Wild Hannah B, Niaone Moumini, Cheran Aparna, Ross Madeline, Stewart Barclay T, Meda Nicolas
Department of Surgery, University of Washington, Seattle, WA, USA.
Explosive Weapons Trauma Care Collective, International Blast Injury Research Network, University of Southampton, Southampton, UK.
Disaster Med Public Health Prep. 2025 Apr 2;19:e80. doi: 10.1017/dmp.2025.69.
Simulation materials for layperson first responder (LFR) trainings used in high-resource settings are prohibitively expensive for use in low- and low-middle income countries. To date, no structured approach to community-engaged design in identifying accessible and acceptable simulation materials for LFR trainings has been developed.
We conducted 2 workshops with male (18) and female participants (10) in a rural village in the Centre-Est region of Burkina Faso using principles of community-engaged research to define solutions for improvised LFR training materials.
Participants reported a range of reactions to the use of live trainees and animal models for LFR training including considerations around gender sensitivity, use of animals for training purposes in regions of food insecurity, and religious and cultural barriers to consumption of meat after use for training purposes. A range of locally available options for training materials was identified by participants.
Significant sociocultural variability exists across low-resource environments with implications for the acceptability and availability of improvised materials for LFR training. Affected communities should be engaged in the selection and design of improvisation strategies to ensure context-appropriate adaptation.
高资源环境中用于非专业急救人员（LFR）培训的模拟材料对于低收入和中低收入国家而言过于昂贵，难以使用。迄今为止，尚未开发出一种结构化方法，用于在社区参与设计中确定适用于LFR培训的可获取且可接受的模拟材料。
我们在布基纳法索中部东部地区的一个乡村，对18名男性和10名女性参与者开展了2次工作坊，运用社区参与研究原则来确定简易LFR培训材料的解决方案。
参与者报告了对将现场学员和动物模型用于LFR培训的一系列反应，包括对性别敏感性的考量、在粮食不安全地区将动物用于培训目的、以及培训后食用肉类的宗教和文化障碍。参与者确定了一系列当地可用的培训材料选项。
低资源环境中存在显著的社会文化差异，这对简易LFR培训材料的可接受性和可用性产生影响。应让受影响社区参与即兴创作策略的选择和设计，以确保因地制宜。
