夸祖鲁-纳塔尔省 uMkhanyakude 区 Ingwavuma 血吸虫病和疟疾项目的社区参与以及研究人员与社区利益相关者之间的合作。

IF 2.8 4区 医学 Q2 INFECTIOUS DISEASES Tropical Medicine and Infectious Disease Pub Date : 2024-10-11 DOI:10.3390/tropicalmed9100236
Zinhle Mthembu, Moses John Chimbari
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引用次数: 0

摘要

社区参与是一个多阶段的过程,对于成功开展基于社区的健康干预至关重要。本研究调查了社区参与的合作阶段,特别是在南非 uMkhanyakude 区实施的共同开发框架内。本研究采用了定性案例研究的方法来探讨社区主要利益相关者在项目实施合作阶段的经验。数据收集包括关键信息提供者访谈、焦点小组讨论和直接观察。研究结果表明,村长、社区咨询委员会成员和社区研究助理之间有可能开展有效合作,共同应对当地的健康挑战。社区研究助理在促进参与式研究和研究人员的亲身参与方面发挥了尤为重要的作用。然而,一些障碍阻碍了合作进程,包括苛刻的工作条件、有关报酬的沟通问题、研究团队的不当行为以及对文化不敏感的互动。虽然基于社区的参与式研究为解决健康问题提供了一种前景广阔的合作方法,但要避免误解和克服潜在障碍,就必须认真考虑当地的社会文化动态。应对这些挑战对于确保合作关系有效地增强社区能力并持续改善健康成果至关重要。
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Community Engagement and Collaboration between Researchers and Community Stakeholders for Schistosomiasis and Malaria Projects in Ingwavuma, uMkhanyakude District, KwaZulu-Natal.

Community engagement is a multiphase process that is crucial for successful community-based health interventions. This study investigates the collaborative phase of community engagement, specifically within a co-developed framework implemented in uMkhanyakude District, South Africa. A qualitative case study approach was employed to explore the experiences of key community stakeholders during the collaborative phase of project implementation. Data collection involved key informant interviews, focus group discussions, and direct observation. The findings demonstrate the potential for effective collaboration among village headmen, community advisory board members, and community research assistants to address local health challenges. Community research assistants played a particularly valuable role in facilitating participatory research and hands-on engagement with researchers. However, several barriers hindered the collaborative process, including demanding work conditions, communication issues regarding compensation, inappropriate behavior from the research team, and culturally insensitive interactions. While community-based participatory research offers a promising collaborative approach for addressing health issues, a careful consideration of local socio-cultural dynamics is essential to avoid misunderstandings and overcome potential barriers. Addressing these challenges is crucial to ensuring that collaborative partnerships effectively empower communities and achieve sustainable improvements in health outcomes.

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来源期刊
Tropical Medicine and Infectious Disease
Tropical Medicine and Infectious Disease Medicine-Public Health, Environmental and Occupational Health
CiteScore
3.90
自引率
10.30%
发文量
353
审稿时长
11 weeks
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