What works in engaging communities? Prioritising nutrition interventions in Burkina Faso, Ghana and South Africa.

Autor: Watson D; School of Human Development and Health, Faculty of Medicine, University of Southampton, Southampton, United Kingdom.; SAMRC Developmental Pathways for Health Research Unit, School of Clinical Medicine, University of the Witwatersrand, Johannesburg, South Africa.; Department of Global Health and Social Medicine, King's College London, London, United Kingdom., Barker M; MRC Lifecourse Epidemiology Centre, University of Southampton, Southampton, United Kingdom.; School of Health Sciences, Faculty of Environment and Life Sciences, University of Southampton, Southampton, United Kingdom.; NIHR Southampton Biomedical Research Centre, University of Southampton and University Hospital Southampton NHS Foundation Trust, Southampton, United Kingdom.; School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa., Boua PR; Clinical Research Unit of Nanoro, Institut de Recherche en Sciences de la Santé, Nanoro, Burkina Faso., Chatio S; Navrongo Health Research Centre, Ghana Health Service, Accra, Ghana., Compaoré A; Clinical Research Unit of Nanoro, Institut de Recherche en Sciences de la Santé, Nanoro, Burkina Faso., Danis M; Department of Bioethics, National Institutes of Health, Bethesda, MD, United States of America., Dalaba M; Navrongo Health Research Centre, Ghana Health Service, Accra, Ghana.; Institute of Heath Research, University of Health and Allied Sciences, Ho, Ghana., Erzse A; SAMRC/Wits Centre for Health Economics and Decision Science-PRICELESS SA, School of Public Health, Faculty of Health Sciences, University of Witwatersrand, Johannesburg, South Africa., Hardy-Johnson P; School of Human Development and Health, Faculty of Medicine, University of Southampton, Southampton, United Kingdom.; MRC Lifecourse Epidemiology Centre, University of Southampton, Southampton, United Kingdom., Kehoe SH; School of Human Development and Health, Faculty of Medicine, University of Southampton, Southampton, United Kingdom.; MRC Lifecourse Epidemiology Centre, University of Southampton, Southampton, United Kingdom., Hofman KJ; SAMRC/Wits Centre for Health Economics and Decision Science-PRICELESS SA, School of Public Health, Faculty of Health Sciences, University of Witwatersrand, Johannesburg, South Africa., Lawrence WT; MRC Lifecourse Epidemiology Centre, University of Southampton, Southampton, United Kingdom.; Primary Care, Population Science and Medical Education, Faculty of Medicine, University of Southampton, Southampton, United Kingdom., Nonterah EA; Navrongo Health Research Centre, Ghana Health Service, Accra, Ghana.; Julius Global Health, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands., Sorgho H; Clinical Research Unit of Nanoro, Institut de Recherche en Sciences de la Santé, Nanoro, Burkina Faso., Rwafa-Ponela T; SAMRC/Wits Centre for Health Economics and Decision Science-PRICELESS SA, School of Public Health, Faculty of Health Sciences, University of Witwatersrand, Johannesburg, South Africa., Ward KA; School of Human Development and Health, Faculty of Medicine, University of Southampton, Southampton, United Kingdom.; MRC Lifecourse Epidemiology Centre, University of Southampton, Southampton, United Kingdom.; School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa., Tugendhaft A; SAMRC/Wits Centre for Health Economics and Decision Science-PRICELESS SA, School of Public Health, Faculty of Health Sciences, University of Witwatersrand, Johannesburg, South Africa.
Jazyk: angličtina
Zdroj: PloS one [PLoS One] 2023 Dec 13; Vol. 18 (12), pp. e0294410. Date of Electronic Publication: 2023 Dec 13 (Print Publication: 2023).
DOI: 10.1371/journal.pone.0294410
Abstrakt: Background: "Choosing All Together" (CHAT), is a community engagement tool designed to give the public a voice in how best to allocate limited resources to improve population health. This process evaluation explored the mechanisms through which CHAT generates community engagement.
Method: The CHAT tool was adapted and implemented for use in two rural communities (Nanoro, Burkina Faso, and Navrongo, Ghana) and one urban township (Soweto, South Africa) to prioritize maternal and child nutrition interventions. Community discussions were audio-recorded, transcribed, and translated into English. Twenty-two transcripts, including six each from Navrongo and Soweto and 10 from Nanoro, were analysed thematically to generate data driven codes and themes to explain mechanisms underlying the CHAT process. The process evaluation was based on the UK MRC process evaluation guidance.
Results: Seven themes describing the functions and outcomes of CHAT were identified. Themes described participants deliberating trade-offs, working together, agreeing on priorities, having a shared vision, and increasing their knowledge, also the skills of the facilitator, and a process of power sharing between participants and researchers. Participants came to an agreement of priorities when they had a shared vision. Trained facilitators are important to facilitate meaningful discussion between participants and those with lower levels of literacy to participate fully.
Conclusion: CHAT has been shown to be adaptable and useful in prioritising maternal and child nutrition interventions in communities in Burkina Faso, Ghana, and South Africa. Conducting CHAT in communities over a longer period and involving policy-makers would increase trust, mutual respect and develop partnerships.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright: © 2023 Watson et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
Databáze: MEDLINE
Externí odkaz:
Nepřihlášeným uživatelům se plný text nezobrazuje