Constraints, synergies and avenues for scaling up breastfeeding, antibiotics for pneumonia and IMCI interventions in the Cusco region, Peru [v1; ref status: indexed, http://f1000r.es/Vk0ueY]
Objective: The purpose of this qualitative case study was to assess the feasibility of scaling up exclusive breastfeeding for 6 months, antibiotics for pneumonia and integrated management of childhood illness (IMCI) child interventions in three districts of the Cusco region, Peru. Methods: During fi...
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doaj-517be4a1e694487eb4cd33d21ee737ba2020-11-25T03:24:42ZengF1000 Research LtdF1000Research2046-14022012-12-01110.12688/f1000research.1-60.v1230Constraints, synergies and avenues for scaling up breastfeeding, antibiotics for pneumonia and IMCI interventions in the Cusco region, Peru [v1; ref status: indexed, http://f1000r.es/Vk0ueY]Giselle Sarganas0Robert Scherpbier1Christian A Gericke2Berlin School of Public Health, Charite University Medicine, Berlin, 10117, GermanyHealth, Nutrition, Water, Environment & Sanitation, UNICEF, Beijing, 100600, ChinaThe Wesley Research Institute, Brisbane, QLD 4066, AustraliaObjective: The purpose of this qualitative case study was to assess the feasibility of scaling up exclusive breastfeeding for 6 months, antibiotics for pneumonia and integrated management of childhood illness (IMCI) child interventions in three districts of the Cusco region, Peru. Methods: During field visits, constraints, synergies and solutions to the implementation of the selected interventions were collected through observational recording and interviews of mothers, health workers, and health managers/decision makers. Results are presented for each intervention according to the health system level where they occurred: mother/community, health worker, health centre, and political/managerial levels. Findings: This case study demonstrates that it is feasible to scale up exclusive breastfeeding, antibiotics for pneumonia and IMCI interventions in poverty-stricken rural areas of a low-income country. Factors that helped and hindered the implementation were identified for each intervention. Conclusions: The need for a coherent multi-sector approach that includes regulation, implementation and monitoring of health policies and education of all involved stakeholders was apparent. This study also demonstrates that global health interventions need to undergo local adaptation. Identifying local constraints and facilitating factors in a systematic way as proposed in this study is a useful step to increase their effectiveness and reach at the local level and to identify areas for improvement in the original intervention policies.http://f1000research.com/articles/1-60/v1Global HealthHealth Systems & Services ResearchPreventive MedicineSocial & Behavioral Determinants of Health |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Giselle Sarganas Robert Scherpbier Christian A Gericke |
spellingShingle |
Giselle Sarganas Robert Scherpbier Christian A Gericke Constraints, synergies and avenues for scaling up breastfeeding, antibiotics for pneumonia and IMCI interventions in the Cusco region, Peru [v1; ref status: indexed, http://f1000r.es/Vk0ueY] F1000Research Global Health Health Systems & Services Research Preventive Medicine Social & Behavioral Determinants of Health |
author_facet |
Giselle Sarganas Robert Scherpbier Christian A Gericke |
author_sort |
Giselle Sarganas |
title |
Constraints, synergies and avenues for scaling up breastfeeding, antibiotics for pneumonia and IMCI interventions in the Cusco region, Peru [v1; ref status: indexed, http://f1000r.es/Vk0ueY] |
title_short |
Constraints, synergies and avenues for scaling up breastfeeding, antibiotics for pneumonia and IMCI interventions in the Cusco region, Peru [v1; ref status: indexed, http://f1000r.es/Vk0ueY] |
title_full |
Constraints, synergies and avenues for scaling up breastfeeding, antibiotics for pneumonia and IMCI interventions in the Cusco region, Peru [v1; ref status: indexed, http://f1000r.es/Vk0ueY] |
title_fullStr |
Constraints, synergies and avenues for scaling up breastfeeding, antibiotics for pneumonia and IMCI interventions in the Cusco region, Peru [v1; ref status: indexed, http://f1000r.es/Vk0ueY] |
title_full_unstemmed |
Constraints, synergies and avenues for scaling up breastfeeding, antibiotics for pneumonia and IMCI interventions in the Cusco region, Peru [v1; ref status: indexed, http://f1000r.es/Vk0ueY] |
title_sort |
constraints, synergies and avenues for scaling up breastfeeding, antibiotics for pneumonia and imci interventions in the cusco region, peru [v1; ref status: indexed, http://f1000r.es/vk0uey] |
publisher |
F1000 Research Ltd |
series |
F1000Research |
issn |
2046-1402 |
publishDate |
2012-12-01 |
description |
Objective: The purpose of this qualitative case study was to assess the feasibility of scaling up exclusive breastfeeding for 6 months, antibiotics for pneumonia and integrated management of childhood illness (IMCI) child interventions in three districts of the Cusco region, Peru. Methods: During field visits, constraints, synergies and solutions to the implementation of the selected interventions were collected through observational recording and interviews of mothers, health workers, and health managers/decision makers. Results are presented for each intervention according to the health system level where they occurred: mother/community, health worker, health centre, and political/managerial levels. Findings: This case study demonstrates that it is feasible to scale up exclusive breastfeeding, antibiotics for pneumonia and IMCI interventions in poverty-stricken rural areas of a low-income country. Factors that helped and hindered the implementation were identified for each intervention. Conclusions: The need for a coherent multi-sector approach that includes regulation, implementation and monitoring of health policies and education of all involved stakeholders was apparent. This study also demonstrates that global health interventions need to undergo local adaptation. Identifying local constraints and facilitating factors in a systematic way as proposed in this study is a useful step to increase their effectiveness and reach at the local level and to identify areas for improvement in the original intervention policies. |
topic |
Global Health Health Systems & Services Research Preventive Medicine Social & Behavioral Determinants of Health |
url |
http://f1000research.com/articles/1-60/v1 |
work_keys_str_mv |
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