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Process evaluation of the initial implementation of the Moments that Matter parenting program in Kenya
Annals of the New York Academy of Sciences ( IF 4.1 ) Pub Date : 2024-09-01 , DOI: 10.1111/nyas.15212 Joshua Jeong 1 , Juliet K McCann 1 , Alina Bhojani 1 , Yuri Kim 2 , Malia Uyehara 1 , Zane Maguet 1 , Wilson Ochuka 3 , Michael Ochieng 3
Annals of the New York Academy of Sciences ( IF 4.1 ) Pub Date : 2024-09-01 , DOI: 10.1111/nyas.15212 Joshua Jeong 1 , Juliet K McCann 1 , Alina Bhojani 1 , Yuri Kim 2 , Malia Uyehara 1 , Zane Maguet 1 , Wilson Ochuka 3 , Michael Ochieng 3
Affiliation
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The Moments that Matter® parenting program aims to promote nurturing care and healthy early childhood development (ECD) through monthly home visits and monthly community group meetings that are delivered by ECD promoters and coordinated with faith leaders in rural Western Kenya. We designed a process evaluation in August 2023 during the first quarter of program implementation. We conducted in-depth interviews and focus group discussions with caregivers, ECD promoters, faith leaders, and program staff to capture their program experiences, assess program quality, and explore the implementation barriers and facilitators during this early stage of program roll-out. Although ECD promoters delivered the program with fidelity, the roles and responsibilities of faith leaders were relatively weaker and inconsistent. Key facilitators of quality implementation included visual aids of key messages and supportive supervision. Barriers included a lack of clarity about faith leaders’ roles and relatively long group session duration. We highlight several key recommendations for improving fidelity, quality, and eventual program effects with respect to enhancing nurturing care and early child development. Overall, our study showcases how a process evaluation conducted during the early phase of program implementation can reveal practical insights that can be used to inform program adaptations and quality improvement.
中文翻译：
肯尼亚 Moments that Matter 育儿计划初步实施的过程评估
Moments that Matter® 育儿计划旨在通过每月家访和每月社区小组会议促进养育护理和健康的儿童早期发展 （ECD），这些会议由 ECD 发起人提供，并与肯尼亚西部农村的宗教领袖协调。我们在 2023 年 8 月计划实施的第一季度设计了流程评估。我们与护理人员、儿童早期发展促进者、信仰领袖和项目工作人员进行了深入访谈和焦点小组讨论，以收集他们的项目经验，评估项目质量，并探索项目推出早期阶段的实施障碍和促进因素。尽管 ECD 发起人忠实地交付了该计划，但信仰领袖的角色和责任相对较弱且不一致。质量实施的主要促进因素包括关键信息的视觉辅助和支持性监督。障碍包括信仰领袖的角色不明确和小组会议持续时间相对较长。我们强调了在加强养育护理和儿童早期发展方面提高保真度、质量和最终计划效果的几个关键建议。总体而言，我们的研究展示了在项目实施的早期阶段进行的过程评估如何揭示可用于为项目调整和质量改进提供信息的实用见解。
更新日期：2024-09-01
中文翻译：
肯尼亚 Moments that Matter 育儿计划初步实施的过程评估
Moments that Matter® 育儿计划旨在通过每月家访和每月社区小组会议促进养育护理和健康的儿童早期发展 （ECD），这些会议由 ECD 发起人提供，并与肯尼亚西部农村的宗教领袖协调。我们在 2023 年 8 月计划实施的第一季度设计了流程评估。我们与护理人员、儿童早期发展促进者、信仰领袖和项目工作人员进行了深入访谈和焦点小组讨论，以收集他们的项目经验，评估项目质量，并探索项目推出早期阶段的实施障碍和促进因素。尽管 ECD 发起人忠实地交付了该计划，但信仰领袖的角色和责任相对较弱且不一致。质量实施的主要促进因素包括关键信息的视觉辅助和支持性监督。障碍包括信仰领袖的角色不明确和小组会议持续时间相对较长。我们强调了在加强养育护理和儿童早期发展方面提高保真度、质量和最终计划效果的几个关键建议。总体而言，我们的研究展示了在项目实施的早期阶段进行的过程评估如何揭示可用于为项目调整和质量改进提供信息的实用见解。
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