Development of a theory and evidence-based program to promote community treatment of fevers in children under five in a rural district in Southern Ghana: An intervention mapping approach
Abstract Background This paper describes the development and implementation of a program to promote prompt and appropriate care seeking for fever in children under the age of five. Designed as a multicomponent program, the intervention comprises elements to influence the behavior of caregivers of ch...
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doaj-ddabd99003a344a9bfd8d0f19fff679b2020-11-24T21:06:20ZengBMCBMC Public Health1471-24582017-01-0117111110.1186/s12889-016-3957-1Development of a theory and evidence-based program to promote community treatment of fevers in children under five in a rural district in Southern Ghana: An intervention mapping approachMercy Abbey0L. Kay Bartholomew1Margaret A. Chinbuah2Margaret Gyapong3John O. Gyapong4Bart van den Borne5Research and Development Division, Ghana Health ServiceSchool of Public Health, University of Texas Health Science CentreResearch and Development Division, Ghana Health ServiceDodowa Health Research Centre, Ghana Health ServiceResearch and Development Division, Ghana Health ServiceDepartment of Health Promotion, University of MaastrichtAbstract Background This paper describes the development and implementation of a program to promote prompt and appropriate care seeking for fever in children under the age of five. Designed as a multicomponent program, the intervention comprises elements to influence the behavior of caregivers of children, Community Health Workers, professional health care providers and the wider community. Methods Following the six fundamental steps of the Intervention Mapping protocol, we involved relevant stakeholders from the commencement of planning to program end. The IM protocol also recommends various behavior change methods to guide intervention development. Results The intervention components implemented were successful in achieving program goals. For example, the intervention resulted in the primary outcome of reductions in all-cause mortality of 30% and 44%, among children treated with an antimalarial and those treated with the antimalarial plus an antibiotic respectively. Most Community Health Workers were retained on the program, with an attrition rate of 21.2% over a period of 30 months and the Community Health Workers rate of adherence to performance guidelines was high at 94.6%. Conclusion We were able to systematically develop a theory- and evidence-based health promotion program based on the Intervention Mapping protocol. This article contributes to the response to recent calls for a more detailed description of the development of interventions and trials. The intervention mapping approach can serve as a guide for others interested in developing community- based health interventions in similar settings.http://link.springer.com/article/10.1186/s12889-016-3957-1Intervention developmentIntervention mappingCommunity based programCommunity Health WorkersCaregiversChildren under five |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Mercy Abbey L. Kay Bartholomew Margaret A. Chinbuah Margaret Gyapong John O. Gyapong Bart van den Borne |
spellingShingle |
Mercy Abbey L. Kay Bartholomew Margaret A. Chinbuah Margaret Gyapong John O. Gyapong Bart van den Borne Development of a theory and evidence-based program to promote community treatment of fevers in children under five in a rural district in Southern Ghana: An intervention mapping approach BMC Public Health Intervention development Intervention mapping Community based program Community Health Workers Caregivers Children under five |
author_facet |
Mercy Abbey L. Kay Bartholomew Margaret A. Chinbuah Margaret Gyapong John O. Gyapong Bart van den Borne |
author_sort |
Mercy Abbey |
title |
Development of a theory and evidence-based program to promote community treatment of fevers in children under five in a rural district in Southern Ghana: An intervention mapping approach |
title_short |
Development of a theory and evidence-based program to promote community treatment of fevers in children under five in a rural district in Southern Ghana: An intervention mapping approach |
title_full |
Development of a theory and evidence-based program to promote community treatment of fevers in children under five in a rural district in Southern Ghana: An intervention mapping approach |
title_fullStr |
Development of a theory and evidence-based program to promote community treatment of fevers in children under five in a rural district in Southern Ghana: An intervention mapping approach |
title_full_unstemmed |
Development of a theory and evidence-based program to promote community treatment of fevers in children under five in a rural district in Southern Ghana: An intervention mapping approach |
title_sort |
development of a theory and evidence-based program to promote community treatment of fevers in children under five in a rural district in southern ghana: an intervention mapping approach |
publisher |
BMC |
series |
BMC Public Health |
issn |
1471-2458 |
publishDate |
2017-01-01 |
description |
Abstract Background This paper describes the development and implementation of a program to promote prompt and appropriate care seeking for fever in children under the age of five. Designed as a multicomponent program, the intervention comprises elements to influence the behavior of caregivers of children, Community Health Workers, professional health care providers and the wider community. Methods Following the six fundamental steps of the Intervention Mapping protocol, we involved relevant stakeholders from the commencement of planning to program end. The IM protocol also recommends various behavior change methods to guide intervention development. Results The intervention components implemented were successful in achieving program goals. For example, the intervention resulted in the primary outcome of reductions in all-cause mortality of 30% and 44%, among children treated with an antimalarial and those treated with the antimalarial plus an antibiotic respectively. Most Community Health Workers were retained on the program, with an attrition rate of 21.2% over a period of 30 months and the Community Health Workers rate of adherence to performance guidelines was high at 94.6%. Conclusion We were able to systematically develop a theory- and evidence-based health promotion program based on the Intervention Mapping protocol. This article contributes to the response to recent calls for a more detailed description of the development of interventions and trials. The intervention mapping approach can serve as a guide for others interested in developing community- based health interventions in similar settings. |
topic |
Intervention development Intervention mapping Community based program Community Health Workers Caregivers Children under five |
url |
http://link.springer.com/article/10.1186/s12889-016-3957-1 |
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