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社区参与式方法在儿童早期综合发展干预中的应用:以肯尼亚人和境内流离失所难民为对象的城市非正规住区案例研究。

A community engagement approach for an integrated early childhood development intervention: a case study of an urban informal settlement with Kenyans and embedded refugees.

机构信息

Institute for Human Development, Aga Khan University, Nairobi, Kenya.

Alliance for Human Development, Lunenfeld-Tanenbaum Research Institute, Toronto, Canada.

出版信息

BMC Public Health. 2022 Apr 11;22(1):711. doi: 10.1186/s12889-022-13185-x.

Abstract

BACKGROUND

Community engagement is crucial for the design and implementation of community-based early childhood development (ECD) programmes. This paper aims to share key components and learnings of a community engagement process for an integrated ECD intervention. The lessons shared are drawn from a case study of urban informal settlement with embedded refugees in Nairobi, Kenya.

METHODS

We conducted three stakeholder meetings with representatives from the Ministry of Health at County and Sub-County, actors in the ECD sector, and United Nations agency in refugee management, a transect walk across five villages (Ngando, Muslim, Congo, Riruta and Kivumbini); and, six debrief meetings by staff from the implementing organization. The specific steps and key activities undertaken, the challenges faced and benefits accrued from the community engagement process are highlighted drawing from the implementation team's perspective.

RESULTS

Context relevant, well-planned community engagement approaches can be integrated into the five broad components of stakeholder engagement, formative research, identification of local resources, integration into local lives, and shared control/leadership with the local community. These can yield meaningful stakeholder buy-in, community support and trust, which are crucial for enabling ECD programme sustainability.

CONCLUSION

Our experiences underscore that intervention research on ECD programmes in urban informal settlements requires a well-planned and custom-tailored community engagement model that is sensitive to the needs of each sub-group within the community to avoid unintentionally leaving anyone out.

摘要

背景

社区参与对于设计和实施基于社区的儿童早期发展(ECD)计划至关重要。本文旨在分享一个综合 ECD 干预措施社区参与过程的关键组成部分和经验教训。分享的经验教训来自肯尼亚内罗毕城市非正规住区和难民嵌入的案例研究。

方法

我们与卫生部在县和分区、ECD 部门的参与者以及难民管理方面的联合国机构的代表进行了三次利益相关者会议,在五个村庄(Ngando、穆斯林、刚果、Riruta 和 Kivumbini)进行了横断面行走,以及六次由实施组织的工作人员进行的汇报会议。从实施团队的角度突出了社区参与过程中采取的具体步骤和关键活动、面临的挑战以及所获得的收益。

结果

与背景相关、精心规划的社区参与方法可以整合到利益相关者参与、形成性研究、确定当地资源、融入当地生活以及与当地社区共享控制/领导权等五个广泛的组成部分中。这可以带来有意义的利益相关者参与、社区支持和信任,这对于 ECD 计划的可持续性至关重要。

结论

我们的经验表明,城市非正规住区的 ECD 方案干预研究需要一个精心规划和定制的社区参与模式,该模式要对社区内每个亚群体的需求敏感,以避免无意中将任何人排除在外。

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