There are four areas of program design that need to receive attention: (1) targeting, eligibility criteria, and beneficiary profiling; (2) identifying and selecting business activities; (3) defining core interventions; and (4) choosing delivery options for various program components.
Efforts are needed to expand coverage of core interventions and to overcome moral opposition that has hampered the implementation of some interventions in regions that bear a disproportionate burden of HIV infections among drug-using populations.
The content of CRA and CRAFT were believed to be appropriate for Aboriginal Australians; however core intervention procedures and methods for their delivery required tailoring.
The PAs reported on delivery of core intervention content and the time spent on each risk factor at each intervention session in order to assess treatment fidelity and adherence to intervention protocols, as well as facilitate the interpretation of findings associated with treatment intensity and dosage in relation to treatment outcome.
The Kabeho Mwana project was one of several actors supporting the MOH initiative to scale up iCCM from 2006 to 2011, and the core intervention of training and equipping CHWs to implement iCCM was not unique to the project.
Nonetheless, we wish to emphasize the importance of the core intervention elements (nutrition and physical activity offerings as well as behavioral change campaigns) in building the foundation for such changes.
In 1990, the core intervention components physical examination, questionnaire and health dialogue (box 1)—were identified and implemented in all 40 PHC centres in the county.
A verbally administered questionnaire survey assessed exposure to intervention activities, recall of intervention components and messages, and perceptions of handwashing in relation to core intervention messages (reasons for HWWS and perceived norms for HWWS).
Effective implementation is achieved if core implementation components and core intervention components can be identified.
At the facility level, the core intervention elements included the orientation and training on respectful maternity care for providers and managers.
