Draper Catherine E, Silubonde Takana M, Mukoma Gudani, van Sluijs Esther M F
SA MRC Developmental Pathways for Health Research Unit, School of Clinical Medicine, University of the Witwatersrand, 2050 Johannesburg, South Africa.
Health through Physical Activity, Lifestyle and Sport Research Centre & Division of Exercise Science and Sports Medicine, Department of Human Biology, Faculty of Health Sciences, University of Cape Town, 7700 Cape Town, South Africa.
Int J Environ Res Public Health. 2021 Mar 17;18(6):3071. doi: 10.3390/ijerph18063071.
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 ( = 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, = 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.
南非于2018年12月发布了针对0至5岁儿童的24小时活动指南。该指南传播计划通过与从事幼儿发展工作的社区组织（CBO）举办传播研讨会，采用了“培训培训师”策略。本文的目的是：（1）记录这一传播过程；（2）报告举办传播研讨会的可行性、不同终端用户群体对研讨会（及指南）的接受程度，以及CBO代表向终端用户传播指南的程度。在南非九个省中的七个省举办了15场研讨会，共有323人参加。定量和定性研究结果（n = 281）表明，这些研讨会对于基于社区传播指南是可行的，并且这种传播方式为CBO和终端用户所接受。后续焦点小组（6个小组，n = 28名参与者）的结果表明，指南已与参加焦点小组的CBO终端用户分享。另一种音乐故事讲述资源《沃扎，姆特瓦纳》歌曲受到了参与者的好评；通过WhatsApp分享被认为是传播这首歌的最有效方式。这些结果证实了在低收入环境中基于社区、文化适宜且因地制宜地传播行为指南的可行性和可接受性。
