Obinna Onwujekwe, Chinyere Mbachu, Joseph Okeibunor, Godwin Uchenna Ezema, Nonso Ejiofor, Fiona Braka, Adama Thiam, Etien Luc Koua, Dick Chamla, Abdou Salam Gueye
What are the research priorities for strengthening public health emergency preparedness and response in Africa?
Health research policy and systems
little evidence optimizing effectiveness implementation evidencebased early childhood development ecd interventions taskshifted frontline workers methods forum paper describe adaptation international guide monitoring child development gmcd taskshifting frontline workers guatemala india 20212022 implementers trainers frontline workers caregivers international gmcd experts collaborated adapt gmcd task shifted implementation frontline workers used eightstep cocreating process assembling multidisciplinary team training existing package working groups begin modifications revision draft modifications tailoring visual materials language trainthetrainers activities pilot frontline worker trainings final review feedback preliminary effectiveness adaptations evaluated narrative notes groupbased qualitative feedback following pilot trainings 16 frontline workers india 6 guatemala final adaptations included refining training techniques match skill levels learning styles frontline workers tailoring visual materials local languages contexts design job aids providing developmental support messages modification referral triage processes children need enhanced support speciality referral creation posttraining support procedures feedback pilot trainings included 1 group consensus training improved ecd skills knowledge across multiple domains 2 feedback ongoing needed adjustments pacing use videobased vs roleplaying materials time allocated small group work use framework reporting adaptations modifications evidencebased implementation strategies frameis framework document adaptations cocreating approach use well systematic documentation adaptation decisions use communitybased early childhood interventions implementation strategies