Public Health, Liverpool School of Tropical Medicine, Liverpool, UK
BRAC University James P Grant School of Public Health, Dhaka, Bangladesh.
BMJ Glob Health. 2024 Nov 17;9(11):e015497. doi: 10.1136/bmjgh-2024-015497.
Equitable health research requires actively engaging communities in producing new knowledge to advocate for their health needs. Community-based participatory research (CBPR) relies on the coproduction of contextual and grounded knowledge between researchers, programme implementers and community partners with the aim of catalysing action for change. Improving coproduction competencies can support research quality and validity. Yet, frameworks and guidance highlighting the ideal competencies and conditions needed for all research partners to contribute meaningfully and equitably are lacking. This paper aims to advance CBPR by laying out seven core competencies and conditions that can promote power sharing in knowledge production, application and dissemination at the individual, community, organisational and systems levels.Competencies were developed through an iterative process, that synthesised pre-existing literature and frameworks with a wide range of tacit knowledge from researchers, activists, implementation partners and community researchers from Bangladesh, India, Kenya, Sierra Leone and the UK.The seven core competencies and conditions are: (1) capacity to interpret and respond to individual and relational identity, connection, uniqueness and inequities; (2) ability of communities and partners to work in the most suitable, inclusive and synergistic way; (3) aptitude for generating safe and inclusive spaces for multidirectional knowledge and skills exchange that goes beyond the research focus; (4) expertise in democratic leadership and/or facilitation to balance competing priorities and ensure shared decision-making; (5) capacity to analyse readiness for action, successes and areas for improvements throughout the research process; (6) ability to instigate sustainable change processes within the political dimensions of systems, policies and practices using advocacy, lobbying or activism approaches and (7) skills to interpret and disseminate findings and outputs that are understandable, respectful and promote community ownership. We present core competency and condition areas, individual and collective expertise associated with competencies, likely outcomes, examples of activities and sources of evidence.
公平的健康研究需要积极让社区参与到新知识的产生中，以倡导他们的健康需求。基于社区的参与式研究（CBPR）依赖于研究人员、方案实施者和社区合作伙伴之间共同产生情境和基础知识，旨在为变革提供动力。提高共同生产能力可以支持研究质量和有效性。然而，缺乏强调所有研究伙伴为有意义和公平地做出贡献所需的理想能力和条件的框架和指导。本文旨在通过阐述可以在个体、社区、组织和系统层面促进知识生产、应用和传播中的权力共享的七个核心能力和条件来推进 CBPR。
能力是通过一个迭代过程开发的，该过程综合了来自孟加拉国、印度、肯尼亚、塞拉利昂和英国的研究人员、活动家和实施伙伴以及社区研究人员的现有文献和框架以及广泛的隐性知识。这七个核心能力和条件是：（1）解释和回应个人和关系身份、联系、独特性和不平等的能力；（2）社区和合作伙伴以最合适、最包容和最协同的方式工作的能力；（3）为超越研究重点的多维知识和技能交流创造安全和包容的空间的才能；（4）民主领导和/或促进的专业知识，以平衡竞争优先级并确保共同决策；（5）在整个研究过程中分析行动准备情况、成功和改进领域的能力；（6）能够在系统、政策和实践的政治层面启动可持续变革过程，使用倡导、游说或激进主义方法，以及（7）解释和传播可理解、尊重和促进社区所有权的发现和产出的技能。
我们提出了核心能力和条件领域、与能力相关的个人和集体专业知识、可能的结果、活动示例和证据来源。
