Scaling up of parenting support to prevent violence against children in Tanzania: insights from policymakers and service providers.

Sabine van Tuyll van Serooskereken Rakotomalala, Kija Nyalali, Joyce Wamoyi, Onduru Gervas Onduru, Gerry Mshana, F Marijn Stok, Mara A Yerkes, John B F De Wit
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Abstract

Background: Evidence shows that parenting behaviours, including the use of violent discipline, can be changed through programmatic interventions. This study seeks to examine how policymakers and service providers in Tanzania perceive the provision of parenting support as a strategy to prevent violence against children and what the enabling and hindering factors are for the scale-up of existing evidence-based parenting supports. It does this by applying Daly's analytical framework for parenting support.

Methods: Qualitative research was undertaken, with interviews conducted with 20 key informants consisting of purposively sampled policymakers and service providers. The interview data were analysed using inductive and deductive coding and analysis.

Results: The most prominent enabling factors noted for the scale-up of parenting support interventions in Tanzania include the existing supportive political commitment, the interventions currently on offer at the programmatic level, and the perceived understanding of Tanzanian caregivers of the importance of parenting and, thereby, a willingness to change. Current factors hindering the scale-up include the lack of a common understanding of what evidence-based parenting programmes entail, inadequate provision of human and financial capital to implement the programmes using community resources and deeply engrained social norms around adultism and gender.

Conclusion: Daly's analytical framework allowed us to examine barriers and facilitators to scale-up the provision of parenting support to prevent violence against children, based on the viewpoints of policymakers and service providers. Understanding these barriers and facilitators will allow Tanzanian policymakers and service providers to further close the gap between the policies and the actual implementation of evidence-based parenting support programmes aimed at preventing violence against children.

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在坦桑尼亚扩大父母支持以防止暴力侵害儿童:来自政策制定者和服务提供者的见解。
背景:有证据表明,通过有计划的干预措施,可以改变包括使用暴力惩戒在内的养育行为。本研究旨在研究坦桑尼亚的政策制定者和服务提供者如何将提供育儿支持视为一种防止暴力侵害儿童的战略,以及扩大现有循证育儿支持的有利因素和阻碍因素是什么。它通过应用戴利的育儿支持分析框架来做到这一点。方法:进行定性研究,对20名关键线人进行访谈,其中包括有目的地抽样的政策制定者和服务提供者。对访谈资料进行归纳和演绎编码分析。结果:坦桑尼亚育儿支持干预措施扩大的最突出的促成因素包括现有的支持性政治承诺,目前在方案层面提供的干预措施,以及坦桑尼亚照顾者对育儿重要性的感知理解,从而愿意改变。目前阻碍扩大规模的因素包括:对循证育儿方案的内容缺乏共识;提供的人力和财政资本不足,无法利用社区资源实施这些方案;以及围绕成年和性别问题根深蒂固的社会规范。结论:戴利的分析框架使我们能够根据政策制定者和服务提供者的观点,检查障碍和促进因素,以扩大父母支持的提供,以防止暴力侵害儿童。了解这些障碍和促进因素将使坦桑尼亚的决策者和服务提供者能够进一步缩小政策与旨在防止暴力侵害儿童的循证育儿支助方案的实际执行之间的差距。
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CiteScore
4.20
自引率
0.00%
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审稿时长
24 weeks
期刊最新文献
Factors influencing evidence-based cardiovascular disease prevention programming in rural African American communities: a community-engaged concept mapping study. Designing an intervention to improve cognitive evaluations in primary care. Use of implementation logic models in the Quadruple Aim QUERI: conceptualization and evolution. Scaling up of parenting support to prevent violence against children in Tanzania: insights from policymakers and service providers. Understanding barriers and facilitators to implementation of a patient safety bundle for pregnancy-related severe hypertension in 3 North Carolina outpatient clinics: a qualitative study.
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