Developing Behaviour Change Interventions for Improving Access to Health and Hygiene for People with Disabilities: Two Case Studies from Nepal and Malawi.
Int J Environ Res Public Health
; 15(12)2018 12 05.
Article
in En
| MEDLINE
| ID: mdl-30563096
ABSTRACT
Limited evidence exists about how to design interventions to improve access to health care for people with disabilities in low and middle-income countries (LMICs). This paper documents the development of two behaviour change interventions. Case study one outlines the design of an intervention to improve uptake of referral for ear and hearing services for children in Malawi. Case study two describes the design of an intervention to improve menstrual hygiene management for people with intellectual impairments in Nepal. Both followed existing approaches-Medical Research Council Guidance for developing and evaluating complex interventions and Behaviour Centred Design. The purpose is to demonstrate how these frameworks can be applied, to document the interventions developed, and encourage further initiatives to advance health services targeting people with disabilities. Important components of the intervention design process were (1) systematic reviews and formative research ensure that interventions designed are relevant to current discourse, practice and context; (2) people with disabilities and their family/carers must be at the heart of the process; (3) applying the theory of change approach and testing it helps understand links between inputs and required behaviour change, as well as ensuring that the interventions are relevant to local contexts; (4) involving creative experts may lead to the development of more engaging and appealing interventions. Further evidence is needed on the effectiveness of these types of interventions for people with disabilities to ensure that no one is left behind.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Persons With Hearing Impairments
/
Persons with Mental Disabilities
/
Developing Countries
/
Feminine Hygiene Products
/
Health Services Accessibility
Type of study:
Guideline
Aspects:
Determinantes_sociais_saude
Limits:
Humans
Country/Region as subject:
Africa
/
Asia
Language:
En
Journal:
Int J Environ Res Public Health
Year:
2018
Document type:
Article
Affiliation country:
Reino Unido