scholarly journals Community Engagement for Malaria Elimination in the Greater Mekong Subregion: a Qualitative Study Among Malaria Researchers and Policymakers

2021 ◽  
Author(s):  
Nils Kaehler ◽  
Bipin Adhikari ◽  
Phaik Yeong Cheah ◽  
Lorenz von Seidlein ◽  
Nicholas PJ Day ◽  
...  
Keyword(s):  
Community Engagement ◽  
Malaria Elimination ◽  
Linguistic Diversity ◽  
Malaria Prevention ◽  
Structured Interviews ◽  
Policy Makers ◽  
Malaria Research ◽  
Local Staff ◽  
Participatory Engagement ◽  
Greater Mekong Subregion

Abstract IntroductionCommunity engagement has increasingly received attention in malaria research and program interventions, particularly as countries approach closer to malaria elimination. Although strategies and aspects of community engagement are constantly developing, little is known about how those who implement research or programs view community engagement. This article explores the perspectives of researchers and policy makers in the Greater Mekong Subregion (GMS) on community engagement for malaria control and elimination. MethodsSemi-structured interviews were conducted among 17 policymakers and 15 senior researchers working in the field of malaria. All interviews were audio-recorded and transcribed in English. Transcribed data were analyzed using deductive and inductive approach in QSR NVivo. Themes and sub-themes were generated. ResultsResearchers and policymakers emphasized the importance of community engagement in promoting participation in malaria research and interventions. Building trust with the community was seen as crucial. Respondents emphasized involving authority/leadership structures and highlighted the need for intense and participatory engagement. Geographic remoteness, social, cultural, and linguistic diversity were identified as barriers to meaningful engagement. Local staff were described as an essential ‘connect’ between researchers or policy makers and prospective participants. Sharing information with community members, using various strategies such as visualization of message including creative and participatory methods were highlighted. ConclusionsAs malaria continues to decline across the GMS, countries have set elimination goals. In this context, policy makers and researchers involved in malaria prevention and control in the region viewed community engagement as crucial for promoting participation in research or programmatic interventions. Given the difficulties of the “last mile” to elimination, sustained investment in community engagement is needed in isolated areas of the GMS where malaria transmission continues.

scholarly journals An ingredients-based approach to costing integrated malaria elimination strategies: an example from Myanmar

2020 ◽  
Author(s):  
Shwe Sin Kyaw ◽  
Gilles Delmas ◽  
Tom L Drake ◽  
Olivier Celhay ◽  
Wirichada Pan-ngum ◽  
...  
Keyword(s):  
Malaria Elimination ◽  
Malaria Parasite ◽  
Financial Data ◽  
Drug Resistant ◽  
Policy Makers ◽  
Research Activities ◽  
Implementation Costs ◽  
The Cost ◽  
Greater Mekong Subregion ◽  
Malaria Interventions

Abstract Background Mass drug administration (MDA) has received growing interest to accelerate the elimination of multi-drug resistant malaria in the Greater Mekong Subregion. The potential effectiveness of delivering targeted MDA was demonstrated in a recent intervention in Kayin State, Myanmar. Policymakers and funders need to know what resources are required if MDA is to be included in elimination packages beyond existing malaria interventions. Methods We used financial data from a malaria elimination initiative, conducted in Kayin State, to estimate the programmatic costs of the MDA component using a micro-costing approach. Three activities (community engagement, identification of villages for MDA, and conducting mass treatment in target villages) were evaluated. We then estimate the programmatic costs of implementing targeted MDA to support P. falciparum malaria elimination in Kayin State. A costing tool was developed to aid future analyses.Results The cost of delivering MDA within an integrated malaria elimination initiative in Eastern Kayin State was approximately US$ 910 000. The cost per person reached for MDA was US$ 2·5. Conclusion This cost analysis can assist policy makers in determining the resources required to clear malaria parasite reservoirs. The analysis demonstrated the value of using financial data from research activities to predict programmatic implementation costs of MDA in different numbers of target villages.

scholarly journals Drama as a community engagement strategy for malaria in rural Cambodia

