Child Health Programs Research Articles

DESCRIPTION OF WOMEN'S ORGANIZATIONAL MANAGEMENT IN THE PREVENTION OF MATERNAL AND CHILD DEATH

Backgrounds: The maternal mortality rate (MMR) and the infant and under-five mortality rate (IMR and AKABA) are indicators that show the welfare and health of the people in a country.
 Objective: This study aims to conduct a study related to the description of the management of women's organizations in preventing maternal and child deaths.
 Method: The method used is descriptive qualitative, with informants being women's organizations with maternal and child health programs.
 Result: Women's organizations play a role in reducing maternal and child mortality by conducting active counseling, active assistance, educating the community and carrying out activities that support maternal and child health.
 Conclusion: The involvement of women's organizations in the planning and implementation of programs to reduce maternal and child mortality needs continuous efforts and assistance so that the programs run effectively and there is an increase in the knowledge and understanding of mass organizations related to gender and women's health and maternal and child health.

Relationship Between Accessibility to Health Services with Exclusive Breastfeeding

Globally, the prevalence of exclusive breastfeeding is still less than 40%. Exclusive breastfeeding is the appropriate recommendation to build quality human resources. The infant mortality rate has not decreased according to the SDGs target. Neonatal death rate is 32/1000 live births. Difficulties in accessing health services can also be seen in Maternal and Child Health (MCH) program, where the MMR and IMR in several areas are still quite high. This study aims to determine the relationship between accessibility to health services related to exclusive breastfeeding. This study is a quantitative study with a cross-sectional analytic design. Primary data collection in the province of DKI Jakarta. Data collected and analyzed using SPSS 25 as univariate and bivariate analysis. The results showed that there was a relationship between the accessibility to health services with exclusive breastfeeding (p=0.040). Accessibility to health services is positively related to exclusive breastfeeding for infants. Ease of access to health services is the fulfillment of all items of access to health services that should be easily accessible to mothers. The item availability of health workers around the house (p=0.042) and health workers who examine mothers during childbirth (p=0.0001) had the greatest influence on access to health services so that it had a positive effect on exclusive breastfeeding. Ease of access to health services motivates and helps a mother to provide exclusive breastfeeding to her baby. We hope that access to health services and facilities can improve performance in providing easy access and the best services for mothers.

Interview With CSCI Joe Doupe Young Investigator Awardee, Dr. Amy Metcalfe.

Dr. Amy Metcalfe is an Associate Professor in the Departments of Obstetrics and Gynecology, Medicine, and Community Health Sciences at the University of Calgary. She is also the Maternal and Child Health Program Director with the Alberta Children's Hospital Research Institute. Dr. Metcalfe's training is a perinatal epidemiologist whose research broadly focuses on the management of chronic illness during pregnancy, and how events in pregnancy impact women's health and wellbeing throughout the life course. Current major projects include co-leading the P3 Cohort study (https://p3cohort.ca), a longitudinal pregnancy cohort study, and the GROWW (Guiding interdisciplinary Research On Women's and girls' health and Wellbeing) Training Program (https://www.growwprogram.com).

Pregnant Prisoners in Shackles

Pregnant Prisoners in Shackles

Reducing infant and child mortality: assessing the social inclusiveness of child health care policies and programmes in three states of India

BackgroundEven though the overall infant mortality rate and child mortality rate have considerably declined in India, the marginalised groups-Scheduled Caste, and Scheduled Tribe, continue to have higher mortality rates. This study looks at the changes in IMR and CMR amongst disadvantaged and advanced social groups at the national level and in three states of India.Data and methodsData from five rounds of National Family Health Survey spanning nearly three decades have been used to measure IMR and CMR according to the social groups for India and for selected states-Bihar, West Bengal, and Tamil Nadu. The relative hazard curves were drawn to understand which social group’s children face a higher risk of dying in the first year of birth and between first year and age four in those three states. Further, a log-rank test was applied to examine whether the differences between the survival curves or distributions of the three social groups are statistically significant. Finally, the binary logit regression model was applied to investigate the effect of ethnicity, and other socio-economic and demographic covariates on the risk of infant and child deaths (1–4 years) in the country and in selected states.ResultsHazard curve shows the probability of death within one year of birth was highest among the children belonging to the ST families, followed by SCs in India. And, the CMR was found to be higher amongst the STs compared to all other social groups as well at the national level. While Bihar had a remarkably high infant and child mortality rates, Tamil Nadu possessed the lowest child death rates irrespective of class, caste, and religion. The regression model revealed that most of the caste/tribe gaps in infant and child deaths might be attributed to the place of residence, mother’s level of education, economic status, and the number of children in a family. Notably, the multivariate analysis showed that ethnicity was an independent risk factor, when controlled for socioeconomic status.ConclusionThe study detects the persistence of significant caste/tribe differentials in infant and child mortality in India. Poverty, education and health care access issues could be the possible reasons for the premature deaths of the children from deprived castes and tribes. There is a need to critically analyse the current health programmes aimed at reducing IMR and CMR to make them attuned to the needs of the marginalised communities.

