Odette Wegwarth
[Cancer screening and risk communication]
Therapeutische Umschau. Revue therapeutique
persistent increase clients dissatisfaction providers competencies maternal child healthcare mch existing interventions failed address complexity providerclient relationships therefore targeted contextualized innovative solutions place providers clients forefront agents change optimizing intervention design implementation needed study team adopted codesign strategy part human centered design hcd approach mch nurses clients stakeholders partnered design intervention package improve providerclient relationships rural tanzania paper explored nurses clients mch stakeholders perspectives following participation codesign stage hcd study generate interventions strengthen nurseclient relationships shinyanga region qualitative descriptive design used thirty semistructured key informant interviews conducted swahili language purposefully selected nurses clients mch stakeholders inclusion criterion participation consultative workshops codesign intervention package strengthen nurseclient relationships data transcribed translated simultaneously managed using nvivo analyzed thematically three main themes developed analysis encompassing key learnings engagement codesign process potential benefits codesigning interventions codesigning tool behavior change personal commitment key learnings participation codesign process included acknowledgment nurses clients contributed tensions within relationships additionally recognized benefits good nurseclient relationship extend beyond nurses clients health sector furthermore learned improving nurseclient relationships requires interventions targeting nurses clients health sector codesigning considered beneficial offers promising strategy designing effective impactful solutions addressing many challenges facing health sector beyond interpersonal relationships codesigning regarded innovative simple friendly bringing together parties endusers impacted problem generate feasible acceptable interventions contribute enhanced satisfaction furthermore codesigning described facilitating colearning new skills knowledge among participants additionally codesigning regarded tool behavior change personal commitment influencing changes participants behaviors cementing commitment change practices even implementation generated solutions endusers perspectives engagement codesign process suggest provides novel entry point strengthening providerclient relationships addressing health sector challenges researchers interventionists consider embracing codesign hcd approach general address health service delivery challenges