The role of research in developing job aids for pneumonia treatment in Niger.
OBJECTIVE
To use qualitative research to develop a complementary set of job aids to improve adherence to cotrimoxazole for childhood pneumonia and to improve provider-client counseling.


METHODS
Qualitative research on existing knowledge and practices of parents and providers using key informant interviews, focus groups, clinic observation, and home visits. A workshop of local stakeholders produced messages and job aids for health care workers and parents that included counseling cards and posters for providers, and medication envelopes with educational messages for mothers. Draft mock-ups were tested, modified, and re-tested before final production and distribution.


METHODS
Boboye District, Niger.


METHODS
Clinic health care workers, mothers of children with pneumonia, and key informants.


RESULTS
A complementary set of counseling tools, or job aids, was designed based on consensus developed during the workshop, leading to greater buy-in and local support.


CONCLUSIONS
Behavior change communication theory and qualitative research can be applied to the design of key messages on adherence to an antibiotic regimen and corresponding job aids for both parents and health care workers. This approach generates enthusiastic support from local participants.
Edson
Wendy Newcomer
WN
The Quality Assurance Project, University Research Co., LLC., Bethesda, MD 20814 , USA. wedson@urc-chs.com
Koniz-Booher
Peggy
P
Boucar
Maina
M
Djbrina
Sabou
S
Mahamane
Ibrahima
I
D000890:Anti-Infective Agents / Q000008:administration & dosage*; D003376:Counseling / Q000379:methods; D004348:Drug Labeling; D004352:Drug Resistance, Microbial; D017144:Focus Groups; D019983:Guideline Adherence; D006282:Health Personnel / Q000193:education*; D006302:Health Services Research; D006801:Humans; D007407:Interviews as Topic; D009548:Niger; D010349:Patient Compliance; D010353:Patient Education as Topic; D011014:Pneumonia / Q000188:drug therapy* / Q000517:prevention & control; D036301:Qualitative Research; D013664:Teaching Materials; D015662:Trimethoprim, Sulfamethoxazole Drug Combination / Q000008:administration & dosage*
D000890:Anti-Infective Agents; D015662:Trimethoprim, Sulfamethoxazole Drug Combination