Community engagement to tackle infectious threats: A viewpoint based on a social science mapping process in Bangladesh, Uganda, and Ukraine

Jirovsky-Platter, Elena; Grohma, Paul; Naher, Nahitun; Rodyna, Roman; Nabirye, Christine; Dückers, Michel; Ahmed, Syed Masud; Osborne, J. Grayson; Kaawa-Mafigiri, David; Giles‐Vernick, Tamara; Kutalek, Ruth

doi:10.7189/jogh.13.03025

J Glob Health

2023

DOI: 10.7189/jogh.13.03025

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Community engagement to tackle infectious threats: A viewpoint based on a social science mapping process in Bangladesh, Uganda, and Ukraine

Elena Jirovsky-Platter

Paul Grohma

Nahitun Naher

et al.

Abstract: Developing appropriate models for multi-layered, multi-sectored, dialoguebased engagement represents one pillar of SoNAR-Global. Consequently, we performed a mapping and assessment exercise in 2019 as part of the project's first steps, searching for existing models of CE targeting infectious threats and AMR. We compared the identified examples with the UNICEF Communication for Development (C4D) Minimum Quality Standards for Community Engagement [6], which defines and narrows down the various understandings of … Show more

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2024

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Ethical challenges during critical phases of the COVID-19 pandemic: An interpretive synthesis

Macpherson,

Roqué,

Echarte

et al. 2024

Nurs Ethics

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Background During the most critical phases of COVID-19 pandemic, dramatic situations were experienced in hospitals and care centers that nurses could hardly verbalize. Especially relevant were deep challenges related to terminal illness, situations of extreme sacrifice, as well as reflections on protective measures mixed with beliefs. We intend to analyze which problems had the greatest impact on professionals. Aim The aim is to explore the ultimate basis for action when making decisions and the orientation of their behavior in the face of moral conflicts. Method The methodological strategy is an interpretive synthesis. Narrative review of academic articles that analyzed ethical dilemmas during the pandemic was carried out by searching five databases (Pubmed, Scopus, Psycinfo, CINHAL, and WOS) between January 2020 and December 2022. Finally, 43 articles were selected. Ethical Considerations Ethical requirements were respected in all study phases. Results The reading and review of the 43 articles initiated the first phase of inductive coding which resulted in 14 initial sub-themes. Based on this structure, a second phase of coding was carried out, giving rise to six categories or emerging themes. To facilitate the process of identifying the central category, the authors agreed to carry out a phase of synthesis, grouping the six themes into three meta-themes: the identification and acceptance of human vulnerability; the discovery of positive paradigms in traumatic situations in society; the prevalence of the common good over the particular interest, as the core structure of any society. Conclusion The study has shown the need to consider healthcare benevolence as a new dimension of health care upon global vulnerability. Responsibility is required to ensure the well-being of a global society, prioritizing the common good over particular interests and building solutions on solid moral structures. A new ethical landscape is essential, starting with a humanistic curricular training of all healthcare professionals.

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Ethical challenges during critical phases of the COVID-19 pandemic: An interpretive synthesis

Macpherson,

Roqué,

Echarte

et al. 2024

Nurs Ethics

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Engaging rural communities in Bangladesh to tackle antimicrobial resistance through the Community Dialogue Approach: a process evaluation protocol for COSTAR project in Cumilla, Bangladesh

Saify,

Jones,

Fieroze

et al. 2024

Front. Public Health

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IntroductionAntimicrobial resistance (AMR) is a global problem and is especially threatening for low-and-middle income countries like Bangladesh. The COSTAR (Community-led Solutions to Antimicrobial Resistance) project includes a Randomised Control Trial (RCT) which aims to evaluate the effectiveness of the Community Dialog Approach (CDA) to improve levels of correct and appropriate knowledge and reported practice about antibiotics, antibiotic use, and antibiotic resistance (ABR) from a One Health perspective, among adult community members in 5 selected sub-districts of Cumilla. The CDA is a community engagement approach involving community members in active discussions also known as Community Dialogs (CD), run by local facilitators. The dialogs promote collective action to produce sustainable social change. The trial’s process evaluation will evaluate fidelity, dose, adaptation, reach, mechanisms of impact and the process of knowledge diffusion using the MRC framework for the evaluation of complex interventions.Methods and analysisThe process evaluation will be implemented in the catchment areas of 25 selected community clinics (CCs) in the intervention group. The key actors involved in the process evaluation are participants from master trainers and trainers training; community dialog facilitators; supervisors; community dialog participants and non-participants; and local and national level government stakeholders. Qualitative and quantitative data will be collected through Focus Group Discussion (FGDs); Case Studies; Key Informant Interview (KIIs); CD observations; monitoring forms; quarterly feedback from facilitators and supervisors, and pre-and-post-test questionnaires administered during the training of facilitators. All qualitative data will be coded using a priori coding framework in NVIVO 14. Quantitative data will be analysed using descriptive statistics.Ethics and disseminationEthical approval was obtained from the Bangladesh Medical Research Council (BMRC): BMRC/NREC/2019–2022/427 and from the University of Leeds Faculty of Medicine and Health ethics board: MREC 20–034. All results will be disseminated through a one pager summary; infographics; peer-reviewed journal articles and national and international conferences.Clinical trial registrationhttps://www.isrctn.com/ISRCTN93756764, identifier ISRCTN93756764.

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Community engagement to tackle infectious threats: A viewpoint based on a social science mapping process in Bangladesh, Uganda, and Ukraine

Cited by 2 publications

References 11 publications

Ethical challenges during critical phases of the COVID-19 pandemic: An interpretive synthesis

Ethical challenges during critical phases of the COVID-19 pandemic: An interpretive synthesis

Engaging rural communities in Bangladesh to tackle antimicrobial resistance through the Community Dialogue Approach: a process evaluation protocol for COSTAR project in Cumilla, Bangladesh

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