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

Accepted version
Peer-reviewed

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Type

Article

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Authors

Draper, Catherine E  ORCID logo  https://orcid.org/0000-0002-2885-437X
Silubonde, Takana M 
van Sluijs, Esther MF  ORCID logo  https://orcid.org/0000-0001-9141-9082

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.

Description

Keywords

implementation, low- and middle-income country, movement behaviour guidelines, Black People, Child, Child, Preschool, Female, Focus Groups, Humans, Movement, Parturition, Pregnancy, South Africa

Journal Title

Int J Environ Res Public Health

Conference Name

Journal ISSN

1661-7827
1660-4601

Volume Title

18

Publisher

MDPI AG

Rights

All rights reserved
Sponsorship
Wellcome Trust (087636/Z/08/Z)
Economic and Social Research Council (ES/G007462/1)
Medical Research Council (MR/K023187/1)
MRC (MC_UU_00006/5)
Medical Research Council (MC_UU_12015/7)
This study was funded by the Cambridge-Africa ALBORADA Research Fund, with supplemen-tary funding from the International Society of Behavioral Nutrition and Physical Activity. The work of EMF van Sluijs was supported by the Medical Research Council [Unit Programme number MC_UU_00006/5] and undertaken under the auspices of the Centre for Diet and Activity Research (CEDAR), a UKCRC Public Health Research Centre of Excellence. Funding from the British Heart Foundation, Cancer Research UK, Economic and Social Research Council, Medical Research Council, the National Institute for Health Research, and the Wellcome Trust, under the auspices of the UK Clinical Research Collaboration, is gratefully acknowledged [087636/Z/08/Z; ES/G007462/1; MR/K023187/1].