A Mixed-Method Evaluation of a Rural Elementary School Implementing the Coordinated Approach to Child Health (CATCH) Program.

Despite children living in rural US areas having 26% greater odds of being affected by obesity compared to those living in urban areas, the implementation of evidence-based programs in rural schools is rare. We collected quantitative data (weight and height) from 272 racially and ethnically diverse students at baseline, and qualitative data from students (4 focus groups), parents, and school staff (16 semi-structured interviews and 29 surveys) to evaluate program outcomes and perceptions. At the 2-year follow-up, paired data from 157 students, represented by racial/ethnic groups of 59% non-Hispanic White, 31% non-Hispanic Black, and 10% Hispanic, showed an overall mean change (SD) in BMI z-score of -0.04 (0.59), a decrease of -0.08 (0.69) in boys, and a significant -0.18 (0.33) decrease among Hispanic students. Boys had a mean decrease in obesity prevalence of 3 percentage points (from 17% to 14%), and Hispanic students had the largest mean decrease in BMI percentile. Qualitative data showed positive perceptions of the CATCH program and its implementation. This community-engaged research, with collaboration from an academic institution, a health department, a local wellness coalition, and a rural elementary school, demonstrated successful CATCH program implementation and showed promising outcomes in mean BMI changes.

A rapid review of implementation frameworks underpinning Aboriginal and Torres Strait Islander children’s health and social care programs

ObjectiveThis rapid review aimed to identify (1) key frameworks and components underpinning the effective implementation of Health and Social Care (HSC) programs for Aboriginal and Torres Strait Islander children; and (2) participatory and co-design frameworks guiding the implementation. MethodsFour databases were searched for peer-reviewed English-language articles published between 2015 and 2021. The focus was on HSC models, frameworks, projects or services with an implementation focus for Aboriginal and Torres Strait Islander children aged 0–12 years. ResultsSeven studies identifying components supporting effective implementation of Aboriginal and Torres Strait Islander HSC programs were included. Continuous Quality Improvement was the most widely applied approach. Most studies described participatory and co-design approaches to ensure suitability for Aboriginal and Torres Strait Islander children and families. ConclusionsThere remains a paucity of evidence on the effective implementation of Aboriginal and Torres Strait Islander children’s HSC programs. Implementation approaches that foster cultural safety and Aboriginal and Torres Strait Islander leadership, support diverse partnerships and promote localised application may facilitate the effective implementation of HSC programs. Implications for Public HealthFuture research in this area would benefit from greater consideration of appropriate implementation frameworks and co-design approaches, and emphasis on reporting interventions, implementation frameworks and co-design approaches for HSC programs for Aboriginal and Torres Strait Islander children.

CAKUPAN PELAYANAN KESEHATAN IBU DAN ANAK PADA MASA PANDEMIC COVID 19 DI PUSKESMAS MANDALA

Health services during a pandemic are a problem for the community and the health workers. Providing services during this period is very risky to public health, especially for pregnant women, babies, and toddlers. The lack of public knowledge about the spread and prevention of COVID-19 will affect the attitudes and behavior of the community (pregnant women, maternity, infants, and toddlers) to visit healthcare centers out of fear. The study aimed to determine the difference in the average coverage of the Mother and Child Health Program before and after the Covid 19 pandemic.
 The research design used a cross-sectional sample. This study sample resulted from the coverage of MCH health services (ANC, childbirth, and neonatal) from January to September 2020. This research was conducted at the Mandala Health Center. Data collection used secondary data from the PWS report register. The results obtained mean coverage of all variables (ANC of 1.492%, Linakes of 1.78%, and Neonates of 3.698%) experienced an increase after the spread of the Covid-19 pandemic when compared to the average before the spread of the Covid-19 pandemic. The highest mean coverage was neonatal services at 3.698%. At the same time, the results of the T-test showed that the p values obtained for all variables were (ANC P value of 0.243, Linakes P value of 0.082, and Neonates P value of 0.091) exceeding the alpha value used (0.05), thus in this T-Test, it was found that the average coverage before and after the spread of information about Covid-19 did not experience a significant difference. There was an increase in the average coverage and MCH (ANC, delivery by health workers and neonates) after the COVID-19 pandemic, and there was no significant impact from the COVID-19 pandemic on the coverage of the MCH program.

