Using Participatory Workshops to Assess Alignment or Tension in the Community for Minimally Invasive Tissue Sampling Prior to Start of Child Mortality Surveillance: Lessons From 5 Sites Across the CHAMPS Network
| Autor: | Rui Guilaze, Saquina Cossa, John Blevins, Khátia Munguambe, Shabir A. Madhi, Peter Otieno, Noni Ngwenya, Nellie Myburgh, Elizabeth O'Mara Sage, Caroline Ackley, Saiful Islam, Yosef Zegeye, Ahoua Kone, Kennedy Ochola, Robert F. Breiman, Zerihun Girma, Pratima L Raghunathan, Faruqe Hussain, Maria Maixenchs |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male Microbiology (medical) Adolescent Burial Supplement Articles Champs study Infant mortality Mali Child health Sierra Leone Social Networking Sierra leone South Africa Young Adult 03 medical and health sciences 0302 clinical medicine Cause of Death Environmental health Humans Medicine 030212 general & internal medicine Child Children Mozambique Aged Aged 80 and over High rate Bangladesh business.industry 030503 health policy & services Child Health Citizen journalism Middle Aged Tissue sampling Kenya Child mortality Infectious Diseases Population Surveillance Child Mortality Female Ethiopia 0305 other medical science business RA Infants Mortalitat infantil High tension |
| Zdroj: | Dipòsit Digital de la UB Universidad de Barcelona Recercat. Dipósit de la Recerca de Catalunya instname Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America |
| ISSN: | 1537-6591 1058-4838 |
| Popis: | The Child Health and Mortality Prevention Surveillance (CHAMPS) program is a 7-country network (as of December 2018) established by the Bill & Melinda Gates Foundation to identify the causes of death in children in communities with high rates of under-5 mortality. The program carries out both mortality and pregnancy surveillance, and mortality surveillance employs minimally invasive tissue sampling (MITS) to gather small samples of body fluids and tissue from the bodies of children who have died. While this method will lead to greater knowledge of the specific causes of childhood mortality, the procedure is in tension with cultural and religious norms in many of the countries where CHAMPS works—Bangladesh, Ethiopia, Kenya, Mali, Mozambique, Sierra Leone, and South Africa. Participatory Inquiry Into Community Knowledge of Child Health and Mortality Prevention (PICK-CHAMP) is a community entry activity designed to introduce CHAMPS to communities and gather initial perspectives on alignments and tensions between CHAMPS activities and community perceptions and priorities. Participants’ responses revealed medium levels of overall alignment in all sites (with the exception of South Africa, where alignment was high) and medium levels of tension (with the exception of Ethiopia, where tension was high). Alignment was high and tension was low for pregnancy surveillance across all sites, whereas Ethiopia reflected low alignment and high tension for MITS. Participants across all sites indicated that support for MITS was possible only if the procedure did not interfere with burial practices and rituals. CHAMPS conducted community engagement workshops to assess alignments and tensions between community beliefs and practices and the minimally invasive tissue sampling procedure. The workshops revealed varying levels of tension across sites, with religious beliefs being a core driver of tension. |
| Databáze: | OpenAIRE |
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