Naing Cho, Tung Wong Siew, Htet Norah Htet, Aung Htar Htar, Whittaker Maxine A
Division of Tropical Health and Medicine, James Cook University, Queensland, Australia.
School of Medicine, International Medical University, Kuala Lumpur, Malaysia.
PLOS Glob Public Health. 2023 Mar 22;3(3):e0001694. doi: 10.1371/journal.pgph.0001694. eCollection 2023.
The research question was what studies are available that have assessed community engagement in the health services research on soil-transmitted helminths? We aimed to synthesise evidence on how communities were engaged in health services research on soil-transmitted helminths in low-and-middle-income countries of the Asia-Pacific Region. We focused on this region because soil-transmitted helminths are endemic, and their burden is significant in this region. This review was conducted according to the Preferred Reporting Items for Systematic Review and Meta-analysis (PRISMA) checklist. Relevant studies were searched in health-related databases including PubMed, Ovid, and Google Scholar. We selected studies based on the selection criteria set for this review. We collected textual information about the type of health services research, the degree of community engagement, the research phases involved, and the barriers/enablers affecting community engagement in research since they are pertinent to our review question and objective. Ten studies from seven countries in the Asia Pacific region were identified for this review. Albeit with variation in the extent of their involvement, various forms of communities/groups within communities were included such as Aboriginal communities, local communities, school children and their parents, school teachers and headmasters of schools, heads of villages, religious leaders, and so on. Overall, community engagement in health services research focused on of soil-transmitted helminths was limited. Six studies (60%) had collaboration at 'developing methodology', mainly through an explanation of the objectives of the study or study process to be conducted. Seven studies (70%) revealed community participation in soil-transmitted helminths at the "data collection" stage. Only one study (10%) documented that a community leader was involved as a co-author, reflecting an involvement in 'report writing' and further 'dissemination'. Findings suggest that there were various forms of community engagement in various aspects of the health services research context. Overall, there was moderate level of participation, but there was insufficient information on the partnership between various stakeholders, which prevented in-depth analysis of the engagement. Future health services research on soil-transmitted helminth interventions needs to be carefully planned, well designed, grounded in principles of community engagement, and designed methodologically to allow in-depth participation by communities in all stages of the research.
研究问题是，有哪些已开展的研究评估了社区在土壤传播蠕虫病卫生服务研究中的参与情况？我们旨在综合关于亚太地区低收入和中等收入国家社区如何参与土壤传播蠕虫病卫生服务研究的证据。我们聚焦于该地区，是因为土壤传播蠕虫病呈地方性流行，且在该地区负担较重。本综述依据系统评价与Meta分析的首选报告项目（PRISMA）清单进行。在包括PubMed、Ovid和谷歌学术在内的与健康相关的数据库中检索相关研究。我们根据为本综述设定的选择标准选取研究。我们收集了有关卫生服务研究类型、社区参与程度、所涉及的研究阶段以及影响社区参与研究的障碍/促进因素的文本信息，因为它们与我们的综述问题和目标相关。本次综述确定了来自亚太地区7个国家的10项研究。尽管参与程度有所不同，但纳入了社区内各种形式的社区/群体，如原住民社区、当地社区、学童及其家长、学校教师和校长、村长、宗教领袖等等。总体而言，社区在土壤传播蠕虫病卫生服务研究中的参与有限。六项研究（60%）在“制定方法”阶段有合作，主要是通过解释研究目的或拟开展的研究过程。七项研究（70%）显示社区在“数据收集”阶段参与了土壤传播蠕虫病研究。只有一项研究（10%）记录了社区领袖作为共同作者参与其中，这反映了在“报告撰写”以及进一步“传播”方面的参与。研究结果表明，在卫生服务研究背景的各个方面存在各种形式的社区参与。总体而言，参与程度为中等水平，但关于各利益相关者之间伙伴关系的信息不足，这妨碍了对参与情况进行深入分析。未来关于土壤传播蠕虫病干预措施的卫生服务研究需要精心规划、设计良好、以社区参与原则为基础，并在方法上进行设计，以便社区能够深入参与研究的各个阶段。
