The <i>values</i> and <i>principles</i> underpinning community engagement approaches to tackling antimicrobial resistance (AMR)

Mitchell, Jessica; Cooke, Paul; Baral, Sushil; Bull, Naomi; Stones, Catherine; Tsekleves, Emmanuel; Verdezoto, Nervo; Arjyal, Abriti; Giri, Romi; Shrestha, Ashim; King, Rebecca

doi:10.1080/16549716.2020.1837484

Cited by 14 publications

(9 citation statements)

References 34 publications

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“…The sustainability of relationships between the community and researchers was regarded as a key component in ensuring the legacy of the research and this finding echoes the work of others (4,16).…”

Section: Investment In Long Term Relationships and Research Goalssupporting

confidence: 62%

“…And can we develop something that involves a partnership of actors from both high income countries (HICs) and low and middle income countries (LMICs)? The CPE guidelines that are currently available are useful, but many are either non-health research focused (3), focused on a specific region/condition or research approach (4,15,16), or focused on the ethics of engagement (17). Clear guidance on CPE, which builds on existing guidelines and frameworks, would be useful in ensuring clarity of expectations of award holders, and the design of monitoring and evaluation frameworks.…”

Section: Introductionmentioning

confidence: 99%

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What Does “Good” Community and Public Engagement Look Like? Developing Relationships With Community Members in Global Health Research

Hickey

Porter

Tembo

et al. 2022

Front. Public Health

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Community and public engagement (CPE) is increasingly becoming a key component in global health research. The National Institute for Health Research (NIHR) is one of the leading funders in the UK of global health research and requires a robust CPE element in the research it funds, along with CPE monitoring and evaluation. But what does “good” CPE look like? And what factors facilitate or inhibit good CPE? Addressing these questions would help ensure clarity of expectations of award holders, and inform effective monitoring frameworks and the development of guidance. The work reported upon here builds on existing guidance and is a first step in trying to identify the key components of what “good” CPE looks like, which can be used for all approaches to global health research and in a range of different settings and contexts. This article draws on data collected as part of an evaluation of CPE by 53 NIHR-funded award holders to provide insights on CPE practice in global health research. This data was then debated, developed and refined by a group of researchers, CPE specialists and public contributors to explore what “good” CPE looks like, and the barriers and facilitators to good CPE. A key finding was the importance, for some research, of investing in and developing long term relationships with communities, perhaps beyond the life cycle of a project; this was regarded as crucial to the development of trust, addressing power differentials and ensuring the legacy of the research was of benefit to the community.

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Section: Investment In Long Term Relationships and Research Goalssupporting

confidence: 62%

Section: Introductionmentioning

confidence: 99%

What Does “Good” Community and Public Engagement Look Like? Developing Relationships With Community Members in Global Health Research

Hickey

Porter

Tembo

et al. 2022

Front. Public Health

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“…72 On the community level, engaging people can help to tackle social and ecological issues that are specific to a particular area, including bottom-up advocacy, and co-developing solutions to antimicrobial resistance. 73 This process of engagement can help in understanding how structural level issues manifest and shape possibilities at a local level. 74 Including policy makers or experts in these processes might reduce potential conflicts between the priorities of policy makers and the needs of community members, and might thus make these mitigation projects more sustainable.…”

Section: Discussionmentioning

confidence: 99%

Vulnerability and One Health assessment approaches for infectious threats from a social science perspective: a systematic scoping review

Jeleff

Lehner

Giles‐Vernick

et al. 2022

The Lancet Planetary Health

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“…WHO has recommended the use of community-based actions for raising awareness of AMR and changing behaviors ( 26 ), Wellcome Trust has developed a Responsive Dialogues approach ( 27 , 28 ), participatory film projects have been used in Bangladesh and Nepal ( 29 , 30 ), and other creative approaches to disseminating AMR knowledge to the public such as visual arts, museum collections, and science books have been implemented in the UK ( 31 ). A framework for community engagement for AMR identified sustaining and scaling up engagement interventions as a key challenge ( 32 ). A pilot study in Bangladesh using a community engagement approach to co-produce an intervention to tackle AMR reported that co-production of the intervention processes and materials with key stakeholders at policy, health system, and community levels and consideration of the health structure and socioeconomic and cultural context when designing the approach are needed to make the approach scalable ( 33 ).…”

Section: Introductionmentioning

confidence: 99%

Challenges and Lessons Learned in the Development of a Participatory Learning and Action Intervention to Tackle Antibiotic Resistance: Experiences From Northern Vietnam

Cai

Tran

Nguyen

et al. 2022

Front. Public Health

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Antibiotic use in the community for humans and animals is high in Vietnam, driven by easy access to over-the counter medicines and poor understanding of the role of antibiotics. This has contributed to antibiotic resistance levels that are amongst the highest in the world. To address this problem, we developed a participatory learning and action (PLA) intervention. Here we describe challenges and lessons learned while developing and testing this intervention in preparation for a large-scale One Health trial in northern Vietnam. We tested the PLA approach using community-led photography, and then reflected on how this approach worked in practice. We reviewed and discussed implementation documentation and developed and refined themes. Five main themes were identified related to challenges and lessons learned: understanding the local context, stakeholder relationship development, participant recruitment, building trust and motivation, and engagement with the topic of antibiotics and antimicrobial resistance (AMR). Partnerships with national and local authorities provided an important foundation for building relationships with communities, and enhanced visibility and credibility of activities. Partnership development required managing relationships, clarifying roles, and accommodating different management styles. When recruiting participants, we had to balance preferences for top-down and bottom-up approaches. Building trust and motivation took time and was challenged by limited study team presence in the community. Open discussions around expectations and appropriate incentives were re-visited throughout the process. Financial incentives provided initial motivation to participate, while less tangible benefits like collective knowledge, social connections, desire to help the community, and new skills, sustained longer-term motivation. Lack of awareness and perceived importance of the problem of AMR, affected initial motivation. Developing mutual understanding through use of common and simplified language helped when discussing the complexities of this topic. A sense of ownership emerged as the study progressed and participants understood more about AMR, how it related to their own concerns, and incorporated their own ideas into activities. PLA can be a powerful way of stimulating community action and bringing people together to tackle a common problem. Understanding the nuances of local power structures, and allowing time for stakeholder relationship development and consensus-building are important considerations when designing engagement projects.

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The values and principles underpinning community engagement approaches to tackling antimicrobial resistance (AMR)

Cited by 14 publications

References 34 publications

What Does “Good” Community and Public Engagement Look Like? Developing Relationships With Community Members in Global Health Research

What Does “Good” Community and Public Engagement Look Like? Developing Relationships With Community Members in Global Health Research

Vulnerability and One Health assessment approaches for infectious threats from a social science perspective: a systematic scoping review

Challenges and Lessons Learned in the Development of a Participatory Learning and Action Intervention to Tackle Antibiotic Resistance: Experiences From Northern Vietnam

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