Table 1 Suite of strategies used in the implementation of GHK routine screening in SWSLHD
Strategy | Details/purpose of the strategy |
|---|---|
Equipment audit and procurement | An audit of weight scales and stadiometers was undertaken across all health care settings. The settings with no equipment or poor quality of equipment were provided with health approved scales and stadiometers. |
Weight station set up | Dedicated weight stations were set up (stadiometers, weight scales and resources) were set up across all settings to ensure better/easier access to equipment and resources. |
Resources on display | Resources such as posters, referral forms, fact sheets, BMI for age charts, templates for assessment were displayed next to the weight stations to ensure better workflow/visibility and easier access for clinicians. |
Education and training of staff | Training included Weight4Kids online (40 minutes) and/or face-to-face (1-2 hours) training to increase staff confidence in height/length and weight measurements, raising issues of weight and referral pathways. Training length varied depending of staff prior knowledge and available training time. Face to face training was offered by GHK coordinator (project officer) |
Data audits, reports and feedback | Audit and feedback were provided on monthly to quarterly basis to inform the teams of their progress. |
Newsletters | The team with high performance were presented in district newspaper. |
Meeting agenda items (individual meetings, team meetings) | Height/length and weight performance was added to teams meeting agendas to ensure regular and frequent discussions to improve focus on growth monitoring and intervention |
Action or implementation plans | Teams with consistently low performance or teams with no improvements in their performance were required to complete action plan to ensure clear goals were set for improvement. |
Local representative/ Champions | Local representative and Champions were elected to facilitate change within the organisations. Champions were recruited though expression of interest or though managers recommendation. |
Local competition | The competition was among paediatric inpatient wards. The ward with best performance was awarded with prize and presented in the district health newspaper for motivation, knowledge sharing and benchmarking |