Women's perspectives on human milk banking in Ghana: results from a cross-sectional study.

Although political and academic interest exists in Ghana to include human milk banks (HMB) into current maternal and child health programs, efforts to establish a HMB have not yet been subjected to any real empirical inspection with the view toward implementation. Furthermore, views toward the establishment of a HMB in Ghana have not been assessed among Ghanaian women. The aims of the current study were to examine Ghanaian women's views about HMB, and to investigate women's willingness to donate to a HMB. Quantitative and qualitative responses were received from Ghanaian females (n = 1,270) aged 18+ years. Excluding outliers and missing data (n = 321), a final sample of 949 was retained for final analysis. Chi-square tests and logistic regression analysis were computed on quantitative data; Thematic analysis was performed on the qualitative responses. In our sample, 64.7% of respondents indicated that Ghana is ready for a HMB. The majority (77.2%) were willing to donate milk, and 69.4% believed that donating to the HMB would favor their child. The main concerns for the unwillingness to donate excess milk included: (i) the idea of HMBs as strange/bizarre (n = 47), (ii) fear of infections (n = 15), (iii) religious beliefs (n = 9), and (iv) insufficient information (n = 24). This study serves as the first step toward the development of a HMB in Ghana. Overall, Ghanaian women support the building of a HMB to enhance infant nutrition and reduce childhood morbidity and mortality.

Case Studies on State and District Level Stakeholders Perspective on Home Based Newborn Care Program in Uttar Pradesh, India

Case Studies on State and District Level Stakeholders Perspective on Home Based Newborn Care Program in Uttar Pradesh, India

Changes and Determinants of Maternal Health Services Utilization in Ethnic Minority Rural Areas in Central China, 1991-2015: An Ecological Systems Theory Perspective.

Universal maternal health coverage is a proven, effective strategy for maternal survival. This study aimed to describe the changes and determinants of maternal health service use between 1991 and 2015 in central China. The study was conducted in Enshi Prefecture. Women were eligible for inclusion if they were rural women who lived in villages, had live births during 1991-2015, could recall their maternal care histories, and had no communication problems. This retrospective study included 470 rural women in 9 villages and collected 770 records. The conceptual framework was designed based on the Society Ecosystem Theory. The determinants included micro-factors (individual characteristics), meso-factors (family factors, community factors, healthcare factors), and macro-factors (government-run maternal and child health programs, abbreviated as MCH programs). Multivariate logistic regressions were applied to analyze the determinants of maternal health service utilization. The utilization of maternal healthcare has improved in Enshi. The hospital birth rate was 98.1% in 2009 and mostly 100% in subsequent years. The prenatal examination rate, the postpartum visit rate, and the continuum of maternal health service (CMHS) rate increased to 73.3%, 67.7%, and 53.4%, respectively, in 2009-2015. The utilization of maternal health services was affected by macro-factors, meso-factors, and micro-factors, with macro-factors being the most notable contributors. Despite the remarkable improvements in antenatal care (ANC) use and hospital birth, gaps in postpartum visits remain. Promoting the integrated continuum of maternal and child healthcare in ethnic minority rural areas requires the joint efforts of the government, health and other sectors, communities, families, and individuals.

