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Cited by 38Health Policy Implementation ScienceGlobal Maternal and Child HealthMaternal and Neonatal Healthcare

Process evaluation of a knowledge translation intervention using facilitation of local stakeholder groups to improve neonatal survival in the Quang Ninh province, Vietnam

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Eriksson, Leif, Huy, Tran Q., Duc, Duong M., Ekholm Selling, Katarina, Hoa, Dinh P., Thuy, Nguyen T., Nga, Nguyen T., Persson, Lars-Åke +1 more·2016·Trials
DOI 10.1186/s13063-015-1141-zPMC PMC4711002
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Abstract

BACKGROUND: Annually, 2.8 million neonatal deaths occur worldwide, despite the fact that three-quarters of them could be prevented if available evidence-based interventions were used. Facilitation of community groups has been recognized as a promising method to translate knowledge into practice. In northern Vietnam, the Neonatal Health - Knowledge Into Practice trial evaluated facilitation of community groups (2008-2011) and succeeded in reducing the neonatal mortality rate (adjusted odds ratio, 0.51; 95 % confidence interval 0.30-0.89). The aim of this paper is to report on the process (implementation and mechanism of impact) of this intervention. METHODS: Process data were excerpted from diary information from meetings with facilitators and intervention groups, and from supervisor records of monthly meetings with facilitators. Data were analyzed using descriptive statistics. An evaluation including attributes and skills of facilitators (e.g., group management, communication, and commitment) was performed at the end of the intervention using a six-item instrument. Odds ratios were analyzed, adjusted for cluster randomization using general linear mixed models. RESULTS: To ensure eight active facilitators over 3 years, 11 Women's Union representatives were recruited and trained. Of the 44 intervention groups, composed of health staff and commune stakeholders, 43 completed their activities until the end of the study. In total, 95 % (n = 1508) of the intended monthly meetings with an intervention group and a facilitator were conducted. The overall attendance of intervention group members was 86 %. The groups identified 32 unique problems and implemented 39 unique actions. The identified problems targeted health issues concerning both women and neonates. Actions implemented were mainly communication activities. Communes supported by a group with a facilitator who was rated high on attributes and skills (n = 27) had lower odds of neonatal mortality (odds ratio, 0.37; 95 % confidence interval, 0.19-0.73) than control communes (n = 46). CONCLUSIONS: This evaluation identified several factors that might have influenced the outcomes of the trial: continuity of intervention groups' work, adequate attributes and skills of facilitators, and targeting problems along a continuum of care. Such factors are important to consider in scaling-up efforts. TRIAL REGISTRATION: ISRCTN ISRCTN44599712 .

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  • Studies that report process evaluation alongside effectiveness data demonstrate the importance of having the right individuals in the role with the right level of skills, knowledge, support and mentoring.

    “Studies that report process evaluation alongside effectiveness data demonstrate the importance of having the right individuals in the role with the right level of skills, knowledge, support and mentoring [59, 60].”

    From PARIHS revisited: from heuristic to integrated framework for the successful implementation of knowledge into practice (2015) · cites this paper as [59]

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Authors
Eriksson, L., Huy, T. Q., Duc, D. M., Ekholm Selling, K., Hoa, D. P., Thuy, N. T., Nga, N. T., Persson, L.-Å., & Wallin, L.
Affiliations
  • Uppsala University (SE)
  • Ministry of Health (VN)
  • Dalarna University (SE)
Corresponding author
Eriksson, Leif
ORCID
Venue
Trials
Publisher
Springer Science and Business Media LLC
Published
2016-01-13
Volume
17
Issue
1
Pages
23-23
ISSN
1745-6215 (ISSN-L)
DOI
10.1186/s13063-015-1141-z
PMC
PMC4711002
OpenAlex
W188444443
Cited by
38
References
43
Citations by year
2026: 1 · 2025: 3 · 2024: 9 · 2023: 5 · 2022: 1 · 2021: 3 · 2020: 5 · 2019: 3 · 2018: 5 · 2017: 2 · 2015: 1
FWCI
6.20
Type
journal article
Language
en
Open access
Licence
Locations
  • Trials (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • LSHTM Research Online (London School of Hygiene and Tropical Medicine) (acceptedVersion)
  • Diva portal (Dalarna University Library) (submittedVersion, other-oa)
  • KTH Publication Database DiVA (KTH Royal Institute of Technology) (submittedVersion, other-oa)
Funders
  • Styrelsen för Internationellt Utvecklingssamarbete
  • Vetenskapsrådet
Topics
  • Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Global Maternal and Child Health
  • Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
Keywords
neonatal mortality, knowledge translation, stakeholder engagement, women's unions, facilitation skills, implementation process, continuum of care, scale-up, Quang Ninh province
MeSH terms
Continuity of Patient Care, Female, Humans, Infant, Infant Mortality, Infant, Newborn, Health Knowledge, Attitudes, Practice, Social Facilitation, Vietnam, Program Evaluation, Perinatal Care, Translational Research, Biomedical

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