UCD Centre for Interdisciplinary Research Education and Innovation in Health Systems (UCD IRIS Centre), School of Nursing Midwifery and Health Systems, University College Dublin, Dublin, Ireland.
School of Nursing Midwifery and Health Systems, University College Dublin, Dublin, Ireland.
Syst Rev. 2022 Sep 12;11(1):201. doi: 10.1186/s13643-022-02061-9.
Community engagement (CE) has been increasingly implemented across health interventions, including for maternal and newborn health (MNH). This may take various forms, from participatory women's groups and community health committees to public advocacy days. While research suggests a positive influence of CE on MNH outcomes, such as mortality or care-seeking behaviour, there is a need for further evidence on the processes of CE in different settings in order to inform the future development and implementation of CE across programmes. Communication is an integral component of CE serving as a link between the programme and community. The aim of the realist review described in this protocol is to understand how, why, to what extent, and for whom CE contributes to intended and unintended outcomes in MNH programming, focusing on the communication components of CE.
Realist review methodology will be used to provide a causal understanding of what communication for CE interventions in MNH programming work, for whom, to what extent, why, and how. This will be done by developing and refining programme theories on communications for CE in MNH through a systematic review of the literature and engaging key experts for input and feedback. By extrapolating context-mechanism-outcome configurations, this review seeks to understand how certain contexts trigger or inhibit specific mechanisms and what outcomes this interaction generates when communication in CE interventions is used in MNH programming.
A realist philosophy is well-suited to address the aims of this study because of the complex nature of CE. The review findings will be used to inform a realist evaluation case study of CE for an MNH programme in order to ascertain transferable findings that can inform and guide engagement activities in various settings. Findings will also be shared with stakeholders and experts involved in the consultative processes of the review (through workshops or policy briefs) in order to ensure the relevance of these findings to policy and practice.
PROSPERO CRD42022293564.
社区参与（CE）越来越多地应用于卫生干预措施，包括母婴健康（MNH）。这可以采取多种形式，从参与式妇女团体和社区卫生委员会到公众宣传日。虽然研究表明 CE 对 MNH 结果（如死亡率或寻求护理行为）有积极影响，但需要进一步了解不同环境中 CE 的实施过程，以便为未来在方案中发展和实施 CE 提供信息。沟通是 CE 的一个组成部分，是方案和社区之间的联系。本方案中描述的现实主义审查旨在了解 CE 如何、为何、在何种程度上以及对谁有助于母婴健康方案中的预期和非预期结果，重点是 CE 的沟通组成部分。
现实主义审查方法将用于提供对母婴健康方案中 CE 干预措施的沟通工作、对谁、在何种程度上、为何以及如何产生因果理解。这将通过系统审查文献和让关键专家提供投入和反馈来制定和完善关于母婴健康方案中 CE 的沟通的方案理论来实现。通过推断上下文-机制-结果配置，本审查旨在了解特定环境如何触发或抑制特定机制，以及当在母婴健康方案中使用 CE 干预措施的沟通时，这种相互作用会产生什么结果。
现实主义哲学非常适合解决本研究的目标，因为 CE 的性质复杂。审查结果将用于为母婴健康方案的 CE 进行现实主义评价案例研究，以确定可转移的发现，这些发现可以为各种环境中的参与活动提供信息和指导。还将与参与审查协商过程的利益相关者和专家（通过研讨会或政策简报）分享审查结果，以确保这些结果与政策和实践相关。
PROSPERO CRD42022293564。
