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What works in engaging communities? Prioritising nutrition interventions in Burkina Faso, Ghana and South Africa

Author

Listed:
  • Daniella Watson
  • Mary Barker
  • P Romuald Boua
  • Samuel Chatio
  • Adelaide Compaoré
  • Marion Danis
  • Maxwell Dalaba
  • Agnes Erzse
  • Polly Hardy-Johnson
  • Sarah H Kehoe
  • Karen J Hofman
  • Wendy T Lawrence
  • Engelbert A Nonterah
  • Hermann Sorgho
  • Teurai Rwafa-Ponela
  • Kate A Ward
  • Aviva Tugendhaft
  • on behalf of the INPreP study group

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.

Suggested Citation

  • Daniella Watson & Mary Barker & P Romuald Boua & Samuel Chatio & Adelaide Compaoré & Marion Danis & Maxwell Dalaba & Agnes Erzse & Polly Hardy-Johnson & Sarah H Kehoe & Karen J Hofman & Wendy T Lawren, 2023. "What works in engaging communities? Prioritising nutrition interventions in Burkina Faso, Ghana and South Africa," PLOS ONE, Public Library of Science, vol. 18(12), pages 1-19, December.
    • Handle: RePEc:plo:pone00:0294410
    DOI: 10.1371/journal.pone.0294410
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    References listed on IDEAS

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    2. David Mark Dror, 2018. "Health Insurance Benefit Packages Prioritized by Low-Income Clients in India: Three Criteria to Estimate Effectiveness of Choice," World Scientific Book Chapters, in: Financing Micro Health Insurance Theory, Methods and Evidence, chapter 13, pages 253-270, World Scientific Publishing Co. Pte. Ltd..
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