wow-inequalities/02-data/intermediate/wos_sample/855c99b31414a50b9936b4af89081000-callaghan-koru-jenn/info.yaml

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2023-09-28 14:46:10 +00:00
abstract: 'There is a well-recognized need for empirical study of processes and
factors that influence scale up of evidence-based interventions in
low-income countries to address the `know-do'' gap. We undertook a
qualitative case study of the scale up of chlorhexidine cleansing of the
umbilical cord (CHX) in Bangladesh to identify and compare facilitators
and barriers for the institutionalization and expansion stages of scale
up. Data collection and analysis for this case study were informed by
the Consolidated Framework for Implementation Research (CFIR) and the
WHO/ExpandNet model of scale up. At the national level, we interviewed
20 stakeholders involved in CHX policy or implementation. At the
district level, we conducted interviews with 31 facility-based
healthcare providers in five districts and focus group discussions
(FGDs) with eight community-based providers and eight programme
managers. At the community level, we conducted 7 FGDs with 53 mothers
who had a baby within the past year. Expanded interview notes were
thematically coded and analysed following an adapted Framework approach.
National stakeholders identified external policy and incentives, and the
engagement of stakeholders in policy development through the National
Technical Working Committee for Newborn Health, as key facilitators for
policy and health systems changes. Stakeholders, providers and families
perceived the intervention to be simple, safe and effective, and more
consistent with family preferences than the prior policy of dry cord
care. The major barriers that delayed or decreased the public health
impact of the scale up of CHX in Bangladesh''s public health system
related to commodity production, procurement and distribution.
Bangladesh''s experience scaling up CHX suggests that scale up should
involve early needs assessments and planning for institutionalizing new
drugs and commodities into the supply chain. While the five CFIR domains
were useful for categorizing barriers and facilitators, additional
constructs are needed for common health systems barriers in low-income
settings.'
affiliation: 'Callaghan-Koru, JA (Corresponding Author), Univ Maryland, Dept Sociol
Anthropol \& Hlth Adm \& Policy, 1000 Hilltop Circle,PUP 233, Baltimore, MD 21250
USA.
Callaghan-Koru, Jennifer A.; Sowe, Ardy, Univ Maryland, Dept Sociol Anthropol \&
Hlth Adm \& Policy, 1000 Hilltop Circle,PUP 233, Baltimore, MD 21250 USA.
Callaghan-Koru, Jennifer A., Johns Hopkins Bloomberg Sch Publ Hlth, Dept Int Hlth,
615 N Wolfe St, Baltimore, MD 21205 USA.
Islam, Munia; Khan, Marufa; Mannan, Imteaz Ibne; George, Joby, Save Children Int,
MaMoni Hlth Syst Strengthening Project, House CWN A 35,Rd 43,Gulshan 2, Dhaka 1212,
Bangladesh.
Khan, Marufa, Pathfinder Int, 32 Gulshan Ave,Gulshan 2, Dhaka 1212, Bangladesh.
Sowe, Ardy, Howard Univ, Coll Med, 520 W St NW, Washington, DC USA.
Islam, Jahrul, Minist Hlth \& Family Welf, Dhaka, Bangladesh.
Mannan, Imteaz Ibne, Jhpiego, House 71,Rd 4,Dist 4, Kabul, Afghanistan.'
author: Callaghan-Koru, Jennifer A. and Islam, Munia and Khan, Marufa and Sowe, Ardy
and Islam, Jahrul and Mannan, Imteaz Ibne and George, Joby and Stu, Bangladesh Chlorhexidine
Scale
author-email: jck@umbc.edu
author_list:
- family: Callaghan-Koru
given: Jennifer A.
- family: Islam
given: Munia
- family: Khan
given: Marufa
- family: Sowe
given: Ardy
- family: Islam
given: Jahrul
- family: Mannan
given: Imteaz Ibne
- family: George
given: Joby
- family: Stu
given: Bangladesh Chlorhexidine Scale
da: '2023-09-28'
doi: 10.1093/heapol/czz156
eissn: 1460-2237
files: []
issn: 0268-1080
journal: HEALTH POLICY AND PLANNING
keywords: Scale up; implementation; newborn health; Bangladesh; Chlorhexidine
keywords-plus: 'HEALTH-SYSTEMS; SCIENCE; CARE; INITIATIVES; ADAPTATION; INNOVATION;
LESSONS; DEATHS; TIME'
language: English
month: MAY
number: '4'
number-of-cited-references: '72'
orcid-numbers: 'George, Joby/0000-0002-4791-901X
Islam, Munia/0000-0002-7036-5318'
pages: 440-451
papis_id: d53b5341801c2b3b165b39a5b04062a7
ref: Callaghankoru2020factorsthat
researcherid-numbers: 'George, Joby/AAW-1365-2021
Mannan, Imteaz/AAO-9935-2021
'
times-cited: '4'
title: 'Factors that influence the scale up of new interventions in low-income settings:
a qualitative case study of the introduction of chlorhexidine cleansing of the umbilical
cord in Bangladesh'
2023-10-01 08:15:07 +00:00
type: article
2023-09-28 14:46:10 +00:00
unique-id: WOS:000537392800007
usage-count-last-180-days: '0'
usage-count-since-2013: '3'
volume: '35'
web-of-science-categories: Health Care Sciences \& Services; Health Policy \& Services
year: '2020'