PERFORMANCE OF MATERNAL AND CHILD HEALTH PROGRAM MANAGERS AND FAMILY PLANNING IN THE PROCESS OF PLANNING A HEALTH BUDGET BASED ON SPM (MINIMUM SERVICE STANDARDS) IN THE HEALTH SECTOR AT THE SENGETI HEALTH CENTER

Minimum Service Standards (SPM) are contained in the Regulation of the Minister of Health of the Republic of Indonesia Number 4 of 2019 which regulates the type and quality of basic services required by regional affairs and are entitled to be obtained by everyone at least. The annual target of SPM requires inputs and processes as a performance plan for puskesmas activities within a certain time span. Data on program performance achievements at the Sengeti Health Center for the maternal and child health and family planning Program in 2021 and 2022 are still below target on average. Pemerintah daerah harus menyusun dan menghitung besaran anggaran untuk pemenuhan kewajiban tersebut agar melaksanakan tugas wajib sesuai dengan standar pelayanan minimal. The purpose of this study is to identify the planning and budgeting process of the Kia-Kb program related to the implementation of Minimum Service Standards (SPM) in the health sector at the Sengeti Health Center. This research uses qualitative research methods with a case study approach with 9 informants. Data was collected by conducting in-depth interviews and observations at the Sengeti Health Center from January to March. The results of this research in the aspect of input consisting of human resources, funds, and infrastructure facilities were obtained, namely in quantity and quality according to standards, but training held by the Health Office was only required for program holders. Facilities and infrastructure in the maternal and child health and family planning program are fairly incomplete. Obstacles in terms of funds are often late disbursement of funds. Aspects of the budget planning process have been carried out with 5 stages. Output aspects in the form of RUK and RPK preparation are carried out at the end of each year. The outcome aspect of the Kia-Kb Program has not reached the SPM target where the desired target is 100%.
 

Aligning theory with practice: Child health programmes in Malaysia, a Narrative Review.

The Malaysian healthcare system, particularly for maternal and child health, has been well recognised to provide high-quality services and be at par with systems in other developed countries. Current health programmes and technological advancements effectively detect vulnerable groups of children, such as small-for-gestational-age (SGA) infants, antenatally. However, the postnatal care for SGA infants is not clearly evaluated, as this group of children is mostly classified as healthy in many medical contexts, especially in primary care settings. Available health programmes and healthcare service delivery must be continuously evaluated by implementing beneficial and relevant evidence-based theories. Articles, reports and guidelines used in providing mother and child health services in Malaysia published since 2000 were reviewed. There was no specific monitoring strategy used for SGA infants without critical health issues in early childhood, as they were commonly treated as healthy infants. Several challenges in aligning theory with the current practice of healthcare service delivery and recommendations for dealing with such challenges were identified. The alignment of theory with the current practice of service delivery should be tailored to the needs and demands parallel to the dynamic change in populations in the urbanisation era.

Individual and community-level factors associated with caesarean section in Haiti: secondary analysis of data from the 2016–2017 Haitian Demographic and Health Survey

IntroductionFor several decades, the rate of caesarean section (CS) has been increasing in the world. In some countries, the CS rate is below the WHO recommended range (10–15%), while in other countries, it is significantly higher. The aim of this paper was to identify individual and community-level factors associated with CS in Haiti.MethodsSecondary data analysis was conducted on nationally representative cross-sectional survey data from the 2016–2017 Haitian Demographic and Health Survey (HDHS). The analysis was restricted to 6303 children born in 5 years prior the survey (of the interviewed women). The study population’ characteristics, and the prevalence of CS were analysed using descriptive analysis (univariate/bivariate). In addition, multilevel binary logistic regression analysis was performed to identify factors associated with CS. Both descriptive and multivariate analysis were conducted using STATA 16.0 software (Stata Corp, Tex, USA). Statistical significance was declared at p < 0.05.ResultsThe overall prevalence of CS delivery was estimated at 5.4% (95% CI 4.8–6.0) in Haiti. Results also revealed that mothers aged 35 and above (aOR = 1.38; 95% CI 1.00–1.96); who attended secondary (aOR = 1.95; 95% CI 1.39–2.76) and higher education level (aOR = 3.25; 95% CI 1.92–5.49); who were covered by health insurance (aOR = 2.57; 95% CI 1.57–4.19); with less than 3 children (aOR = 4.13; 95% CI 2.18–7.85) or 3–4 children (aOR = 2.07; 95% CI 1.09–3.94); who received 9 or more antenatal visits (aOR = 2.21; 95% CI 1.40–3.50) were significantly more likely to deliver by CS. Children in communities with high preponderance of private health facilities had greater odds to be delivered through CS (aOR = 1.90; 95% CI 1.25–2.85). Furthermore, children with an average birth weight (aOR = 0.66; 95% CI 0.48–0.91) were less likely to be delivered through CS than their counterparts with high birth weight.ConclusionsWhile the CS prevalence was low in Haiti, it masks significant geographic, social and economic disparities. To better develop and implement maternal and child health programs that address CS deliveries, the government authorities and NGOs operating in the field of women’s health in Haiti should take these disparities into account.

