What works in engaging communities?: prioritising nutrition interventions in Burkina Faso, Ghana and South Africa
What works in engaging communities?: prioritising nutrition interventions in Burkina Faso, Ghana and South Africa
Background: "Choosing All Together" (CHAT), is a community engagement tool designed to give the public a voice in how best to allocate limited resources to improve population health. This process evaluation explored the mechanisms through which CHAT generates community engagement.
Method: the CHAT tool was adapted and implemented for use in two rural communities (Nanoro, Burkina Faso, and Navrongo, Ghana) and one urban township (Soweto, South Africa) to prioritize maternal and child nutrition interventions. Community discussions were audio-recorded, transcribed, and translated into English. Twenty-two transcripts, including six each from Navrongo and Soweto and 10 from Nanoro, were analysed thematically to generate data driven codes and themes to explain mechanisms underlying the CHAT process. The process evaluation was based on the UK MRC process evaluation guidance.
Results: seven themes describing the functions and outcomes of CHAT were identified. Themes described participants deliberating trade-offs, working together, agreeing on priorities, having a shared vision, and increasing their knowledge, also the skills of the facilitator, and a process of power sharing between participants and researchers. Participants came to an agreement of priorities when they had a shared vision. Trained facilitators are important to facilitate meaningful discussion between participants and those with lower levels of literacy to participate fully.
Conclusion: CHAT has been shown to be adaptable and useful in prioritising maternal and child nutrition interventions in communities in Burkina Faso, Ghana, and South Africa. Conducting CHAT in communities over a longer period and involving policy-makers would increase trust, mutual respect and develop partnerships.
Burkina Faso, Child, Ghana, Humans, Rural Population, South Africa
e0294410
Watson, Daniella
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Barker, Mary
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Boua, P. Romuald
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Chatio, Samuel
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Compaoré, Adelaide
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Danis, Marion
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Dalaba, Maxwell
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Erzse, Agnes
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Hardy-Johnson, Polly
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Kehoe, Sarah H.
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Hofman, Karen J.
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Lawrence, Wendy T.
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Nonterah, Engelbert A.
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Sorgho, Hermann
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Rwafa-Ponela, Teurai
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Ward, Kate A.
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13 December 2023
Watson, Daniella
1ddbeaa5-d181-4c2c-9e6c-0a100130184d
Barker, Mary
374310ad-d308-44af-b6da-515bf5d2d6d2
Boua, P. Romuald
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Chatio, Samuel
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Compaoré, Adelaide
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Danis, Marion
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Dalaba, Maxwell
7cebbe1c-176f-4045-a5b9-eb2d254e16ad
Erzse, Agnes
f2a28c48-d101-4a56-b26d-de9aa773f0e8
Hardy-Johnson, Polly
49276c2f-01a9-4488-9f30-dc359cf867e0
Kehoe, Sarah H.
17aff028-df58-48b9-8e45-e1b353f61537
Hofman, Karen J.
c4f9b7ec-6446-4eae-9af1-36af699f7d47
Lawrence, Wendy T.
e9babc0a-02c9-41df-a289-7b18f17bf7d8
Nonterah, Engelbert A.
aacb7a34-ceef-4a9f-93b8-707a29db42c6
Sorgho, Hermann
a8891940-5da3-42ad-b486-9504c0c53804
Rwafa-Ponela, Teurai
d14560f8-f620-44f6-9424-eee503a119ed
Ward, Kate A.
39bd4db1-c948-4e32-930e-7bec8deb54c7
Watson, Daniella, Barker, Mary, Boua, P. Romuald, Chatio, Samuel, Compaoré, Adelaide, Danis, Marion, Dalaba, Maxwell, Erzse, Agnes, Hardy-Johnson, Polly, Kehoe, Sarah H., Hofman, Karen J., Lawrence, Wendy T., Nonterah, Engelbert A., Sorgho, Hermann, Rwafa-Ponela, Teurai and Ward, Kate A.
,
INPreP study group
(2023)
What works in engaging communities?: prioritising nutrition interventions in Burkina Faso, Ghana and South Africa.
PLoS ONE, 18 (12 December), , [e0294410].
(doi:10.1371/journal.pone.0294410).
Abstract
Background: "Choosing All Together" (CHAT), is a community engagement tool designed to give the public a voice in how best to allocate limited resources to improve population health. This process evaluation explored the mechanisms through which CHAT generates community engagement.
Method: the CHAT tool was adapted and implemented for use in two rural communities (Nanoro, Burkina Faso, and Navrongo, Ghana) and one urban township (Soweto, South Africa) to prioritize maternal and child nutrition interventions. Community discussions were audio-recorded, transcribed, and translated into English. Twenty-two transcripts, including six each from Navrongo and Soweto and 10 from Nanoro, were analysed thematically to generate data driven codes and themes to explain mechanisms underlying the CHAT process. The process evaluation was based on the UK MRC process evaluation guidance.
Results: seven themes describing the functions and outcomes of CHAT were identified. Themes described participants deliberating trade-offs, working together, agreeing on priorities, having a shared vision, and increasing their knowledge, also the skills of the facilitator, and a process of power sharing between participants and researchers. Participants came to an agreement of priorities when they had a shared vision. Trained facilitators are important to facilitate meaningful discussion between participants and those with lower levels of literacy to participate fully.
Conclusion: CHAT has been shown to be adaptable and useful in prioritising maternal and child nutrition interventions in communities in Burkina Faso, Ghana, and South Africa. Conducting CHAT in communities over a longer period and involving policy-makers would increase trust, mutual respect and develop partnerships.
Text
journal.pone.0294410
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Accepted/In Press date: 30 October 2023
Published date: 13 December 2023
Additional Information:
Funding Information:
This research was funded by the National Institute for Health Research (NIHR) (17\63\154) using UK aid from the UK Government to support global health research. The views expressed in this publication are those of the authors and not necessarily those of the NIHR or the UK Department of Health and Social Care. KJH and AE are supported by South African Medical Research Council/ Centre for Health Economics and Decision Science – PRICELESS SA, University of Witwatersrand School of Public Health, Faculty of Health Sciences, Johannesburg South Africa (D1305910-03). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
Publisher Copyright:
© 2023 Watson et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Keywords:
Burkina Faso, Child, Ghana, Humans, Rural Population, South Africa
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Local EPrints ID: 485991
URI: http://eprints.soton.ac.uk/id/eprint/485991
ISSN: 1932-6203
PURE UUID: 9728e29d-3936-4667-99ce-41d1b61b801f
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Date deposited: 04 Jan 2024 19:37
Last modified: 18 Mar 2024 03:38
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Contributors
Author:
Daniella Watson
Author:
P. Romuald Boua
Author:
Samuel Chatio
Author:
Adelaide Compaoré
Author:
Marion Danis
Author:
Maxwell Dalaba
Author:
Agnes Erzse
Author:
Polly Hardy-Johnson
Author:
Sarah H. Kehoe
Author:
Karen J. Hofman
Author:
Engelbert A. Nonterah
Author:
Hermann Sorgho
Author:
Teurai Rwafa-Ponela
Corporate Author: INPreP study group
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