An in-depth implementation study of the Greenlandic parenting program MANU's initial stages of implementation. Issue 1 (1st January 2021)

• Record Type: Journal Article
• Authors: Ingemann, Christine; Kuhn, Rikke Louise; Kvernmo, Siv; Tjørnhøj-Thomsen, Tine; Larsen, Christina Viskum Lytken
• Is Part Of: International journal of circumpolar health. Volume 80:Issue 1(2021)
• Publication Date: 2021-01-01
• Subjects: Parenting -- health promotion -- implementation -- circumpolar; Arctic medicine -- Periodicals; Circumpolar medicine -- Periodicals; Médecine arctique -- Périodiques; Médecine polaire -- Périodiques; Arctic medicine; Circumpolar medicine; Gezondheid; Noordpoolgebied; Cold Climate; Medicine; Antarctic Regions; Arctic Regions; Periodicals; 616.9881
• DOI: 10.1080/22423982.2021.1938443
• Languages: English
• ISSNs: 1239-9736

Abstract

ABSTRACT: In Greenland, the universal parenting programme MANU was developed in 2016. After documenting the initial years of MANU's implementation, this study aimed to identify implementation determinants focusing on i) which context MANU was conceptualised in and how it was developed and ii) how MANU was implemented and initially received in the healthcare system. A qualitative in-depth implementation study was conducted: document analysis, 38 interviews, one focus group discussion, and observations at two trainings for professionals and four parent sessions. Participants included stakeholders from both the health and social sector and from management to practitioner level. MANU was conceptualised based on a political desire to ensure children's well-being by providing parents with the essential parenting skills, and a desire to create a programme for the Greenlandic context. Professionals welcomed the MANU materials, but anticipated or experienced barriers in implementing MANU. The first years of MANU focused on disseminating material and training professionals. Despite political support and financial security enabling implementation, an assessment of the implementation capacity from the very beginning could have prevented some of the implementation challenges identified. Insights on parents' perspectives and local implementation are lacking and need to be brought to the forefront of the implementation process.