Evaluation of the dissemination of the South African 24-Hour movement guidelines for birth to 5 Years

Draper, C.E.Silubonde, T.M.Mukoma, G.van Sluijs, E.M.F.2024-03-272024-03-272021-03-17Draper CE, Silubonde TM, Mukoma G, van Sluijs EMF. Evaluation of the Dissemination of the South African 24-Hour Movement Guidelines for Birth to 5 Years. Int J Environ Res Public Health. 2021 Mar 17;18(6):3071. doi: 10.3390/ijerph18063071.10.3390/ijerph18063071https://pubmed.ncbi.nlm.nih.gov/33802649/https://doi.org/10.3390/ijerph18063071https://hdl.handle.net/11288/595743South Africa (SA) launched their 24-h movement guidelines for birth to five years in December 2018. The guideline dissemination plan adopted a "train-the-trainer" strategy through dissemination workshops with community-based organisations (CBOs) working in early childhood development. The aim of this paper is to: (1) document this dissemination process; and (2) report on the feasibility of implementing the dissemination workshops, the acceptability of the workshops (and guidelines) for different end-user groups, and the extent to which CBO representatives disseminated the guidelines to end-users. Fifteen workshops were held in seven of SA's nine provinces with a total of 323 attendees. Quantitative and qualitative findings (n = 281) indicate that these workshops were feasible for community-based dissemination of the guidelines and that this method of dissemination was acceptable to CBOs and end-users. Findings from follow-up focus groups (6 groups, n = 28 participants) indicate that the guidelines were shared with end-users of CBOs who participated in the focus groups. An additional musical storytelling resource, the "Woza, Mntwana" song, was well-received by participants; sharing via WhatsApp was believed to be the most effective way to disseminate this song. These findings confirm the feasibility and acceptability of culturally appropriate and context-specific community-based dissemination of behavioural guidelines in low-income settings.enAttribution 3.0 United Stateshttp://creativecommons.org/licenses/by/3.0/us/ImplementationLow- and middle-income countryMovement behaviour guidelinesGuidelines for birth to 5 yearsSDG-03 Good health and well-beingEvaluation of the dissemination of the South African 24-Hour movement guidelines for birth to 5 YearsArticleInternational Journal of Enviromental Research and Public Health