tailieunhanh - báo cáo sinh học:" Supervision of community peer counsellors for infant feeding in South Africa: an exploratory qualitative study"

Tuyển tập các báo cáo nghiên cứu về sinh học được đăng trên tạp chí sinh học quốc tế đề tài : Supervision of community peer counsellors for infant feeding in South Africa: an exploratory qualitative study | Daniels et al. Human Resources for Health 2010 8 6 http content 8 1 6 RESEARCH HUMAN RESOURCES FOR HEALTH Open Access Supervision of community peer counsellors for infant feeding in South Africa an exploratory qualitative study Karen Daniels 1 2 Barni Nor3 Debra Jackson4 Eva-Charlotte Ekstrom3 and Tanya Doherty1 3 4 Abstract Background Recent years have seen a re-emergence of community health worker CHW interventions especially in relation to HIV care and in increasing coverage of child health interventions. Such programmes can be particularly appealing in the face of human resource shortages and fragmented health systems. However do we know enough about how these interventions function in order to support the investment While research based on strong quantitative study designs such as randomised controlled trials increasingly document their impact there has been less empirical analysis of the internal mechanisms through which CHW interventions succeed or fail. Qualitative process evaluations can help fill this gap. Methods This qualitative paper reports on the experience of three CHW supervisors who were responsible for supporting infant feeding peer counsellors. The intervention took place in three diverse settings in South Africa. Each setting employed one CHW supervisor each of whom was individually interviewed for this study. The study forms part of the process evaluation of a large-scale randomized controlled trial of infant feeding peer counselling support. Results Our findings highlight the complexities of supervising and supporting CHWs. In order to facilitate effective infant feeding peer counselling supervisors in this study had to move beyond mere technical management of the intervention to broader people management. While their capacity to achieve this was based on their own prior experience it was enhanced through being supported themselves. In turn resource limitations and concerns over safety and being in a rural .