Key issues for participatory research in the design and implementation of humanitarian assistance: a scoping review

Abstract

Background: Participatory approaches that engage affected populations are increasingly applied in humanitarian health programs in concert with emerging accountability frameworks and the rapid growth of research in these settings. Participatory initiatives within this domain appear to be largely adopted at an operational level and are infrequently reported as a component of research efforts. Yet the evidence of the benefits of research involving community members is growing worldwide. This is the first review of participatory research (PR) in humanitarian settings. Objectives: This study sought to understand the extent to which PR values and practices have been adopted in humanitarian health programs and to explore key issues in applying PR in this context. Methods: This scoping review was based on the approach developed by Arksey and O'Malley. The search for relevant peer-reviewed articles included scientific databases, a humanitarian database, targeted journals and online resources published since 2009. Eleven articles were retrieved and reviewed to identify practices and key issues related to conducting PR in humanitarian settings. Results: Four key themes were identified: building trust with local research stakeholders and participants; the importance of contextual understanding; implications of collaborating with affected populations in PR, and neutrality of researchers and Non-Governmental Organizations (NGOs). Study teams considered PR as a valued approach where there was mistrust or a need for contextualized understanding. The studies described how adaptations made during the study optimized collaboration with affected populations and how the presence of NGOs influenced the approach and results of PR. Conclusions: One of the most important contributions of humanitarian health programs is to develop 'medical practices that are better adapted to the living conditions and priorities of patients who are generally ignored'. Participatory approaches, such as PR, support the development of health-related practices that are more relevant and sustainable for affected populations.

Communities and service providers address access to perinatal care in postconflict Northern Uganda: socialising evidence for participatory action

“…47 A recent body of work advocates for participatory approaches in humanitarian crisis settings to increase trust between communities and service providers. [48][49][50] Limitations This study illustrates the process, feasibility and acceptability of participatory health service improvement in one postconflict setting. The impact thus far refers only to participants involved in the codesign.…”

“… 47 A recent body of work advocates for participatory approaches in humanitarian crisis settings to increase trust between communities and service providers. 48–50 …”

Localisation of digital health tools used by displaced populations in low and middle-income settings: a scoping review and critical analysis of the Participation Revolution

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Ways to improve surgical outcomes in low- and middle-income countries

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