关键词: community disease control and prevention community strategies consultative process research uptake

来  源:   DOI:10.1177/0272684X211004939   PDF(Sci-hub)

Abstract:
Excluding communities in planning and implementing research maximizes internal risks that are otherwise visible and avoidable when there is adequate community consultation. Communities might not meaningfully use research results if majority of the researched people have minimal or no participation in information generation and dissemination. However, effective participation of researched communities in research is key to transferring knowledge to action. Using a qualitative approach, the study identified barriers to, and relevant strategies for improving health research uptake, particularly for schistosomiasis (commonly known as bilharzia) in the Ingwavuma area, uMkhanyakude District of KwaZulu-Natal. Data was collected through modified ethnography using participant observation, focus group discussions, unstructured in-depth interviews, and ethnographic conversational interviews. Results reveal that research uptake is inhibited by reduced opportunities for habitual interaction between residents, a paucity of innovative and inclusive health education activities and unsafe recreational facilities. The community\'s strategies on strengthening social capital for disease control include using existing social systems and power hierarchies to mobilise and organise and using the performing arts to facilitate habitual interaction and knowledge sharing. The study recommends a community consultation flow which facilitates openness about the benefits and the community\'s role in research, a pre-condition for community wide efforts in local disease prevention and control.
摘要:
在规划和实施研究中排除社区可以最大程度地提高内部风险,如果有足够的社区咨询,这些风险本来是可见的和可以避免的。如果大多数被研究的人很少或没有参与信息的生成和传播,社区可能不会有意义地使用研究结果。然而,研究社区有效参与研究是将知识转化为行动的关键。使用定性的方法,这项研究确定了障碍,以及改善健康研究吸收的相关策略,特别是对于Ingwavuma地区的血吸虫病(通常称为bilharzia),夸祖鲁-纳塔尔省uMkhanyakude区。数据是通过使用参与者观察的改良人种学收集的,焦点小组讨论,非结构化深度访谈,和人种学对话访谈。结果表明,居民之间习惯性互动的机会减少抑制了研究的吸收,缺乏创新和包容性的健康教育活动和不安全的娱乐设施。社区加强疾病控制社会资本的策略包括利用现有的社会系统和权力等级来动员和组织并利用表演艺术来促进习惯性互动和知识共享。该研究建议社区咨询流程,以促进对利益和社区在研究中的作用的开放性,社区在当地疾病预防和控制方面的努力的先决条件。
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