1. Objectifs

Intentions :
Dans cette thèse par articles portant sur l’impact de la santé mentale des mères ougandaises sur leur enfant, le but de la première étude était d’évaluer «un programme de 12 sessions sur une intervention communautaire pour les parents d’enfants de moins de 3 ans.» (p. 8) La seconde étude «s’intéressait au processus d’exécution du programme tel que vu par les agents le prodiguant, leurs superviseurs et les bénéficiaires du programme.» (p. 8)

2. Méthode

Échantillon/Matériau :
«[In study 1], a total of 291 mother-child dyads were assessed at baseline across twelve clusters and 291 (160 intervention and 131 control) completed the parenting program and endline assessments.» (p. 31) Study 2 is based on the participation of «[12] peer delivery agents, [31] intervention mothers and [4] supervisors.» (p. 65)

Instruments :
Guide d’entretien semi-directif

Type de traitement des données :
Analyse de contenu

3. Résumé

«At endline [of study 1], children of intervention parents had significantly higher cognitive and receptive language scores and their mothers reported significantly fewer depressive symptoms compared to controls. The intervention mothers also significantly improved four parenting practices, namely preventive health practices, dietary diversity, psychosocial stimulation scores, and mother’s knowledge of infant milestones, as well as perceived positive support from spouses. HOME [Home Observation for Measurement of the Environment] partly mediated the effects of the parenting intervention on development while positive support, active coping and HOME partly mediated maternal depressive symptoms. The 12-session integrated mother-child care intervention simultaneously improved child development and prevented the worsening of maternal depressive symptoms in rural Uganda using nonprofessional community members.» (p. 31-32) «Primary findings [of study 2] demonstrated benefits of combining love and respect with child-focused messages; role playing different perspectives (e.g., delivery agent and recipient) during training; structured supervision by monitoring the implementation of essential components of the manual; and delivering group and individual sessions with the help of role plays, practice, and problem solving. Barriers were reported for some messages, in initially managing a large group, and male attendance. Observations of group sessions and home visits, along with reports of program recipient, corroborated and added to these findings. These findings shed light on how well the program was implemented and what improvements could be made before scale up.» (p. 87)