Online Program

Testing an integrated care group model for community-based health promotion in Burundi: An operations research study

Monday, November 4, 2013 : 3:10 p.m. - 3:30 p.m.

Jennifer Weiss, MPH, Concern Worldwide, New York, NY
Megan Christensen, MPH, Concern Worldwide, New York, NY
The Care Group model is an evidence-based behavior change methodology. Concern Worldwide is conducting operations research on an adapted, ‘Integrated' Care Group model designed to reduce the dependence of Care Group implementation on paid project staff, while increasing integration with the local MOH structure by task-shifting Care Group facilitation to appropriate MOH staff and Community Health Workers. 50 traditional Care Groups with 509 members and 48 integrated Care Groups with 483 members were established. The cluster-randomized study seeks to determine if the integrated Care Group model achieves the same improvements in key health and nutrition knowledge and practices and achieves the same level of functionality and sustainability as the traditional Care Group model. Knowledge and practices are assessed in baseline and endline population surveys using simple random sampling. Functionality is assessed by monitoring the number of Care Group meetings per month, volunteer attendance at meetings, number of home visits conducted, and reporting rates. Sustainability will be assessed by monitoring the five functionality indicators in the final six months of the study, once Concern has withdrawn all support in both areas. Results from the first 18 months of implementation indicate there is no significant difference (>15%) between Traditional and Integrated Care Groups in the five functionality indicators. End line surveys will be conducted in April 2013 and results will be analyzed by September 2013.The Integrated Care Group model is identified by the Ministry of Health as a promising model for implementing a realistic Community Health strategy in Burundi.

Learning Areas:

Conduct evaluation related to programs, research, and other areas of practice
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Public health or related research
Social and behavioral sciences

Learning Objectives:
Identify the differences in implementation between the traditional Care Group model and an Integrated Care Group model Assess whether there are signficant differences in the coverage of key health and nutrition knowledge and practices between the Traditional and Integrated Care Group model program areas Assess whether there are significant differences in the functionality and sustainability between the Traditional and Integrated Care Group models

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

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have over 10 years of experience in the design, implementation, and evaluation of community-based maternal and child health and HIV/AIDS programs. I have provided technical support for the field implementation of evidence-based, high impact interventions aimed at improving access to MNCH services, strengthening quality of care, and improving household knowledge and practices. I am the Principal Investigator for the Operations Research initiative described here.
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.