Reaching Priority Populations When Scaling Up
A Qualitative Study of Practitioners' Experiences of Implementing Early Childhood Health Interventions in Victoria, Australia
Datos Bibliográficos
| ID | 15536372 |
|---|---|
| Autores | Sarah Marshall (0000-0002-7820-2994, The University of Sydney, autor de correspondencia), Karen J Campbell (0000-0002-1244-3947, Deakin University), Konsita Kuswara (0000-0003-0755-8253, Deakin University), Karen Lee (0000-0002-9640-221X, The University of Sydney), Hannah Downes (Footscray Hospital), Rachel Laws (0000-0003-4328-1116, Deakin University) |
| Año | 2025 |
| Volumen | 21 |
| Número | 4 |
| Páginas | e70046-e70046 |
| Fecha de publicación | 2025-05-19 |
| Peer Reviewed | Sí |
| Open Access | Sí |
| Tipo | ARTICLE |
| Revista | Maternal and Child Nutrition (JOURNAL) |
| Identificadores de la revista | ISSN: 1740-8695 • E-ISSN: 1740-8709 |
| Editorial | Wiley (PUBLISHER • GB) |
| DOI | 10.1111/mcn.70046 |
| PMID | 40387390 |
| OpenAlex | W4410498386 |
| Idioma | EN |
| Referencias citadas | 81 |
Implementing evidence-based health promotion programmes at scale is important for achieving population-level health outcomes. However, achieving equitable reach can be challenging. An evidence-based early-life nutrition and movement intervention (INFANT) is currently being implemented at scale in Australia. This study explored practitioners' perceptions about reaching priority population groups through INFANT or similar universal preventive health programmes and services implemented at scale. Fifteen semi-structured online interviews were conducted with purposively selected experienced practitioners. Interviews were transcribed and analysed using reflexive thematic analysis. Two main themes were developed, representing the complexities of reaching priority population groups through universal health programmes and services in early childhood. Theme 1: "We're not hitting the mark"-Underlying issues influence universal healthcare access, highlighted (a) the perception that parents felt out of place through a sense of not belonging or being unfamiliar with universal services and (b) that practical constraints and pressing priorities impacted access. Theme 2: "There are no easy answers"-Varied approaches can enhance engagement, but the path is not straightforward, encompassed (a) the importance of trust and familiarity with providers, (b) the suitability of programmes and services for target communities, and (c) factors such as practitioner uncertainty regarding approaches that could address the needs of families from priority populations and resourcing that can limit targeted efforts. Our findings highlight the complexities of achieving equitable reach during scale-up and the varied decision-making and resourcing for addressing inequity in a local context. While our findings identify local-level strategies to address equitable reach during scale-up, we emphasise that striving to achieve health equity should be embedded and prioritised in scale-up efforts
Context (archaeology · Economic growth · Environmental health · Health care · Political science · Population · Psychological intervention · Public relations · Qualitative research · Reflexivity · Scale (ratio · Sociology · Thematic analysis · Child Nutrition and Water Access · Community Health and Development · Infant Development and Preterm Care · Medicine · Nursing
Adapting interventions to new contexts—the Adapt guidance
Making health systems more equitable
Inequality in early childhood
Qualitative methods in implementation research
Reframing implementation science to address inequities in healthcare delivery
The FRAME
Access to health services among culturally and linguistically diverse populations in the Australian universal health care system
The Sustainability of Evidence-Based Interventions and Practices in Public Health and Health Care
Reaching the hard-to-reach
The effectiveness of community engagement in public health interventions for disadvantaged groups
Narrative review of models and success factors for scaling up public health interventions
Childhood obesity
Qualitative research
Patient-centred access to health care
Early childhood development and the social determinants of health inequities
Mapping intervention components from a randomized controlled trial to scale-up of an early life nutrition and movement intervention
Successful Qualitative Research
Pathways to scale up early childhood programs
Reflecting on reflexive thematic analysis
Exploring the role of community engagement in improving the health of disadvantaged populations
The pitfalls of scaling up evidence-based interventions in health
Inequalities in large‐scale breastfeeding programmes in Bangladesh, Burkina Faso and Vietnam
Countries' experiences scaling up national breastfeeding, protection, promotion and support programmes
Conceptual framework of equity-focused implementation research for health programs (EquIR)
A great way to bring up health behaviour topics at playgroup
Translating an early childhood obesity prevention program for local community implementation
The Infant Feeding Activity and Nutrition Trial (Infant) an early intervention to prevent childhood obesity
The process of culturally adapting the Healthy Beginnings early obesity prevention program for Arabic and Chinese mothers in Australia
Implementation Matters
Improving Access to Early Childhood Developmental Surveillance for Children from Culturally and Linguistically Diverse (Cald) Background”
One size fits all? What counts as quality practice in (reflexive) thematic analysis
Theorising Interventions as Events in Systems
Building the Evidence Base to Inform Planned Intervention Adaptations by Practitioners Serving Health Disparity Populations
Using thematic analysis in psychology
| Velocidad de citación | historical |
|---|---|
| Altamente citado | No |