Moving from formative research to co-creation of interventions: insights from a community health system project in Mozambique, Nepal and Peru

Beran, David; Lazo-Porras, María; Cárdenas, María Kathia; Chappuis, François; Damasceno, Albertino; Jha, Nilambar; Madede, Tavares; Lachat, Sarah; Perez-Leon, Silvana; Pastrana, Nathaly Aya; Pesantes, María Amalia; Singh, Surendra; Sharma, Sanjib Kumar; Somerville, Claire; Suggs, L. Suzanne; Miranda, J. Jaime

doi:10.1136/bmjgh-2018-001183

Cited by 34 publications

(38 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In addition, communities and health providers at times offered rationales for why some settlements preferred to access a facility that did not align with geographic guidance due to issues that were not apparent when looking at geospatial data (eg, market days, ethnic tensions). This experience is consistent with previous public health interventions that found stakeholder involvement contributes to a well-rounded understanding of the programme and may influence intervention adoption 24 25…”

Section: Lessons Learntsupporting

confidence: 87%

From paper maps to digital maps: enhancing routine immunisation microplanning in Northern Nigeria

et al. 2019

View full text Add to dashboard Cite

Geographical information systems (GIS) can be effective decision-support tools. In this paper, we detail a GIS approach implemented by the Bauchi and Sokoto state primary healthcare development agencies in Nigeria to generate and convert routine immunisation (RI) paper maps to digital maps for microplanning. The process involved three stages: primary and secondary data collection and reconciliation, geospatial data processing and analysis, and production and validation of maps. The data collection and reconciliation stage identified a number of challenges with secondary data sources, including the need to standardise and reconcile health facility and settlement names. The study team was unable to apply population estimates generated from the Global Polio Eradication Initiative to RI planning because operational boundaries for polio activities are defined differently from RI activities. Application of open-source GIS software enabled the combination of multiple datasets and analysis of geospatial data to calculate catchment areas for primary health centres (PHCs) and assign vaccination strategies to communities. The activity resulted in the development of PHC catchment area digital maps, and captured next steps and lessons learnt for RI microplanning in the two states. While the digital maps provided input into the microplanning process, more work is needed to build capacity, standardise processes and ensure the quality of data used to generate the maps. RI service providers and communities must be engaged in the process to validate, understand the data, the contextual factors that influence decisions about which vaccination strategies RI microplans include and how resources are allocated.

show abstract

Section: Lessons Learntsupporting

confidence: 87%

From paper maps to digital maps: enhancing routine immunisation microplanning in Northern Nigeria

et al. 2019

View full text Add to dashboard Cite

show abstract

“…As a result, some communities were left without a trained traditional barber to provide the referral cards at the time of services. Future programs should consider engaging with community members through a participatory process to ensure that traditional barbers selected are those that are most frequently consulted by the community (Beran 2018).…”

Section: Discussionmentioning

confidence: 99%

Engaging traditional barbers to identify and refer newborns for routine immunization services in Sokoto, Nigeria: a mixed methods evaluation

Dougherty

Abdulkarim

Aliyu

et al. 2020

Int J Public Health

View full text Add to dashboard Cite

Objectives This study evaluates the effectiveness of an intervention that engaged traditional barbers to inform parents about the importance of vaccination and then refer newborns for vaccination services. Methods We conducted a pre-post quasi-experimental study (n = 2639) to evaluate changes in the coverage of three birth antigens among children aged 0–5 months in response to the intervention. We also conducted in-depth interviews and focus group discussions to assess the enabling factors and challenges associated with implementation. Results We found mothers who received a yellow referral card from a traditional barber were two to three times more likely to vaccinate their children with the three birth antigens. Qualitative findings indicated that the intervention influenced parent’s decision to vaccinate their newborn because the barbers were considered a trusted community advisor. Challenges stemmed from the low levels of literacy among community leaders and barbers that resulted in the need for continuous training, low-literacy training materials and supervision. Conclusions Efforts to increase vaccine coverage rates in northern Nigeria should consider expanding the role of traditional barbers to encourage parents to accept vaccines.

show abstract

“…The project conducted formative research between 2016 and 2017, including a policy analysis, a Health System Assessment, and a community perception study (these studies will not be presented in this manuscript). Following this research, a co-creation methodology was developed and implemented during 2018 [18,19]. This paper describes the Peruvian experience in using and adapting that methodology where the disease focus was diabetes, hypertension, and neurocysticercosis.…”

Section: Methodsmentioning

confidence: 99%

“…During the second consultation (prioritization), the same stakeholders and project team discussed the list of interventions and assessed their level of priority. Following the manual, stakeholders completed a table with evaluation criteria listed [18,19]. From this list, the project team with assistance of the national project advisory board, applied the COHESION Score.…”

Section: Co-creation Methodsmentioning

confidence: 99%

Lessons learned about co-creation: developing a complex intervention in rural Peru

Lazo-Porras

Perez-Leon

Cárdenas

et al. 2020

Global Health Action

Self Cite

View full text Add to dashboard Cite

Background: Co-creation is the process of involving stakeholders in the development of interventions. Although co-creation is becoming more widespread, reports of the process and lessons learned are scarce. Objective: To describe the process and lessons learned from using the COHESION manual, a co-creation methodology to develop interventions aimed at the improvement of diagnosis and/or management of chronic diseases at the primary healthcare level in a low-resource setting in Peru. Methods: Observational study to describe the use of the COHESION manual 'Moving from Research to Interventions: The COHESION Model' developed for a multi-country project in low-and middle-income countries for co-creation and the adaptations needed to customize it to the local context of rural communities in northern Peru. Results: The actual process of co-creation in Peru included co-creation-related questions in the formative research; an initial consultation with stakeholders at the micro, meso, and macro levels (e.g. community members, health workers, and policy-makers); the analysis of the collected data; a second consultation with each stakeholder group; the prioritization of intervention options; and finally the design of a theory of change for all activities included in the complex intervention. The complex intervention included: 1) offer training in specific diseases and soft skills to health workers, 2) create radio programs that promote chronic disease prevention and management plus empower patients to ask questions during their visits to primary health care (PHC) facilities, and 3) provide a small grant to the PHC for infrastructure improvement. Small adaptations to the COHESION manual were necessary for this co-creation process. Conclusion: This study provides a practical example of the process of co-creating complex interventions to increase access and quality of health care in a low-resource setting. The process, components, challenges and opportunities identified could be useful for other researchers who want to co-create interventions with beneficiaries in similar settings.

show abstract

Moving from formative research to co-creation of interventions: insights from a community health system project in Mozambique, Nepal and Peru

Cited by 34 publications

References 30 publications

From paper maps to digital maps: enhancing routine immunisation microplanning in Northern Nigeria

From paper maps to digital maps: enhancing routine immunisation microplanning in Northern Nigeria

Engaging traditional barbers to identify and refer newborns for routine immunization services in Sokoto, Nigeria: a mixed methods evaluation

Lessons learned about co-creation: developing a complex intervention in rural Peru

Contact Info

Product

Resources

About