Pushing the limits of adaptiveness through double loop learning: organisational dilemmas in delivering Sexual Reproductive Health Rights education in Uganda

Blaak, Marit

doi:10.1080/09650792.2021.1899013

Cited by 4 publications

(2 citation statements)

References 15 publications

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“…While traditional interventions often focus on SRH service provisions through healthrelated institutions, prior research, including studies by Part et al (2016) and Moise et al, (2017), recognizes the advantages of freely available, age-appropriate educational materials. In the Global South and within the Ugandan context, interventions have been implemented, primarily prioritizing education as an empowerment tool (e.g., Stambach, 2000;Wamoyi et al, 2015;Pincock, 2018;Perehudoff et al, 2022;Blaak, 2023). The emphasis has been placed on girls, with anticipated benefits including heightened awareness, the ability to make informed decisions about SRHR, and seeking relevant services.…”

Section: Introductionmentioning

confidence: 99%

“…Rather than dwelling on the various interventions attempted in Uganda and elsewhere (e.g., Renzaho et al, 2022;Blaak, 2023), it is evident that the need for innovative solutions to address the complexity and nuances of adolescent sexual and reproductive health and rights (SRHRs) remains a priority. This is particularly true following the recent COVID-19 pandemic, which exposed weaknesses in existing systems and exacerbated adolescents' vulnerabilities due to the unavailability of SRH services and service providers, orchestrated by the prioritization of COVID-19 prevention (e.g., Mambo et al, 2022).…”

Section: Introductionmentioning

confidence: 99%

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Applying ADDIE Model to Develop Multimedia Lessons for Adolescent Reproductive Health Education in Uganda

Bada,

Atcero,

Dopia

et al. 2024

udslj

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This study aimed to develop and evaluate a multimedia application intervention for adolescent sexual reproductive health education in secondary schools in Uganda. The lack of access to quality reproductive health education and services, exacerbated by the recent COVID-19 pandemic, contributes to unplanned pregnancies, health complications, and sexual and gender-based violence (SGBV) among adolescents in Uganda. Researchers and teachers collaborated to create multimedia lessons covering topics such as sexual reproductive health and rights (SRHR) and SGBV for adolescents in participating schools. The educational content and format were co-designed to better incorporate the local context and address priority issues by involving end users of the software (adolescents and their teachers) as content contributors during the development phase. The innovative multimedia application was developed using the Analysis, Design, Development, Implementation, and Evaluation (ADDIE) model. A student manual was also created as a teaching tool, providing educators with lesson introductions and guiding questions for post-lesson group discussions. The manual includes a simplified print version of the educational content, ensuring that students and teachers in schools without ICT resources can benefit from the intervention. Questionnaires were developed and administered to 14 Results indicate that all 14 trained teachers demonstrated improved knowledge about the use of multimedia applications to deliver adolescent-friendly sexual reproductive health (SRH) education. Additionally, all 14 teachers self-reported that the multimedia application is a feasible and acceptable method to deliver adolescent-friendly SRH education.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Applying ADDIE Model to Develop Multimedia Lessons for Adolescent Reproductive Health Education in Uganda

Bada,

Atcero,

Dopia

et al. 2024

udslj

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What research evidence can support the decolonisation of global health? Making space for deeper scholarship in global health journals

Ramani¹,

Whyle²,

Kagwanja³

2023

The Lancet Global Health

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A learning health systems approach to scaling up an evidence-based intervention for integrated primary mental healthcare case finding and referral in South Africa

Janse van Rensburg,

Hongo,

Mthethwa

et al. 2024

BMJ Glob Health

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Despite progress in the development and evaluation of evidence-based primary mental health interventions in low-income and middle-income countries, implementation and scale-up efforts have had mixed results. Considerable gaps remain in the effective translation of research knowledge into routine health system practices, largely due to real-world contextual constraints on implementation and scale-up efforts. The Southern African Research Consortium for Mental Health Integration (S-MhINT) programme used implementation research to strengthen the implementation of an evidence-based integrated collaborative depression care model for primary healthcare (PHC) services in South Africa. To facilitate the scale-up of this model from a testing site to the whole province of KwaZulu-Natal, a capacity building programme was embedded within the Alliance for Health Policy and Systems Research (AHPSR) learning health systems (LHS) approach. The paper discusses efforts to scale up and embed case finding and referral elements of the S-MhINT package within routine PHC. Data from semistructured interviews, a focus group discussion, proceedings from participatory workshops and outputs from the application of continuous quality improvement (CQI) cycles were thematically analysed using the AHPSR LHS framework. Learning particularly occurred through information sharing at routine participatory workshops, which also offered mutual deliberation following periods of applying CQI tools to emergent problems. Individual-level, single-loop learning seemed to be particularly observable elements of the AHPSR LHS framework. Ultimately, our experience suggests that successful scale-up requires strong and sustained relationships between researchers, policy-makers and implementers, investments into learning platforms and organisational participation across all levels to ensure ownership and acceptance of learning processes.

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Pushing the limits of adaptiveness through double loop learning: organisational dilemmas in delivering Sexual Reproductive Health Rights education in Uganda

Cited by 4 publications

References 15 publications

Applying ADDIE Model to Develop Multimedia Lessons for Adolescent Reproductive Health Education in Uganda

Applying ADDIE Model to Develop Multimedia Lessons for Adolescent Reproductive Health Education in Uganda

What research evidence can support the decolonisation of global health? Making space for deeper scholarship in global health journals

A learning health systems approach to scaling up an evidence-based intervention for integrated primary mental healthcare case finding and referral in South Africa

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