Community advisory committee as a facilitator of health and wellbeing: A qualitative study in informal settlements in Nairobi, Kenya.
Community advisory committee as a facilitator of health and wellbeing: A qualitative study in informal settlements in Nairobi, Kenya.
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DOI：
10.3389/fpubh.2022.1047133
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发表时间：
2022
影响因子：
5.2
通讯作者：
Mberu, Blessing
中科院分区：
文献类型：
--
作者：
Chumo, Ivy;Kabaria, Caroline;Oduor, Clement;Amondi, Christine;Njeri, Ann;Mberu, Blessing
关键词：
目前正在中低收入国家的非正规住区开展一系列旨在促进健康和福祉的社区参与举措，包括社区和利益攸关方会议，利用广播、电影、电视节目和其他信息，以及由不同利益攸关方组织的教育和宣传材料。虽然这些举措往往侧重于向社区单向流动信息，但已确定需要纳入侧重于双向或多向信息流动的举措。尽管有大量关于社区参与的文献，但社区咨询委员会（CAC）在促进非正规住区健康和福祉方面的作用仍然是一个谜，由于相当模糊而受到质疑。社区咨询委员会是一个由志愿者组成的专门小组，使用社区方法支持社区的健康和福祉需求。研究人员和项目执行人员与社区行动中心合作，在目标社区内成功地开展活动。在本文中，使用深入访谈，我们记录的作用，在促进健康和福祉在科罗戈乔和Viwandani非正式定居点在内罗毕，肯尼亚的CAC。研究参与者描述了CAC在促进健康和福祉方面的作用，包括通过教育和提高认识，在研究和实施目标中发挥咨询作用，保护社区利益，以及充当社区合作伙伴的守门人和合作者。已查明的实现CAC作用的障碍包括缺乏资金和其他实地资源，被贴上组织工作人员的标签，以及一些即将上任的和新出现的地方领导人对涉及CAC成员的问题的参与程度低。社区咨询委员会在其作用中的推动因素包括成员拥有适当的技能和价值观;社区参与成员的选择，定期协商和咨询会议，社区咨询委员会成员组成的代表性以及对社区的了解。我们的结论是，CACs发挥关键作用，在促进健康和福祉的非正规住区和现有的CACs机制和业务需要给予应有的考虑，研究人员，项目实施者和地方当局的权利，从项目的概念化。除了在研究和项目实施期间进行协商和安抚之外，社区行动中心还需要得到承认，以建立一个真正的社会结构，促进社区的社会活力和生存，并成为包容性城市化进程的发展伙伴。虽然社区援助中心在促进非正规住区的健康和福祉方面做出了贡献，但需要制定一项长期战略，以优化其影响，减少围绕其作用的困惑。
A range of community engagement initiatives to advance health and wellbeing are currently taking place in informal settlements in low and middle income countries (LMICs), including community and stakeholder meetings, use of radio, film, TV programs and other information, education and communication materials (IECs) organized by different stakeholders. While these initiatives tend to focus on unidirectional flow of information to communities, the need to incorporate initiatives focusing on bi or multi-directional flow of information have been identified. Despite the extensive body of literature on community engagement, the role of Community Advisory Committees (CACs) in advancing health and wellbeing in informal settlements is still a puzzle, occasioned by considerable ambiguity. A community advisory committee is a dedicated group of volunteers to support health and wellbeing needs of their community using a community approach. Researchers and project implementers work in partnership with CACs to successfully implement their activities within the target community. In this paper, using in-depth interviews, we document the roles of CACs in advancing health and wellbeing in Korogocho and Viwandani informal settlements in Nairobi, Kenya. Study participants described the role of CAC in advancing health and wellbeing through education and awareness creation, advisory roles in research and implementation goals, protecting community interests and acting as gatekeepers and collaborators to community partners. Identified barriers to achieving CAC roles include lack of finance and other field resources, being labeled as organization staff and low involvement by some upcoming and emerging local leaders on issues which involve the CAC constituents. Enablers of CACs in their roles include possession of appropriate skills and values by members; involvement of the community in the selection of members, regular consultative and advisory meetings, representativeness in the composition of CAC membership and knowledge about the community. We conclude that CACs play key roles in advancing health and wellbeing in informal settlements and that existing CACs mechanisms and operations need to be given due consideration by researchers, project implementers and local authorities right from project conceptualization. CACs need recognition beyond consultations and placations during research and project implementation to a veritable social structure for community's social viability and survival as well as partners in development for inclusive urbanization process. While CACs have contributed in advancing health and wellbeing in informal settlements, there is need for a long-term strategy to optimize their impact and reduce puzzles around their roles.
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