KNOWLEDGE AND INDEPENDENCE IN THE CARE OF COMMUNITY DENTAL AND ORAL HEALTH TO TEACHERS AND PARENTS OF ELEMENTARY SCHOOL STUDENTS

Dental and oral health in Indonesia is still a health problem that needs attention. Based on the Riskesdas 2018, it was reported that the prevalence of dental and oral problems in Indonesia is still very high. As many as 57.6 percent of Indonesians have dental and mouth problems. The most concerning thing is that as many as 93% of school-age children experience dental and mouth problems. This activity is intended as a comprehensive school program in Indonesia, which consists of a 21-day dental and oral health program for children at school. Implementation of the School Health Program uses an online system through the zoom application. The target participants are 5 parents and 5 teachers at SD Hangtuah 6 Surabaya. The location and time of implementation is Saturday, November 5 2022, 08.30 – 11.00 WIB by using a zoom meeting. The results of the statistical analysis used a paired sample t-test with a significance value of 0.000, this means that there is a significant difference in the level of knowledge of maintaining dental and oral health among teachers and parents of students at SD Hangtuah 6 before being given DHE material and after being given DHE through "Training of Trainers”. Teachers and parents can become pioneers in disseminating knowledge and how to maintain oral health for school-level children, as well as changing behavior in maintaining dental and oral health for the better.

Evaluation of knowledge and Satisfaction among service recipient of (Integrated Management of Neonatal and Child Health Program) in Primary Health Care Centers in Baquba City

Background: Integrated Management of Neonatal and Child Health Program (IMNCH) is an approach to offering solid evidence. It is used as a strategy to draw national and international investment into many initiatives to improve child health because it is diagnostically superior to conventional routine practice.&#x0D; Objective: To assess the knowledge and satisfaction rate among Integrated Management of Neonatal and Child Health Program care takers.&#x0D; Patients and Methods: A cross sectional study was conducted in two sectors (The health care sector in baqubah first and second) that offers health services in Baquba city from 15th December 2015 to 1st of June 2016. A convenient sample of 150 cases were included in the study from the age of two month to five years. Data collected by special designed questionnaire that adopted from world health organization.&#x0D; Results: The result showed that 87.3 % of health providers prescribed oral medicine for child out of them 86.3% of service recipient know how many times day that should be given while 25.2% of them know how many days that should be given. oral rehydration solution was prescribed 31.3% of children majority of health takers 87.2% known quantity of water to maxed with one sachet of ORS Showed that 24.7% of service recipients bring back the child immediately to primary health care center when the child unable to drink or breast feed and 23% of service recipients bring back the child immediately when the child becomes sicker or develop fever or difficult breathing and 30%when the child breathing is fast or difficult breathing and 18% of service recipient were satisfied about care that provided for children while 82% of service recipients were not satisfied.&#x0D; Conclusion: The satisfaction rate of service recipients about the service that provided in primary heath care center in Baquba city were poor.

Evaluation of knowledge and Satisfaction among service recipient of (Integrated Management of Neonatal and Child Health Program) in Primary Health Care Centers in Baquba City

Background: Integrated Management of Neonatal and Child Health Program (IMNCH) is an approach to offering solid evidence. It is used as a strategy to draw national and international investment into many initiatives to improve child health because it is diagnostically superior to conventional routine practice. Objective: To assess the knowledge and satisfaction rate among Integrated Management of Neonatal and Child Health Program care takers. Patients and Methods: A cross sectional study was conducted in two sectors (The health care sector in baqubah first and second) that offers health services in Baquba city from 15th December 2015 to 1st of June 2016. A convenient sample of 150 cases were included in the study from the age of two month to five years. Data collected by special designed questionnaire that adopted from world health organization. Results: The result showed that 87.3 % of health providers prescribed oral medicine for child out of them 86.3% of service recipient know how many times day that should be given while 25.2% of them know how many days that should be given. oral rehydration solution was prescribed 31.3% of children majority of health takers 87.2% known quantity of water to maxed with one sachet of ORS Showed that 24.7% of service recipients bring back the child immediately to primary health care center when the child unable to drink or breast feed and 23% of service recipients bring back the child immediately when the child becomes sicker or develop fever or difficult breathing and 30%when the child breathing is fast or difficult breathing and 18% of service recipient were satisfied about care that provided for children while 82% of service recipients were not satisfied. Conclusion: The satisfaction rate of service recipients about the service that provided in primary heath care center in Baquba city were poor.

