We spent 8 months working with the partnership, during which three behavioural scientist volunteers spent time in Uganda on three separate visits. We gathered knowledge about how the course was delivered, to review whether known psychological behaviour change techniques (BCT) were being used, and to work with the Ugandan trainees to explore the barriers to implementing what they had learnt into practice. We coded sessions for behaviour change techniques, and established that most were used to support capability with opportunity and motivation targeted techniques less frequently employed.
On the basis of our findings, and solid behavioural science theory and evidence, we made recommendations to the RCOG for changes to the next iteration of the course. These included incorporating: action planning to incorporate SMART goals, ways of fostering social support (e.g., through Facebook and WhatsApp groups that could be accessed from even the most remote areas), posters as motivators and behavioural cues to be displayed in health centres, and recommendations to embed education in behaviour change techniques into the materials for course facilitators. We developed training for the train the trainers programme which introduced concepts of behaviour change and techniques to improve the capability, opportunity and motivation of trainees to make practice changes.
We wrote three reports for the partners which they used to understand our work and the impact of their course on practice.