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Last mile research: a conceptual map.

Colleen M Davison1, Susan A Bartels1,2, Eva Purkey3

  • 1Department of Public Health Sciences, Queen's University, Kingston, Ontario, Canada.

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Summary
This summary is machine-generated.

This study defines "last mile research" in global health, clarifying who these populations are and how to conduct research effectively. It aims to improve health equity for underserved communities.

Keywords:
Global health researchconcept mappinghard-to-reach populationshealth equitylast mileresearch methods

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Area of Science:

  • Global Health
  • Health Equity Research
  • Concept Mapping Methodology

Background:

  • The "last mile" concept identifies populations most difficult to reach or last to benefit from services.
  • Existing research on last mile populations lacks a unified conceptual understanding.
  • This ambiguity hinders targeted interventions and equitable health outcomes.

Purpose of the Study:

  • To establish a shared understanding of last mile research in global health.
  • To explore how last mile research can advance health equity.
  • To define the characteristics of last mile populations and research approaches.

Main Methods:

  • A five-stage concept mapping exercise was conducted between July and December 2019.
  • Utilized online concept mapping software and an in-person consensus meeting.
  • Involved 15 health researchers from Matariki Network institutions with last mile experience.

Main Results:

  • A consensus map with 64 idea statements and five clusters was generated.
  • Key clusters included: Last mile populations, research methods, structural/systemic factors, health system factors, and environmental factors.
  • Central themes emphasized equity, human rights, health systems, and contextual sensitivity.

Conclusions:

  • This is the first formal concept mapping of "last mile research."
  • Achieved consensus on the definition of last mile populations, research methodologies, and the drivers of health disparities.
  • The developed map can inform research training and future studies involving diverse last mile communities.