Elements of effective community engagement: lessons from a targeted malaria elimination study in Lao PDR (Laos).
Elements of effective community engagement: lessons from a targeted malaria elimination study in Lao PDR (Laos).
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DOI：
10.1080/16549716.2017.1366136
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发表时间：
2017
影响因子：
2.6
通讯作者：
Cheah PY
中科院分区：
文献类型：
--
作者：
Adhikari B;Pell C;Phommasone K;Soundala X;Kommarasy P;Pongvongsa T;Henriques G;Day NPJ;Mayxay M;Cheah PY
背景：目前东南亚正在研究大规模药物（抗疟疾）管理（MDA），作为称为定向消除疟疾（TME）的一揽子干预措施的一部分。该干预措施依赖于有效的社区参与，从而促进目标社区（80% 以上）的接受和坚持。 目标：根据老挝设计和实施 TME 社区参与的经验，在本文中，我们旨在介绍大规模抗疟疾管理的有效社区参与要素。 方法：2015年9月至2016年8月期间社区参与的设计和实施以现场笔记、会议纪要和照片的形式记录。这些数据经过定性内容分析。 结果：老挝 TME 附带的社区参与策略在提高大规模抗疟疾管理参与率（85% 以上）方面取得了成功。根据设计和实施社区参与的经验，确定了五个关键要素：（1）利益相关者和当局的参与，从国家层面，到地区/地区和地方层面； (2) 当地人力资源，特别是招募当地志愿者，他们是研究村活动设计和实施的组成部分； (3) 形成性研究，快速洞察当地社会经济背景； (4) 响应能力，即根据社区的需求及其对各个研究组成部分的反应来调整方法； (5) 在组织 TME 活动的决策方面与社区分享控制/领导权。 结论：老挝 TME 的社区参与必须应对在偏远和语言隔离的村庄开展复杂研究的挑战。尽管存在这些挑战，该研究仍记录了较高的人口覆盖率。从这一经验中吸取的教训对于不同背景下的研究和干预计划很有用。
Background: Mass drug (antimalarial) administration (MDA) is currently under study in Southeast Asia as part of a package of interventions referred to as targeted malaria elimination (TME). This intervention relies on effective community engagement that promotes uptake and adherence in target communities (above 80%). Objective: Based on the experienced of designing and implementing the community engagement for TME in Laos, in this article we aim to present the elements of effective community engagement for mass antimalarial administration. Methods: The design and implementation of community engagement, which took place from September 2015 to August 2016 was recorded as field notes, meeting minutes and photographs. These data underwent qualitative content analysis. Results: The community engagement strategy that accompanied TME in Laos was successful in terms of contributing to high levels of participation in mass anti-malarial administration (above 85%). Based on the experience of designing and implementing the community engagement, five key elements were identified: (1) stakeholder and authority engagement, which proceeded from national level, to regional/district and local level; (2) local human resources, particularly the recruitment of local volunteers who were integral to the design and implementation of activities in the study villages; (3) formative research, to rapidly gain insight into the local social and economic context; (4) responsiveness whereby the approach was adapted according to the needs of the community and their responses to the various study components; and (5) sharing control/leadership with the community in terms of decisions on the organization of TME activities. Conclusions: The community engagement that accompanied TME in Laos had to deal with challenges of implementing a complex study in remote and linguistically isolated villages. Despite these challenges, the study recorded high population coverage. Lessons learnt from this experience are useful for studies and intervention programs in diverse contexts.
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影响因子：
3
作者：
Adhikari B;James N;Newby G;von Seidlein L;White NJ;Day NP;Dondorp AM;Pell C;Cheah PY
通讯作者：
Cheah PY
影响因子：
5.4
作者：
GARFIELD, RM;VERMUND, SH
通讯作者：
VERMUND, SH
影响因子：
3.9
作者：
Holzer, Jessica;Kass, Nancy
通讯作者：
Kass, Nancy
影响因子：
2.7
作者：
Kaneko, Akira
通讯作者：
Kaneko, Akira
影响因子：
3
作者：
Pell C;Tripura R;Nguon C;Cheah P;Davoeung C;Heng C;Dara L;Sareth M;Dondorp A;von Seidlein L;Peto TJ
通讯作者：
Peto TJ