Process evaluation of student health promotion programmes in rural Sabah
The Faculty of Medicine & health sciences, UMS has implemented a co-curricular programme which is aimed to be improving rural health and reducing inequalities of health in Sabah. Groups of medical students are formed and distributed in various areas of rural remote areas in Sabah. Based on the...
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| Main Authors: | , , , , , |
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| Format: | Conference or Workshop Item |
| Language: | en |
| Published: |
2019
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| Subjects: | |
| Online Access: | https://eprints.ums.edu.my/id/eprint/24704/1/Process%20Evaluation%20of%20Student%20Health%20Promotion%20Programmes%20in%20Rural%20Sabah.pdf https://eprints.ums.edu.my/id/eprint/24704/ |
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| Summary: | The Faculty of Medicine & health sciences, UMS has implemented a co-curricular programme which
is aimed to be improving rural health and reducing inequalities of health in Sabah. Groups of medical students are
formed and distributed in various areas of rural remote areas in Sabah. Based on the observation and interview findings,
each student group conducted health promotion activities with the limited resources. Various health problems
were explored in different areas and different ethnic groups of Sabah and students conducted their health promotion
activities .There are some questions “Are they effective, how it works in implementation?” Poor implementation can
lead to errors in outcome of the programmes. In this paper we focus on process evaluation for measuring the degree
to which Health promotion programmes were implemented as designed by using determinant framework (active
implementation framework) and process evaluation tools in yearly health promotion programmes from 2009-2018.
Methods: The study measures the implementation of programmes with active implementation framework (Exploration,
Installation, Initial implementation, Full implementation) and process evaluation tools such as validation of
implementation integrity using specification of intervention areas, making guidelines and manual for intervention
protocol, competency of students and supervisors and fidelity monitoring. We used 7 components of process evaluation
particularly in context( Environmental influences), reach (Target participation), dose delivered (Lectures),
dose received (learned by students with assessment methods), fidelity (Adherence to intervention delivery protocol),
implementation (rating of execution and receipt of intervention) and recruitment (participant engagement). Results:
It was found that fidelity, implementation strategies and some lessons learned after outreach programmes are importantly
influence in implementing the programmes. Conclusion: The study shows process evaluation strategies is ideal
tool for conducting the rural outreach health promotion programme to reduce the errors and obstacles in implementing
the programmes to maintain the better quality of the projects. |
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