谁的知识才是重要的? 通过社区对话,让社区参与干预和试验设计.
Rochelle A Burgess1, Funmilayo Shittu2,3, Agnese Iuliano3
1Institute for Global Health, University College London, London, UK. r.burgess@ucl.ac.uk.
Trials
|June 7, 2023
概括
社区对话 (CCs) 吸引了大量尼日利亚护理人员,以告知减少儿童死亡率的试验. 这种方法确定了影响健康决策和试验设计的因素,赋予了社区声音的权力.
科学领域:
- 全球卫生研究全球卫生研究
- 基于社区的参与式研究
- 公共卫生干预 公共卫生干预
背景情况:
- 全球卫生倡议越来越需要知识生产和干预设计的包容性方法.
- 传统的试验研究往往限制了公民对试验结构和性质的投入.
- 这项研究将社区对话 (CCs) 调整为形成性试验工作,让大型社区团体进行对话.
研究的目的:
- 探索北尼日利亚儿童肺炎和5岁以下儿童健康管理的社区观点.
- 为设计一个实用的集群随机对照试验提供信息,评估一个复杂的干预措施,以减少5岁以下的死亡率.
- 适应和应用社区对话 (CCs) 方法论,以实现大规模的社区参与试验设计.
主要方法:
- 在尼日利亚吉加瓦州与320名5岁以下儿童的男性和女性照顾者进行了12轮社区对话.
- 利用参与式学习和行动活动,包括绘画和讨论,以促进不同年龄和性别子组的参与.
- 随后进行了初始的CC分析,并在新地点进行了焦点小组讨论,以确保所有行政部门对干预设计的全面投入.
主要成果:
- 确定了试验实施的关键促进和限制因素,例如家庭权力动态和影响妇女健康决策的性别空间使用.
- 观察到积极的参与者参与,许多人重视以前无法获得的自我表达的机会.
- 了解社区对肺炎和儿童健康管理的看法,这对于定制干预至关重要.
结论:
- 社区对话 (CCs) 提供了一种结构化的方法,以有意义地让公民参与干预和试验设计.
- 成功实施CC需要足够的资源和承诺将定性研究纳入试验框架.
- 经过调整的CC方法论在收集多样化的社区观点,为大规模的公共卫生试验提供信息方面被证明是有效的.
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