Introduction: Collaborating with end-users to develop interventions tailored to fit unique circumstances is proposed as a way to improve relevance and effectiveness of an intervention. This study used a local needs driven approach to develop a health literacy intervention for caregivers in Ghana concerning management of malaria in children under five years.
Method: A three-phase framework including: 1) needs assessment based on data from questionnaires, focus groups, individual interviews and observations, 2) Co-creation of a borad game and brochures for health education at Child Welfare Clinics to address needs in health literacy concerning malaria and 3)Development of a prototype of the game, brochures as well as determining user feasibility.
Findings: The needs assessment resulted in a useful intervention to bridge the gaps in health literacy among caregivers. Co-creation of the materials and prototyping yielded a varying sense of ownership among stakeholders. End-users’ engagement and participation in developing the intervention resulted in a high interest and adherence to interventions. However, high attrition rates of health workers and caregivers’ inconsistent use of the Child Welfare Clinics challenged sustainability of this intervention.
Conclusion: The interactive nature of this approach to health delivery interventions resulted in a better caregiver-health provider relationship and a sense of recognition of a more participatory approach to health delivery. A stronger buy-in at the top-level of health management and scaling it out into communities would improve sustainability and reach a larger audience.

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This is a list of supplementary files associated with this preprint. Click to download.
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Posted 10 Dec, 2020
On 18 Apr, 2021
Received 17 Apr, 2021
On 04 Apr, 2021
Received 25 Feb, 2021
Received 16 Feb, 2021
On 09 Feb, 2021
On 09 Feb, 2021
On 07 Feb, 2021
Invitations sent on 03 Dec, 2020
On 02 Dec, 2020
On 02 Dec, 2020
On 02 Dec, 2020
On 02 Dec, 2020
Posted 10 Dec, 2020
On 18 Apr, 2021
Received 17 Apr, 2021
On 04 Apr, 2021
Received 25 Feb, 2021
Received 16 Feb, 2021
On 09 Feb, 2021
On 09 Feb, 2021
On 07 Feb, 2021
Invitations sent on 03 Dec, 2020
On 02 Dec, 2020
On 02 Dec, 2020
On 02 Dec, 2020
On 02 Dec, 2020
Introduction: Collaborating with end-users to develop interventions tailored to fit unique circumstances is proposed as a way to improve relevance and effectiveness of an intervention. This study used a local needs driven approach to develop a health literacy intervention for caregivers in Ghana concerning management of malaria in children under five years.
Method: A three-phase framework including: 1) needs assessment based on data from questionnaires, focus groups, individual interviews and observations, 2) Co-creation of a borad game and brochures for health education at Child Welfare Clinics to address needs in health literacy concerning malaria and 3)Development of a prototype of the game, brochures as well as determining user feasibility.
Findings: The needs assessment resulted in a useful intervention to bridge the gaps in health literacy among caregivers. Co-creation of the materials and prototyping yielded a varying sense of ownership among stakeholders. End-users’ engagement and participation in developing the intervention resulted in a high interest and adherence to interventions. However, high attrition rates of health workers and caregivers’ inconsistent use of the Child Welfare Clinics challenged sustainability of this intervention.
Conclusion: The interactive nature of this approach to health delivery interventions resulted in a better caregiver-health provider relationship and a sense of recognition of a more participatory approach to health delivery. A stronger buy-in at the top-level of health management and scaling it out into communities would improve sustainability and reach a larger audience.

Figure 1

Figure 1

Figure 2

Figure 2
This is a list of supplementary files associated with this preprint. Click to download.
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