Acceptance Analysis of The Electronic Kohort Information System for Maternal and Child Health (MCH) Using the Technology Acceptance Model (TAM) Method at the Bima City Health Centers

The Maternal and Child Health (MCH) Program in Indonesia is faced with a diversity of achievements between regions caused by disparities in the capacity of the health system and exacerbated by the Covid-19 pandemic which has caused a decrease in service activities and reporting quality so that digitalization of services is needed. This type of research is qualitative research with the design of phenomenological studies using thematic analysis with the help of the Nvivo 12 application. Primary data collection was carried out by means of observation and in-depth interviews with research informants by purposive sampling. To increase the credibility of the data use source triangulation. The research informants consisted of the head of the family health services section, the head of the health centers and the midwife as the user of the e-cohort. Thirteen informants (11 women and 2 men) participated in the study. Most informants can use the core functions of the e-cohort app navigation menu. The study proposes that the perceived perception of ease of use may not be in line with the perceived expediency of explaining variations in the successful acceptance of MCH e-cohort applications. The study also found that there were differences in outcomes between user perceptions at the operational level and policy makers at the managerial level. In general, the analysis collects several types of obstacles and potentially problems that negatively affect the usefulness of the e-cohort application : not being able to make the work of midwives easier and faster, ineffective and not so much to increase the productivity of performance. With regard to ease of use, users feel that the e-cohort can be easily learned and used. The e-cohort is considered to have value as a system that makes the work of midwives more difficult and hinders the work, however, the appearance, elements, features and design are perceived to be quite easy to use. In addition, users also highlight the need to consider how the system can be implemented in order to minimize the impact and optimize usability

HUMAN RIGHTS CONSTITUTION ON HEALTH PROTECTION OF INDONESIAN CITIZENS

This study examines the protection of health rights in Indonesia from the perspective of human rights and the Indonesian constitution. The study aims to analyze relevant regulations and articles on health rights protection and propose an ideal pattern in health protection for citizens within the framework of human rights and the Indonesian constitution. The methodology used in this study is a descriptive-analytic approach with a focus on normative legal research. The results show that the right to health is a fundamental human right and must be guaranteed by the state following the constitution and human rights law. The study also identifies various aspects of health rights protection, including the right to quality and affordable health services, health insurance, and eliminating discrimination in health services. Moreover, the study proposes an ideal pattern for health protection for different vulnerable groups, including women, children, people with disabilities, elderly people, and people with HIV/AIDS. The proposed ideal pattern includes policies and regulations to support reducing maternal mortality, strengthening child health programs, realizing disability-friendly health facilities, providing long-term care services for elderly people, and eliminating stigmatization and discrimination against PLHIV. Overall, this study highlights the importance of fulfilling the health rights of all citizens in Indonesia and provides recommendations to achieve this goal.

Qualitative Evaluation of University Students' Experience Delivering an Obesity Prevention Programme in Elementary Schools.

The Coordinated Approach to Child Health (CATCH) programme is an accredited obesity prevention programme in the United States, teaching children about nutrition, physical activity, and screen time limits. This study aimed to evaluate the perceptions of undergraduate and graduate student leaders' about their experience delivering the CATCH programme in elementary schools in Northern Illinois school districts during the 2019-2020 school year and its impact on their personal and professional skills and on programme participants. An email questionnaire was sent to eligible students. Grounded theory was used to analyze the students' responses. Two researchers assigned codes to the data and identified themes. Twenty-one students responded (50% response rate). Six identified themes include "purpose of CATCH programme," "school facilities and resources," "university students experience with CATCH lessons and activities," "benefits to university student," "benefits to children and teachers," and "identified weaknesses and suggested improvements to CATCH." University students delivering the CATCH programme appreciated the opportunity to practice in a real-world setting, gained transferable professional skills, increased programme content knowledge, identified CATCH programme benefits/strengths, and planned to apply lessons learned to future practice.