2017 ◽  
Vol 2 ◽  
pp. 95 ◽  
Author(s):  
Renly Lim ◽  
Rupam Tripura ◽  
Thomas J Peto ◽  
Ma Sareth ◽  
Nou Sanann ◽  
...  
Keyword(s):  
Community Engagement ◽  
Rural Areas ◽  
Qualitative Interviews ◽  
Group Discussion ◽  
Participation Rate ◽  
Malaria Prevention ◽  
Local Health ◽  
Structured Interviews ◽  
Isolated Populations ◽  
Tropical Regions

Background: Countries in Southeast Asia are working to eliminate multidrug-resistant falciparum malaria, a major cause of mortality in tropical regions. Malaria is declining but transmission persists in many rural areas and among forest workers and isolated populations. In these remote communities, conventional health services and education are limited. Mobilising and educating these populations require new approaches as many people are illiterate and do not attend village meetings. This article describes a qualitative study to assess the feasibility of a drama project as a community engagement strategy. Methods: A drama project was conducted in twenty villages in Cambodia with three key messages: to use insecticide-treated bednets and repellents, to get early diagnosis and treatment, and to learn about risks of forest-acquired malaria. Qualitative interviews were conducted with the drama team members, village malaria workers, local health staffs and villagers, to explore the feasibility of using drama to engage the community and the associated challenges. Results: 29 people were interviewed, which included 18 semi-structured interviews and one focus group discussion. Analysis of the interviews resulted in development of the following seven themes: i) exposure to malaria and engagement activities, ii) readiness and barriers to participation, iii) understanding and learning about malaria using drama, iv) entertainment value and engagement method preferences, v) challenges to community engagement, vi) future participation and vii) sustainability. The event saw a very positive response, with an encouraging average participation rate of 66%. The project faced several challenges including logistic problems, rescheduling due to raining season, and time- and budget-constraints. Conclusions: Our evaluation demonstrated that the drama project was feasible in promoting awareness and understanding of malaria prevention and control. Audience members perceived drama as entertaining and as the preferred choice of engagement activity. Participatory drama could be considered as part of the community engagement for malaria elimination.

scholarly journals Drama as a community engagement strategy for malaria in rural Cambodia

2018 ◽  
Vol 2 ◽  
pp. 95 ◽  
Author(s):  
Renly Lim ◽  
Rupam Tripura ◽  
Thomas J Peto ◽  
Ma Sareth ◽  
Nou Sanann ◽  
...  
Keyword(s):  
Community Engagement ◽  
Rural Areas ◽  
Qualitative Interviews ◽  
Group Discussion ◽  
Participation Rate ◽  
Malaria Prevention ◽  
Local Health ◽  
Structured Interviews ◽  
Isolated Populations ◽  
Tropical Regions

Background: Countries in Southeast Asia are working to eliminate multidrug-resistant falciparum malaria, a major cause of mortality in tropical regions. Malaria is declining but transmission persists in many rural areas and among forest workers and isolated populations. In these remote communities, conventional health services and education are limited. Mobilising and educating these populations require new approaches as many people are illiterate and do not attend village meetings. This article describes a qualitative study to assess the feasibility of a drama project as a community engagement strategy. Methods: A drama project was conducted in twenty villages in Cambodia with three key messages: to use insecticide-treated bednets and repellents, to get early diagnosis and treatment, and to learn about risks of forest-acquired malaria. Qualitative interviews were conducted with the drama team members, village malaria workers, local health staffs and villagers, to explore the feasibility of using drama to engage the community and the associated challenges. Results: 29 people were interviewed, which included 18 semi-structured interviews and one focus group discussion. Analysis of the interviews resulted in development of the following seven themes: i) exposure to malaria and engagement activities, ii) readiness and barriers to participation, iii) understanding and learning about malaria using drama, iv) entertainment value and engagement method preferences, v) challenges to community engagement, vi) future participation and vii) sustainability. The event saw a very positive response, with an encouraging average participation rate of 66%. The project faced several challenges including logistic problems, rescheduling due to raining season, and time- and budget-constraints. Conclusions: Our evaluation demonstrated that the drama project was feasible in promoting awareness and understanding of malaria prevention and control. Audience members perceived drama as entertaining and as the preferred choice of engagement activity. Participatory drama could be considered as part of the community engagement for malaria elimination.

scholarly journals Smart Cities in Turkey: Approaches, Advances and Applications with Greater Consideration for Future Urban Transport Development

