610.3390/ijerph15122746ijerph15122746Developing Behaviour Change Interventions for Improving Access to Health and Hygiene for People with Disabilities: Two Case Studies from Nepal and MalawiJane Wilbur0Tess Bright1Thérèse Mahon2Shaffa Hameed3Belen Torondel4Wakisa Mulwafu5Hannah Kuper6Sarah Polack7International Centre for Evidence in Disability, London School of Hygiene & Tropical Medicine, London WC1E 7HT, UKInternational Centre for Evidence in Disability, London School of Hygiene & Tropical Medicine, London WC1E 7HT, UKWaterAid, London SE11 5JD, UKInternational Centre for Evidence in Disability, London School of Hygiene & Tropical Medicine, London WC1E 7HT, UKEnvironmental Health Group, Department of Clinical Research, London School of Hygiene & Tropical Medicine, London, WC1E 7HT, UKDepartment of Surgery, College of Medicine, University of Malawi, Blantyre, MalawiInternational Centre for Evidence in Disability, London School of Hygiene & Tropical Medicine, London WC1E 7HT, UKInternational Centre for Evidence in Disability, London School of Hygiene & Tropical Medicine, London WC1E 7HT, UKLimited evidence exists about how to design interventions to improve access to health care for people with disabilities in low and middle-income countries (LMICs). This paper documents the development of two behaviour change interventions. Case study one outlines the design of an intervention to improve uptake of referral for ear and hearing services for children in Malawi. Case study two describes the design of an intervention to improve menstrual hygiene management for people with intellectual impairments in Nepal. Both followed existing approaches—Medical Research Council Guidance for developing and evaluating complex interventions and Behaviour Centred Design. The purpose is to demonstrate how these frameworks can be applied, to document the interventions developed, and encourage further initiatives to advance health services targeting people with disabilities. Important components of the intervention design process were: (1) systematic reviews and formative research ensure that interventions designed are relevant to current discourse, practice and context; (2) people with disabilities and their family/carers must be at the heart of the process; (3) applying the theory of change approach and testing it helps understand links between inputs and required behaviour change, as well as ensuring that the interventions are relevant to local contexts; (4) involving creative experts may lead to the development of more engaging and appealing interventions. Further evidence is needed on the effectiveness of these types of interventions for people with disabilities to ensure that no one is left behind.https://www.mdpi.com/1660-4601/15/12/2746people with disabilitiesaccess to health caredeveloping countriesmenstrual hygiene managementhearing losshearing impairmentintellectual impairmentcarers |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Jane Wilbur Tess Bright Thérèse Mahon Shaffa Hameed Belen Torondel Wakisa Mulwafu Hannah Kuper Sarah Polack |
spellingShingle |
Jane Wilbur Tess Bright Thérèse Mahon Shaffa Hameed Belen Torondel Wakisa Mulwafu Hannah Kuper Sarah Polack Developing Behaviour Change Interventions for Improving Access to Health and Hygiene for People with Disabilities: Two Case Studies from Nepal and Malawi International Journal of Environmental Research and Public Health people with disabilities access to health care developing countries menstrual hygiene management hearing loss hearing impairment intellectual impairment carers |
author_facet |
Jane Wilbur Tess Bright Thérèse Mahon Shaffa Hameed Belen Torondel Wakisa Mulwafu Hannah Kuper Sarah Polack |
author_sort |
Jane Wilbur |
title |
Developing Behaviour Change Interventions for Improving Access to Health and Hygiene for People with Disabilities: Two Case Studies from Nepal and Malawi |
title_short |
Developing Behaviour Change Interventions for Improving Access to Health and Hygiene for People with Disabilities: Two Case Studies from Nepal and Malawi |
title_full |
Developing Behaviour Change Interventions for Improving Access to Health and Hygiene for People with Disabilities: Two Case Studies from Nepal and Malawi |
title_fullStr |
Developing Behaviour Change Interventions for Improving Access to Health and Hygiene for People with Disabilities: Two Case Studies from Nepal and Malawi |
title_full_unstemmed |
Developing Behaviour Change Interventions for Improving Access to Health and Hygiene for People with Disabilities: Two Case Studies from Nepal and Malawi |
title_sort |
developing behaviour change interventions for improving access to health and hygiene for people with disabilities: two case studies from nepal and malawi |
publisher |
MDPI AG |
series |
International Journal of Environmental Research and Public Health |
issn |
1660-4601 |
publishDate |
2018-12-01 |
description |
Limited evidence exists about how to design interventions to improve access to health care for people with disabilities in low and middle-income countries (LMICs). This paper documents the development of two behaviour change interventions. Case study one outlines the design of an intervention to improve uptake of referral for ear and hearing services for children in Malawi. Case study two describes the design of an intervention to improve menstrual hygiene management for people with intellectual impairments in Nepal. Both followed existing approaches—Medical Research Council Guidance for developing and evaluating complex interventions and Behaviour Centred Design. The purpose is to demonstrate how these frameworks can be applied, to document the interventions developed, and encourage further initiatives to advance health services targeting people with disabilities. Important components of the intervention design process were: (1) systematic reviews and formative research ensure that interventions designed are relevant to current discourse, practice and context; (2) people with disabilities and their family/carers must be at the heart of the process; (3) applying the theory of change approach and testing it helps understand links between inputs and required behaviour change, as well as ensuring that the interventions are relevant to local contexts; (4) involving creative experts may lead to the development of more engaging and appealing interventions. Further evidence is needed on the effectiveness of these types of interventions for people with disabilities to ensure that no one is left behind. |
topic |
people with disabilities access to health care developing countries menstrual hygiene management hearing loss hearing impairment intellectual impairment carers |
url |
https://www.mdpi.com/1660-4601/15/12/2746 |
work_keys_str_mv |
AT janewilbur developingbehaviourchangeinterventionsforimprovingaccesstohealthandhygieneforpeoplewithdisabilitiestwocasestudiesfromnepalandmalawi AT tessbright developingbehaviourchangeinterventionsforimprovingaccesstohealthandhygieneforpeoplewithdisabilitiestwocasestudiesfromnepalandmalawi AT theresemahon developingbehaviourchangeinterventionsforimprovingaccesstohealthandhygieneforpeoplewithdisabilitiestwocasestudiesfromnepalandmalawi AT shaffahameed developingbehaviourchangeinterventionsforimprovingaccesstohealthandhygieneforpeoplewithdisabilitiestwocasestudiesfromnepalandmalawi AT belentorondel developingbehaviourchangeinterventionsforimprovingaccesstohealthandhygieneforpeoplewithdisabilitiestwocasestudiesfromnepalandmalawi AT wakisamulwafu developingbehaviourchangeinterventionsforimprovingaccesstohealthandhygieneforpeoplewithdisabilitiestwocasestudiesfromnepalandmalawi AT hannahkuper developingbehaviourchangeinterventionsforimprovingaccesstohealthandhygieneforpeoplewithdisabilitiestwocasestudiesfromnepalandmalawi AT sarahpolack developingbehaviourchangeinterventionsforimprovingaccesstohealthandhygieneforpeoplewithdisabilitiestwocasestudiesfromnepalandmalawi |
_version_ |
1725395633888559104 |