Online Program

Behavior-centered programming in order to increase access to mnch services

Monday, November 4, 2013 : 2:50 p.m. - 3:10 p.m.

Elysée Ramamonjisoa, BA, Behavior Change Unit, MAHEFA Program, Antananarivo 101, Madagascar
Sabrina Eagan, MSN, MPH, International Division, John Snow, Inc. (JSI), Boston, MA
Title: Behavior-centered Programming in order to Increase Access to MNCH Services

Background: Services may be inaccessible to their intended users for multiple and complex reasons: in Madagascar inaccessibility is often due to remote locations and seasonally navigable roads, the non-availability of services and products, and especially the predominance of traditional practices concerning the management and treatment of diseases. The cultural dimension often prevents the adoption of health benefitting behaviors and constitutes barriers that reduce access to MNCH services. MAHEFA's approach to revealing barriers and enablers for health-promoting behavior via a variety of research methods aims to develop locally appropriate programmatic responses to help communities adopt sustainable behaviors.

Methods: The first step is a situational analysis. Next, unanswered questions are addressed through formative research, such as a barrier analysis, ethnographic studies, and trials of improved practices (TIPs).

Results: Combined research methods provide information about the main challenges that mothers have to face to access to better health care and to adopt and maintain beneficial behaviors. They also help define key enablers. These studies show how people behave within the community according to their “culture and customs”, and lastly, offer us the opportunity to identify the small doable and important actions they can agree upon.

Conclusions: Results, organized by behavior in strategy matrices, clarify the most effective steps to address barriers in order to adopt an improved behavior concerning their health.

Learning Areas: The presentation will show how the information collected within different intervention zones was used during the design phase.

Learning Areas:

Assessment of individual and community needs for health education
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Social and behavioral sciences

Learning Objectives:
Describe MAHEFA's combined research approach List steps in designing for behavior change Explain how behavior-centered programming results in locally tailored programs

Keyword(s): Community-Based Health Promotion, Health Behavior

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the Monitoring and Evaluation Advisor on the support team for the integrated health project in Madagascar where this work took place.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.