Energies ◽  
2019 ◽  
Vol 12 (12) ◽  
pp. 2308 ◽  
Author(s):  
Can Bıyık
Keyword(s):  
Urban Areas ◽  
Planning Process ◽  
Smart Cities ◽  
Radical Change ◽  
Urban Transport ◽  
Transport Systems ◽  
Structured Interviews ◽  
Policy Makers ◽  
Comprehensive Survey ◽  
Future Vision

The smart city transport concept is viewed as a future vision aiming to undertake investigations on the urban planning process and to construct policy-pathways for achieving future targets. Therefore, this paper sets out three visions for the year 2035 which bring about a radical change in the level of green transport systems (often called walking, cycling, and public transport) in Turkish urban areas. A participatory visioning technique was structured according to a three-stage technique: (i) Extensive online comprehensive survey, in which potential transport measures were researched for their relevance in promoting smart transport systems in future Turkish urban areas; (ii) semi-structured interviews, where transport strategy suggestions were developed in the context of the possible imaginary urban areas and their associated contextual description of the imaginary urban areas for each vision; (iii) participatory workshops, where an innovative method was developed to explore various creative future choices and alternatives. Overall, this paper indicates that the content of the future smart transport visions was reasonable, but such visions need a considerable degree of consensus and radical approaches for tackling them. The findings offer invaluable insights to researchers inquiring about the smart transport field, and policy-makers considering applying those into practice in their local urban areas.

scholarly journals Estimating the programmatic cost of targeted mass drug administration for malaria in Myanmar

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Shwe Sin Kyaw ◽  
Gilles Delmas ◽  
Tom L. Drake ◽  
Olivier Celhay ◽  
Wirichada Pan-ngum ◽  
...  
Keyword(s):  
Drug Administration ◽  
Mass Drug Administration ◽  
Malaria Elimination ◽  
Unit Cost ◽  
Financial Data ◽  
Research Activities ◽  
High Incidence ◽  
Implementation Costs ◽  
The Cost ◽  
Greater Mekong Subregion

Abstract Background Mass drug administration (MDA) has received growing interest to accelerate the elimination of multi-drug resistant malaria in the Greater Mekong Subregion. Targeted MDA, sometimes referred to as focal MDA, is the practice of delivering MDA to high incidence subpopulations only, rather than the entire population. The potential effectiveness of delivering targeted MDA was demonstrated in a recent intervention in Kayin State, Myanmar. Policymakers and funders need to know what resources are required if MDA, targeted or otherwise, is to be included in elimination packages beyond existing malaria interventions. This study aims to estimate the programmatic cost and the unit cost of targeted MDA in Kayin State, Myanmar. Methods We used financial data from a malaria elimination initiative, conducted in Kayin State, to estimate the programmatic costs of the targeted MDA component using a micro-costing approach. Three activities (community engagement, identification of villages for targeted MDA, and conducting mass treatment in target villages) were evaluated. We then estimated the programmatic costs of implementing targeted MDA to support P. falciparum malaria elimination in Kayin State. A costing tool was developed to aid future analyses. Results The cost of delivering targeted MDA within an integrated malaria elimination initiative in eastern Kayin State was approximately US$ 910,000. The cost per person reached, distributed among those in targeted and non-targeted villages, for the MDA component was US$ 2.5. Conclusion This cost analysis can assist policymakers in determining the resources required to clear malaria parasite reservoirs. The analysis demonstrated the value of using financial data from research activities to predict programmatic implementation costs of targeting MDA to different numbers of target villages.

Facilitators, challenges and usefulness of an asthma educational programme

2020 ◽  
pp. 001789692098162
Author(s):  
Muhammad Naeem ◽  
Hamad Ghalib Dailah
Keyword(s):  
Cultural Context ◽  
Educational Programme ◽  
Structured Interviews ◽  
Policy Makers ◽  
Long Period ◽  
Breathing Techniques ◽  
Educational Programmes ◽  
Asthma Patients ◽  
Programme Content

Background: This study explored the role of hospitals, specialised doctors and staff in developing patient awareness, participation and motivation concerning asthma control. It also looked at the challenges that undermine the value of asthma educational programmes, especially in an Arab cultural context. Methods: Semi-structured interviews were used to collect data from 30 asthma patients who had been living with asthma for a long period of time. Results: Findings highlight how an asthma educational programme can increase patient knowledge about the causes of asthma. Following the programme, patients had a better understanding of levels of medication, breathing techniques and rest and relaxation. Awareness of support from health professionals for managing depression and frustration also increased. However, some patients felt that the asthma educational programme content and delivery was not very interactive and was too lengthy. Conclusion: Findings can help policy makers, researchers, hospitals, doctors and the national Ministry of Health improve the content of future asthma educational programmes. They can also inform the development of a research framework to extend understanding of relevant issues in an Arabian context.

