College of Public Health, Medical and Veterinary Sciences, James Cook University, Queensland, Australia.
School of Medicine, International Medical University, Kuala Lumpur, Malaysia.
BMC Public Health. 2023 Oct 5;23(1):1924. doi: 10.1186/s12889-023-16845-8.
Dengue is a public health problem in the Indo-Pacific countries. There are concerns over the facilitators and barriers to community engagement in health service research aimed at dengue control. The objective of his study was to identify and synthesize facilitators and barriers to community engagement in health service research aimed at dengue control.
The Preferred Reporting Items for Systematic Review and Meta-analysis (PRISMA) checklist was used to perform this review. Health-related databases including PubMed, Ovid, and Google Scholar were searched for relevant studies. A consolidated framework with five domains was developed after undertaking a six-phase reflective thematic assessment of the data.
Thirteen studies were identified, spanning eight low-and middle-income countries of the Indo-Pacific region including Cambodia, India, Indonesia, Myanmar, Philippines, Sri Lanka, Thailand, and Vietnam. The studies in this review covered the period from 2002 to 2021. A broad range of study designs and objectives were revealed across these 13 studies. An array of communities such as the local government, project-related health staff, local health services staff, community leaders, local communities/residences/general public, heads of households, community health volunteers, school teachers, and schoolchildren participated in these dengue related studies. The five Consolidated Framework for Implementation Research (CFIR) domains of 'intervention characteristics', 'inner setting', 'outer setting',' individual characteristics', and 'program implementations' were used to identify and describe barriers and facilitators.
The findings indicate a range of barriers and facilitators to community engagement in dengue control in the selected LMIC in the Indo-Pacific countries. Future health services research on dengue control approaches should be carefully planned, methodologically constructed, aligned with community engagement principles, and involve considerable community participation at all stages of the research.
登革热是印度-太平洋国家的一个公共卫生问题。人们对社区参与旨在控制登革热的卫生服务研究的促进因素和障碍存在担忧。本研究的目的是确定并综合分析旨在控制登革热的社区参与卫生服务研究的促进因素和障碍。
本研究使用了系统评价和荟萃分析的首选报告项目（PRISMA）清单。在对数据进行六个阶段的反思性主题评估后，开发了一个包含五个领域的综合框架，从包括 PubMed、Ovid 和 Google Scholar 在内的健康相关数据库中搜索了相关研究。
确定了 13 项研究，涵盖了印度-太平洋地区的 8 个低收入和中等收入国家，包括柬埔寨、印度、印度尼西亚、缅甸、菲律宾、斯里兰卡、泰国和越南。本研究中的研究涵盖了 2002 年至 2021 年期间。这 13 项研究的设计和目标各不相同。一系列社区，如地方政府、与项目相关的卫生人员、当地卫生服务人员、社区领导、当地社区/住所/公众、户主、社区卫生志愿者、学校教师和学童，都参与了这些与登革热相关的研究。使用“实施研究综合框架”（CFIR）的五个领域，即“干预措施特征”、“内部环境”、“外部环境”、“个体特征”和“方案实施”，来识别和描述障碍和促进因素。
研究结果表明，在所选择的印度-太平洋国家的低收入和中等收入国家中，社区参与登革热控制存在一系列障碍和促进因素。未来关于登革热控制方法的卫生服务研究应精心计划、方法上合理构建、符合社区参与原则，并在研究的所有阶段都有相当多的社区参与。
