Academic accountability to local communities and society through Programme Science: a case study from the HPV self-sampling programme HOPE in Peru

IF 4.6 1区 医学 Q2 IMMUNOLOGY Journal of the International AIDS Society Pub Date : 2024-07-10 DOI:10.1002/jia2.26297
Patricia Jannet Garcia, Carlos Santos, Marina Chiappe, María Valderrama, Cesar Paul Carcamo
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Abstract

Introduction

Health challenges in the 21st century underscore the need for adaptable and innovative approaches in public health. Academic institutions can and should contribute much more effectively to generate and translate scientific knowledge that will result in better programmes to improve societal health. Academic accountability to local communities and society requires universities to actively engage with local communities, understanding the context, their needs, and leveraging their knowledge and local experience. The Programme Science initiative provides a framework to optimize the scale, quality and impact of public health programmes, by integrating diverse approaches during the iterative cycle of research and practice within the strategic planning, programme implementation and programme management and evaluation. We illustrate how the Programme Science framework could be a useful tool for academic institutions to accomplish accountability to local communities and society through the experience of Project HOPE in Peru.

Discussion

Project HOPE applied the Programme Science framework to introduce HPV self-sampling into a women's health programme in Peru. Collaboration with local authorities and community members was pivotal in all phases of the project, ensuring interventions aligned with community needs and addressing social determinants of health. The HOPE Ladies—community women trained and empowered to promote and provide the HPV kits—crafted the messages used through the study and developed strategies to reach individuals and provided support to women's journey through health centres. By engaging communities in co-creating knowledge and addressing health inequities, academic institutions can generate contextually relevant and socially just scientific knowledge. The active participation of community women in Project HOPE was instrumental in improving service utilization and addressing barriers to self-sampling.

Conclusions

The Programme Science approach offers a pathway for academic institutions to enhance their accountability to communities and society at large. By embedding researchers within public health programmes and prioritizing community engagement, academic institutions can ensure that research findings directly inform policy improvements and programmatic decisions. However, achieving this requires a realignment of research agendas and recognition of the value of community engagement. Establishing Programme Science networks involving academia, government and funding entities can further reinforce academic accountability and enhance the impact of public health programmes.

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通过 "计划科学 "对当地社区和社会承担学术责任:秘鲁人乳头瘤病毒(HPV)自采样计划 HOPE 的案例研究。
导言:21 世纪的健康挑战凸显了在公共卫生领域采取适应性强的创新方法的必要性。学术机构可以而且应该更有效地促进科学知识的产生和转化,从而制定出更好的计划来改善社会健康。学术界要对当地社区和社会负责,就要求大学积极参与当地社区的活动,了解当地社区的背景和需求,并利用其知识和当地经验。计划科学倡议提供了一个框架,通过在战略规划、计划实施和计划管理与评估的研究与实践迭代周期中整合各种方法,优化公共卫生计划的规模、质量和影响。我们通过秘鲁 "希望工程 "的经验,说明计划科学框架如何成为学术机构对当地社区和社会负责的有用工具:讨论:"希望工程 "应用 "计划科学 "框架,将人乳头瘤病毒(HPV)自我采样引入秘鲁的一项妇女健康计划。在项目的各个阶段,与地方当局和社区成员的合作都至关重要,确保干预措施符合社区需求,并解决健康的社会决定因素。HOPE Ladies--接受过培训并被授权推广和提供 HPV 套件的社区妇女--通过研究起草了所使用的信息,制定了接触个人的策略,并为妇女通过保健中心的旅程提供支持。通过让社区参与共同创造知识和解决健康方面的不平等问题,学术机构可以创造出符合实际情况和社会公正的科学知识。社区妇女对 "希望工程 "的积极参与有助于提高服务利用率和消除自我采样的障碍:计划科学方法为学术机构加强对社区和整个社会的责任提供了一条途径。通过将研究人员纳入公共卫生计划并优先考虑社区参与,学术机构可以确保研究成果直接为政策改进和计划决策提供信息。然而,要做到这一点,需要重新调整研究议程,并认识到社区参与的价值。建立由学术界、政府和资助实体参与的计划科学网络,可以进一步加强学术问责,提高公共卫生计划的影响力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of the International AIDS Society
Journal of the International AIDS Society IMMUNOLOGY-INFECTIOUS DISEASES
CiteScore
8.60
自引率
10.00%
发文量
186
审稿时长
>12 weeks
期刊介绍: The Journal of the International AIDS Society (JIAS) is a peer-reviewed and Open Access journal for the generation and dissemination of evidence from a wide range of disciplines: basic and biomedical sciences; behavioural sciences; epidemiology; clinical sciences; health economics and health policy; operations research and implementation sciences; and social sciences and humanities. Submission of HIV research carried out in low- and middle-income countries is strongly encouraged.
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