eprintid: 10107699
rev_number: 17
eprint_status: archive
userid: 608
dir: disk0/10/10/76/99
datestamp: 2020-08-13 14:54:51
lastmod: 2021-12-13 02:04:13
status_changed: 2020-08-13 14:54:51
type: article
metadata_visibility: show
creators_name: Hill, Z
creators_name: Scheelbeek, P
creators_name: Hamza, Y
creators_name: Amare, Y
creators_name: Schellenberg, J
title: Are We Using the Right Approach to Change Newborn Care Practices in the Community? Qualitative Evidence From Ethiopia and Northern Nigeria.
ispublished: inpress
divisions: UCL
divisions: B02
divisions: D01
note: © Hill et al.
This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly cited. To view a copy of the license, visit http://creativecommons.org/licenses/by/4.0/. When linking to this article, please use the following permanent link: https://doi.org/10.9745/GHSP-D-19-00410
abstract: Changing behaviors is usually a core component of the role of community health workers (CHWs), but little is known about the mechanisms through which they change behavior. We collected qualitative data from 8 sites in Ethiopia and northern Nigeria where CHWs were active to understand how they change newborn care behaviors. In each country, we conducted 12 narrative interviews and 12–13 in-depth interviews with recent mothers and 4 focus group discussions each with mothers, fathers, grandmothers, and CHWs. We identified 2 key mechanisms of behavior change. The first was linked to the frequency and consistency of hearing messages that led to a perception that change had occurred in community-wide behaviors, collective beliefs, and social expectations. The second was linked to trust in the CHW, obligation, and hierarchy. We found little evidence that constructs that often inform the design of counseling approaches, such as knowledge of causality and perceived risks and benefits, were mechanisms of change.
date: 2020-07-24
date_type: published
official_url: https://doi.org/10.9745/GHSP-D-19-00410
oa_status: green
full_text_type: pub
language: eng
primo: open
primo_central: open_green
verified: verified_manual
elements_id: 1807144
doi: 10.9745/GHSP-D-19-00410
pii: GHSP-D-19-00410
lyricists_name: Hill, Zelee
lyricists_id: ZEHIL36
actors_name: Flynn, Bernadette
actors_id: BFFLY94
actors_role: owner
full_text_status: public
publication: Global Health: Science and Practice
volume: 8
number: 3
event_location: United States
issn: 2169-575X
citation:        Hill, Z;    Scheelbeek, P;    Hamza, Y;    Amare, Y;    Schellenberg, J;      (2020)    Are We Using the Right Approach to Change Newborn Care Practices in the Community? Qualitative Evidence From Ethiopia and Northern Nigeria.                   Global Health: Science and Practice , 8  (3)      10.9745/GHSP-D-19-00410 <https://doi.org/10.9745/GHSP-D-19-00410>.    (In press).    Green open access   
 
document_url: https://discovery.ucl.ac.uk/id/eprint/10107699/1/GHSP-D-19-00410.full.pdf