scholarly journals Rethinking success, integrity, and culture in research (part 1) — a multi-actor qualitative study on success in science

2021 ◽  
Vol 6 (1) ◽  
Author(s):  
Noémie Aubert Bonn ◽  
Wim Pinxten
Keyword(s):  
Qualitative Study ◽  
Focus Groups ◽  
Research Integrity ◽  
Current Paper ◽  
Research Quality ◽  
Structured Interviews ◽  
Community Members ◽  
Policy Makers ◽  
The Past ◽  
Research Students

Abstract Background Success shapes the lives and careers of scientists. But success in science is difficult to define, let alone to translate in indicators that can be used for assessment. In the past few years, several groups expressed their dissatisfaction with the indicators currently used for assessing researchers. But given the lack of agreement on what should constitute success in science, most propositions remain unanswered. This paper aims to complement our understanding of success in science and to document areas of tension and conflict in research assessments. Methods We conducted semi-structured interviews and focus groups with policy makers, funders, institution leaders, editors or publishers, research integrity office members, research integrity community members, laboratory technicians, researchers, research students, and former-researchers who changed career to inquire on the topics of success, integrity, and responsibilities in science. We used the Flemish biomedical landscape as a baseline to be able to grasp the views of interacting and complementary actors in a system setting. Results Given the breadth of our results, we divided our findings in a two-paper series, with the current paper focusing on what defines and determines success in science. Respondents depicted success as a multi-factorial, context-dependent, and mutable construct. Success appeared to be an interaction between characteristics from the researcher (Who), research outputs (What), processes (How), and luck. Interviewees noted that current research assessments overvalued outputs but largely ignored the processes deemed essential for research quality and integrity. Interviewees suggested that science needs a diversity of indicators that are transparent, robust, and valid, and that also allow a balanced and diverse view of success; that assessment of scientists should not blindly depend on metrics but also value human input; and that quality should be valued over quantity. Conclusions The objective of research assessments may be to encourage good researchers, to benefit society, or simply to advance science. Yet we show that current assessments fall short on each of these objectives. Open and transparent inter-actor dialogue is needed to understand what research assessments aim for and how they can best achieve their objective. Study Registration osf.io/33v3m.

UNIVERSITIES AND DEVELOPMENT COOPERATION

2016 ◽  
Vol 2 (2) ◽  
Author(s):  
Antonio Iañez Domínguez ◽  
Raúl Alvarez Pérez
Keyword(s):  
Development Cooperation ◽  
Direct Result ◽  
Structured Interviews ◽  
Training And Education ◽  
Policy Makers ◽  
Research Promotion ◽  
Organisational Structures ◽  
Spanish Universities ◽  
Just Society ◽  
Conducting Research

When it comes to human development, justice, and sustainability, universities should play a driving role, given their specific assigned task of providing specialist education and conducting research. They should also educate and promote the values of solidarity and commitment towards a more egalitarian and just society. This involves making a firm commitment to social change, which many Spanish universities have done by cooperating to foster the development of more impoverished countries. To this end, they have developed structures through which they can undertake different actions. The research presented in this paper was conducted as a direct result of the authors’ interest in finding out more about the specific actions carried out by Andalusian universities. The research conducted was qualitative, using in-depth semi-structured interviews with key informants (development cooperation officers and senior policy-makers within each institution) from Andalusia’s ten public universities. All universities incorporate an area for development cooperation within their organisational structures, and they have staffing and funding for the organisation and development of actions, although the panorama is diverse and heterogeneous. The actions carried out encompass academic training and education, research, promotion and awareness, university volunteering schemes, and cooperation out in the field.

scholarly journals Pathways to Local Partnerships in a Semi-Rural Setting: A Qualitative Study of Community Engagement and Employer-Supported Volunteering in Small and Medium Enterprises and Local Nonprofits

