Mthembu Zinhle, Chimbari Moses John
Department of Anthropology and Development Studies, University of Zululand, KwaDlangezwa 3886, South Africa.
Department of Behavioural Science, Medical and Health Sciences, Great Zimbabwe University, Masvingo P.O. Box 1235, Zimbabwe.
Trop Med Infect Dis. 2024 Oct 11;9(10):236. doi: 10.3390/tropicalmed9100236.
Community engagement is a multiphase process that is crucial for successful community-based health interventions. This study investigates the collaborative phase of community engagement, specifically within a co-developed framework implemented in uMkhanyakude District, South Africa. A qualitative case study approach was employed to explore the experiences of key community stakeholders during the collaborative phase of project implementation. Data collection involved key informant interviews, focus group discussions, and direct observation. The findings demonstrate the potential for effective collaboration among village headmen, community advisory board members, and community research assistants to address local health challenges. Community research assistants played a particularly valuable role in facilitating participatory research and hands-on engagement with researchers. However, several barriers hindered the collaborative process, including demanding work conditions, communication issues regarding compensation, inappropriate behavior from the research team, and culturally insensitive interactions. While community-based participatory research offers a promising collaborative approach for addressing health issues, a careful consideration of local socio-cultural dynamics is essential to avoid misunderstandings and overcome potential barriers. Addressing these challenges is crucial to ensuring that collaborative partnerships effectively empower communities and achieve sustainable improvements in health outcomes.
社区参与是一个多阶段过程,对于成功开展基于社区的健康干预至关重要。本研究调查了社区参与的协作阶段,特别是在南非姆赫尼亚库德区实施的一个共同开发的框架内。采用定性案例研究方法,以探索项目实施协作阶段关键社区利益相关者的经历。数据收集包括关键信息人访谈、焦点小组讨论和直接观察。研究结果表明,村长、社区咨询委员会成员和社区研究助理之间进行有效协作以应对当地健康挑战具有潜力。社区研究助理在促进参与式研究以及与研究人员的实际互动方面发挥了特别重要的作用。然而,一些障碍阻碍了协作进程,包括工作条件苛刻、关于报酬的沟通问题、研究团队的不当行为以及缺乏文化敏感性的互动。虽然基于社区的参与式研究为解决健康问题提供了一种很有前景的协作方法,但仔细考虑当地社会文化动态对于避免误解和克服潜在障碍至关重要。应对这些挑战对于确保协作伙伴关系有效增强社区能力并实现健康结果的可持续改善至关重要。