Clinical Research Department, Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, UK.
Nigerian Institute of Medical Research, Lagos, Nigeria.
BMC Infect Dis. 2024 Jun 20;24(1):606. doi: 10.1186/s12879-024-09479-7.
Oncogenic types of human Papillomavirus (HPV) infection cause substantial morbidity and mortality in Nigeria. Nigeria has low cervical cancer screening and vaccination rates, suggesting the need for community engagement to enhance reach and uptake. We organised a designathon to identify community-led, innovative approaches to promote HPV screening and vaccination for women and girls, respectively, in Nigeria. A designathon is a three-phase participatory process informed by design thinking that includes the preparation phase that includes soliciting innovative ideas from end-users, an intensive collaborative event to co-create intervention components, and follow-up activities.
We organised a three-phase designathon for women (30-65yrs) and girls (11-26yrs) in Nigeria. First, we launched a national crowdsourcing open call for ideas on community-driven strategies to support HPV screening among women and vaccination among girls. The open call was promoted widely on social media and at in-person gatherings. All eligible entries were graded by judges and 16 exceptional teams (with 4-6members each). All six geo-political zones of Nigeria were invited to join an in-person event held over three days in Lagos to refine their ideas and present them to a panel of expert judges. The ideas from teams were reviewed and scored based on relevance, feasibility, innovation, potential impact, and mother-daughter team dynamics. We present quantitative data on people who submitted and themes from the textual submissions.
We received a total of 612 submissions to the open call from mother-daughter dyads. Participants submitted ideas via a website designated for the contest (n = 392), in-person (n = 99), email (n = 31), or via an instant messaging application (n = 92). Overall, 470 were eligible for judging after initial screening. The average age of participants for daughters was 19 years and 39 years for mothers. Themes from the top 16 proposals included leveraging local leaders (5/16), faith-based networks (4/16), educational systems (4/16), and other community networks (7/16) to promote awareness of cervical cancer prevention services. After an in-person collaborative event, eight teams were selected to join an innovation training boot camp, for capacity building to implement ideas.
Innovative strategies are needed to promote HPV screening for mothers and vaccination for girls in Nigeria. Our designathon was able to facilitate Nigerian mother-daughter teams to develop cervical cancer prevention strategies. Implementation research is needed to assess the effectiveness of these strategies.
致癌型人乳头瘤病毒（HPV）感染在尼日利亚造成了大量的发病率和死亡率。尼日利亚的宫颈癌筛查和疫苗接种率较低，这表明需要进行社区参与，以提高覆盖面和参与度。我们组织了一次设计大赛，以确定针对尼日利亚女性和女孩的 HPV 筛查和疫苗接种的社区主导、创新方法。设计大赛是一个由设计思维指导的三阶段参与式过程，包括征集最终用户创新想法的准备阶段、共同创建干预措施组件的密集协作活动以及后续活动。
我们为尼日利亚的女性（30-65 岁）和女孩（11-26 岁）组织了一个三阶段的设计大赛。首先，我们在全国范围内发起了一项众包开放式呼吁，征集社区主导的策略，以支持女性的 HPV 筛查和女孩的疫苗接种。开放式呼吁在社交媒体和现场聚会上广泛宣传。所有符合条件的参赛作品均由评委打分，选出 16 个优秀团队（每个团队 4-6 名成员）。邀请尼日利亚所有六个地理区域参加在拉各斯举行的为期三天的现场活动，以完善他们的想法并向专家评审小组展示。根据相关性、可行性、创新性、潜在影响以及母女团队动态，对团队的想法进行了审查和评分。我们展示了文本提交的提交人和主题的定量数据。
我们从母女二人组共收到了 612 份开放式呼吁提交的作品。参赛者通过一个专门的竞赛网站提交想法（n=392）、现场提交（n=99）、电子邮件提交（n=31）或即时通讯应用程序提交（n=92）。经过初步筛选，共有 470 份符合评审条件。参赛者女儿的平均年龄为 19 岁，母亲的平均年龄为 39 岁。前 16 名提案的主题包括利用当地领导人（16 分之 5）、信仰网络（16 分之 4）、教育系统（16 分之 4）和其他社区网络（16 分之 7）来提高对宫颈癌预防服务的认识。在现场协作活动之后，有 8 个团队被选中参加创新培训训练营，以进行能力建设，实施这些想法。
需要创新策略来促进尼日利亚母亲的 HPV 筛查和女孩的疫苗接种。我们的设计大赛使尼日利亚母女团队能够制定宫颈癌预防策略。需要实施研究来评估这些策略的有效性。