2021 ◽  
Vol 12 (1) ◽  
Author(s):  
Myriam Gagnon ◽  
Myriam Beaudry ◽  
Louise Lemyre ◽  
Alexandra Guay-Charette
Keyword(s):  
Community Engagement ◽  
Small And Medium Enterprises ◽  
Integrated System ◽  
Rural Setting ◽  
Small Enterprises ◽  
Structured Interviews ◽  
Inclusive Approach ◽  
Medium Enterprises ◽  
Local Partnerships ◽  
Petites Entreprises

There remains a knowledge gap regarding the factors that drive the development of business-nonprofit partnerships in the context of employer-supported volunteering—especially in small and medium enterprises. Furthermore, there is a need to consider how enterprises operate in their cultural contexts to better understand how they support volunteering trends in Canada. This study aimed to improve understanding of the multi-level factors that foster the development of business-nonprofit partnerships in the context of employer-supported volunteering. Fifteen semi-structured interviews were conducted with community and small business actors in a semi-rural setting in Francophone Québec. Results challenged the traditional view of volunteer support as a distinct activity, showing an integrated system of inter-dependence. Results suggest the relevance of conceptualizing small enterprises’ support of volunteering as part of an inclusive approach to community engagement. RÉSUMÉLes facteurs liés au développement de partenariats entre entreprises et OBNL dans le contexte du bénévolat appuyé par l’employeur sont méconnus – particulièrement au sein des petites et moyennes entreprises. Il est également pertinent de considérer le contexte culturel pour mieux comprendre les tendances canadiennes du bénévolat appuyé par l’employeur. Cette étude vise l’obtention d’une meilleure compréhension des facteurs multiniveaux associés au développement de partenariats entreprises-OBNL dans le contexte du soutien au bénévolat. Quinze entretiens semistructurés ont été effectués auprès d’acteurs du secteur communautaire et des petites entreprises dans un milieu semi-rural francophone-québécois. Les résultats repositionnent la notion d’activités distinctes et témoignent plutôt d’un système intégré d’interdépendances. Les résultats suggèrent de conceptualiser le soutien au bénévolat des petites entreprises au sein d’une approche inclusive d’engagement communautaire.

scholarly journals Malaria Trigram: improving the visualization of recurrence data for malaria elimination

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Cleber Matos de Morais ◽  
Kayo Henrique de Carvalho Monteiro ◽  
Jose Diego Brito-Sousa ◽  
Wuelton Marcelo Monteiro ◽  
Vanderson Souza Sampaio ◽  
...  
Keyword(s):  
Malaria Elimination ◽  
Brazilian Amazon ◽  
Amazon Region ◽  
Primary Data ◽  
Malaria Surveillance ◽  
Historical Representation ◽  
Policy Makers ◽  
Individual Level ◽  
Public Health Professionals ◽  
Brazilian Amazon Region

Abstract Background Although considerable success in reducing the incidence of malaria has been achieved in Brazil in recent years, an increase in the proportion of cases caused by the harder-to-eliminate Plasmodium vivax parasite can be noted. Recurrences in P. vivax malaria cases are due to new mosquito-bite infections, drug resistance or especially from relapses arising from hypnozoites. As such, new innovative surveillance strategies are needed. The aim of this study was to develop an infographic visualization tool to improve individual-level malaria surveillance focused on malaria elimination in the Brazilian Amazon. Methods Action Research methodology was employed to deal with the complex malaria surveillance problem in the Amazon region. Iterative cycles were used, totalling four cycles with a formal validation of an operational version of the Malaria Trigram tool at the end of the process. Further probabilistic data linkage was carried out so that information on the same patients could be linked, allowing for follow-up analysis since the official system was not planned in such way that includes this purpose. Results An infographic user interface was developed for the Malaria Trigram that incorporates all the visual and descriptive power of the Trigram concept. It is a multidimensional and interactive historical representation of malaria cases per patient over time and provides visual input to decision-makers on recurrences of malaria. Conclusions The Malaria Trigram is aimed to help public health professionals and policy makers to recognise and analyse different types of patterns in malaria events, including recurrences and reinfections, based on the current Brazilian health surveillance system, the SIVEP-Malária system, with no additional primary data collection or change in the current process. By using the Malaria Trigram, it is possible to plan and coordinate interventions for malaria elimination that are integrated with other parallel actions in the Brazilian Amazon region, such as vector control management, effective drug and vaccine deployment strategies.

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