Evaluation of the Dissemination of the South African 24-Hour Movement Guidelines for Birth to 5 Years

Catherine E. Draper, Takana M. Silubonde, Gudani Mukoma and Esther M. F. van Sluijs
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Catherine E. Draper: SA MRC Developmental Pathways for Health Research Unit, School of Clinical Medicine, University of the Witwatersrand, 2050 Johannesburg, South Africa
Takana M. Silubonde: SA MRC Developmental Pathways for Health Research Unit, School of Clinical Medicine, University of the Witwatersrand, 2050 Johannesburg, South Africa
Gudani Mukoma: SA MRC Developmental Pathways for Health Research Unit, School of Clinical Medicine, University of the Witwatersrand, 2050 Johannesburg, South Africa
Esther M. F. van Sluijs: SA MRC Developmental Pathways for Health Research Unit, School of Clinical Medicine, University of the Witwatersrand, 2050 Johannesburg, South Africa

IJERPH, 2021, vol. 18, issue 6, 1-21

Abstract: South Africa (SA) launched their 24-h movement guidelines for birth to five years in December 2018. The guideline dissemination plan adopted a “train-the-trainer” strategy through dissemination workshops with community-based organisations (CBOs) working in early childhood development. The aim of this paper is to: (1) document this dissemination process; and (2) report on the feasibility of implementing the dissemination workshops, the acceptability of the workshops (and guidelines) for different end-user groups, and the extent to which CBO representatives disseminated the guidelines to end-users. Fifteen workshops were held in seven of SA’s nine provinces with a total of 323 attendees. Quantitative and qualitative findings ( n = 281) indicate that these workshops were feasible for community-based dissemination of the guidelines and that this method of dissemination was acceptable to CBOs and end-users. Findings from follow-up focus groups (6 groups, n = 28 participants) indicate that the guidelines were shared with end-users of CBOs who participated in the focus groups. An additional musical storytelling resource, the “Woza, Mntwana” song, was well-received by participants; sharing via WhatsApp was believed to be the most effective way to disseminate this song. These findings confirm the feasibility and acceptability of culturally appropriate and context-specific community-based dissemination of behavioural guidelines in low-income settings.

Keywords: movement behaviour guidelines; implementation; low- and middle-income country (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
References: View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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