CONSTRUCCIÓN DEL HARDWARE Y DESARROLLO DEL SOFTWARE DEL SISTEMA
2.2 CONSTRUCCIÓN DEL HARDWARE DEL SISTEMA
2.2.5 ETAPA DE ACTIVACIÓN
CODE BOOK
Specific Aim 1: Interviews with adolescent girls and young women (14-24 years) Conceptualizations of Pregnancy
Codes: When you hear the work pregnancy, what comes to mind? Antenatal Care
Best time for pregnancy Burden
Can you afford the pregnancy? Carrying a child
Child will take care of you in the future Conception Cultural expectation Dangers of pregnancy Decision makers o Family o Husband
o Husband and Wife
o I don’t know
o Nurses
o Parents
o Those with knowledge
o Wife - Mother of baby Delivery
Difficult Early or rushed Expecting a child
Family acceptance of the pregnancy Family grows
Fear HIV
How you became pregnant - circumstances
I don't know or I don't know much about pregnancy Importance of pregnancy
Labor pains Married Maturity Miscarriage Mixed feelings Motherhood
Negative things about pregnancy No negative complications Painful
Positive things about pregnancy Pregnant at a young age
Preparing to have a child Process of giving birth Responsibility
The joys of becoming a mother Treated like a queen
Unwanted or unplanned pregnancies Who is responsible for the pregnancy? You will have a child
Conceptualizations of Planning for Pregnancy
Codes: When you hear the phrase “planning for pregnancy” what comes to mind? A process
Are you healthy enough for pregnancy? Can plan for pregnancy
Can plan for second pregnancy not first Cannot plan for pregnancy
Children
Contraception - family planning Difficult to plan
Discussing with partner - an agreement Get information
Getting tested for HIV I don’t know
I will learn
Mixed view - can and cannot plan Nothing
Number of children Plan after first pregnancy
Planning for what will happen during pregnancy Planning is good
Preparing to support the child financially
Responsibility Spacing pregnancies
Too young to plan for pregnancy Unplanned pregnancy
Specific Aim 2: Interviews with key community stakeholders Common and Shared Beliefs about Pregnancy
African medicine for delivery Cultural expectation in marriage
Discuss with husband before pregnancy
Don’t go to the clinic immediately after water breaking Don’t provoke people or be angry during pregnancy Don’t tell people about pregnancy
Evil spirits and caesarian sections
Fulfillment of marriage and woman’s role Get tested for HIV
Go seek counsel from Apostolic Church Importance of registering pregnancy
Pregnancy is a cultural expectation in marriage Pregnancy is good
Pregnant woman treated with care
Right age and social status for pregnancy Should be married
Twins a bad omen
Programs and policies related to improving adolescent girls and young women’s health Adolescent Corner or Adolescent Friendly
Church Programs Clinic Programs
Community health services Emancipation program
Fund to pay for health services at clinic Guidance and Counseling
Health Center Committee HIV education
HIV peer group financing Immunization Programs Medical Fund
Negatives or challenges
Nutrition Programs Positives
Pregnancy Programs
Prevention of Early Marriage and Pregnancy School Programs
Support groups Training programs Zichiri
Specific Aim 3 – Focus groups with adolescent girls, young women, healthcare workers and partners
Ensuring effectiveness of pre-pregnancy efforts
o Certificates of completion
o Community support
o Evaluate effectiveness
o Involve men or partners
o Involve parents
o Peer education from those who have been taught
o Separate age groups
o Tangible resources in addition to education
o Training of educators
o Transport
Facilitators of pre-pregnancy efforts
o Knowledgeable elder females
o Knowledgeable female no age requirement
o Nurses female
o Peer
Health Behavior Targets for Pre-pregnancy Efforts
o Drug abuse
o Eating nutritious food
o Health visits not only when sick
o Hygiene
o Physical Verbal and Sexual abuse
o Prevention early sex and early marriage
o Risky sexual behavior
o Smoking and drinking
o Talent nurturing programs
o Testing for HIV
Health Targets for Pre-pregnancy Efforts
o HIV
o Life lessons
o Nutrition
o Pregnancy
o Transition changes from childhood to adolescence to adulthood Length of pre-pregnancy efforts
o 1 hour
o 2 hours
Location of programs Memorable quotes
Methods for delivering pre-pregnancy efforts Methods of education
No condoms - Contraception contention
Recruitment Strategies for Pre-pregnancy efforts
o Audio Tracks
o Awareness campaigns
o Clinics
o Government involvement
o Health worker recruitment
o Incentives
o Pamphlets
o Posters
o Stickers on combis
Things that may prevent effectiveness of pre-pregnancy efforts Timing of pre-pregnancy efforts
o Every month
o Every school term
o Every two months
o Every week
o Ongoing
o Three times a week
o Weekends
Types of pre-pregnancy efforts
o Abuse Education
o Camps
o Church
o Clinic Nutrition Education Days
o Collaboration between HCWs and teachers for health programs
o Community Education Outreach
o Counseling
o Counseling education at church
o Education - School
o Edutainment
o Empowerment
o Government educational programs
o Group Discussions
o Guidance and Counseling
o Health promoter outreach
o Information
o Men or partner targeted programs
o Musical performances or Entertainers
o Parental involved or targeted programs
o Peer education
o Physical health structures
o Pregnancy information
o Radio programming
o Recreation programs
o Reduced health service fees
o Resident nurse educators in schools
o Road shows
o School Curriculum integration
o School Health Education Days
o Support groups
o Talent nurturing programs
o Talk Show
o Target community
o Targeting young girls
o Technology
o Training programs
o Video testimonials
o Workshops
o Write educational books
o Youth Friendly Corners in Clinics