PDF(Pubmed)
Abstract：
Two case studies of parenting programs for parents of children 0 to 36 months of age, developed and implemented by Save the Children/Ministry of Health/Khesar Gyalpo University in Bhutan and UNICEF Zambia, were conducted by an independent research group. The focus was on how program delivery and scale-up were revised on the basis of feedback from implementation research. Feedback on workforce delivery quality was based on observations of deliveries using a monitoring form, as well as survey and interview data collected from the workforce. In-depth interviews with the resource team during the fourth year of implementation revealed how the feedback was used to address horizontal and vertical scaling. Delivery quality was improved in some cases by revising the delivery manual, offering refresher courses, and instituting regular monitoring. Scaling challenges in Zambia included slow progress with regard to reaching families in the two districts, which they addressed by trialing group sessions, and stemming workforce attrition. The challenges in Bhutan were low attendance and reducing the workload of providers. Vertical scaling challenges for both countries concerned maintaining demand through continuous advocacy at community and government levels to sustain financing and to show effectiveness in outcomes.
摘要：
针对0至36个月大的儿童的父母的育儿计划的两个案例研究，由救助儿童会/卫生部/不丹KhesarGyalpo大学和赞比亚儿童基金会制定和实施，由一个独立的研究小组进行。重点是如何根据实施研究的反馈来修订计划的交付和扩大规模。对劳动力交付质量的反馈是基于使用监测表格对交付的观察，以及从劳动力中收集的调查和访谈数据。在实施的第四年期间，对资源团队的深入访谈揭示了如何使用反馈来解决横向和纵向扩展问题。在某些情况下，通过修订交付手册，提高了交付质量。提供进修课程，并建立定期监测。赞比亚面临的严峻挑战包括在两个地区的家庭接触方面进展缓慢，他们通过审判小组会议解决了这个问题，并阻止劳动力流失。不丹的挑战是出勤率低和减少提供者的工作量。有关国家通过在社区和政府一级持续宣传以维持融资并显示成果的有效性来维持需求的垂直扩展挑战。
