Pilot implementation of Bukhali : A preconception health trial in South Africa

SAGE Open Medicine
C E DraperS A Norris

Abstract

This article describes the learnings from the pilot phase of the Healthy Life Trajectories Initiative, a preconception health trial for 18- to 25-year-old women in Soweto, South Africa. The study compares two arms focussed on either physical and mental health (intervention; delivered by community health workers - 'Health Helpers') or standard of care plus (control; standard access to healthcare plus additional telephonic input on 'life skills'; delivered by call centre assistants). These are collectively referred to as Bukhali. Data on the pilot implementation of the Bukhali trial (n = 1655) were collected from (1) weekly team meetings, (2) two focus groups (one with the intervention team Health Helpers, n = 7; one with intervention participants, n = 8) and one paired interview with control call centre assistants (n = 2), (3) notes from eight debrief sessions with Health Helpers and (4) quantitative trial monitoring data. Qualitative data were thematically analysed. The findings clustered within three themes: (1) challenges for young women in Soweto, (2) priorities for young women in Soweto and (3) implementation challenges and perceptions of the intervention. Challenges were mostly related to tough socioeconomic circumstances ...Continue Reading

References

Jun 11, 2011·Current Opinion in Clinical Nutrition and Metabolic Care·Guglielmo Beccuti, Silvana Pannain
Jul 26, 2012·Annals of the New York Academy of Sciences·Eliane A LucassenGiovanni Cizza
Sep 20, 2012·Public Health Nutrition·Christina BlackJanis Baird
Oct 2, 2013·South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde·Jane Battersby, Milla McLachlan
Mar 21, 2015·BMJ : British Medical Journal·Graham F MooreJanis Baird
Sep 8, 2017·Journal of Developmental Origins of Health and Disease·S RedingerT Rochat
Mar 24, 2018·Southern African Journal of HIV Medicine·Cari L MillerJanan Dietrich
Nov 30, 2019·Maternal & Child Nutrition·Stephanie V WrottesleyShane A Norris

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