Barriers and enablers of community engagement practices for the prevention of snakebite envenoming in South Asia: A qualitative exploratory study

Snakebite envenoming (SBE) is a grossly neglected tropical disease (NTD) that predominantly affects those living in rural settings in low-and-middle income countries. South Asia currently accounts for the highest global SBE-related mortality, and substantial morbidity rates. To alleviate the high bu...

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Main Authors: N.J. Ten Have, Gaby I. Ooms, Benjamin Waldmann, Tim Reed
Format: Article
Language:English
Published: Elsevier 2023-03-01
Series:Toxicon: X
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2590171022000546
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author N.J. Ten Have
Gaby I. Ooms
Benjamin Waldmann
Tim Reed
author_facet N.J. Ten Have
Gaby I. Ooms
Benjamin Waldmann
Tim Reed
author_sort N.J. Ten Have
collection DOAJ
description Snakebite envenoming (SBE) is a grossly neglected tropical disease (NTD) that predominantly affects those living in rural settings in low-and-middle income countries. South Asia currently accounts for the highest global SBE-related mortality, and substantial morbidity rates. To alleviate the high burden in the region, community engagement (CE) is considered to be an integral component for optimizing SBE prevention and control. To better understand existing CE practices for SBE in the region, the experiences of SBE-CE actors concerning the barriers to, and enablers of CE practices were captured through semi-structured interviews. Fifteen key informants from India, Bangladesh and Nepal participated in the study. Important enablers included providing innovative, inclusive and continuous methods and materials, carefully planning of programs, performing monitoring and evaluation, SBE data availability, motivated and trained staff members, good organizational reputations, communication with other SBE-actors, collaborations, and the involvement of the government. Substantial barriers comprised a lack of SBE data, lack of innovative methods and materials for educational purposes, a shortage of human and physical resources, community resistance, untrained health care workers (HCWs), and ineffective traditional healing practices. In order to optimize and sustain SBE-CE practices, context-sensitive, multi-faceted approaches are needed that incorporate all these factors which influence its sustainable implementation.
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spelling doaj.art-6dd638df20404a8798b0a744cf0bd7762022-12-22T04:41:03ZengElsevierToxicon: X2590-17102023-03-0117100144Barriers and enablers of community engagement practices for the prevention of snakebite envenoming in South Asia: A qualitative exploratory studyN.J. Ten Have0Gaby I. Ooms1Benjamin Waldmann2Tim Reed3Health Action International, Amsterdam, the Netherlands; Corresponding author.Health Action International, Amsterdam, the Netherlands; Utrecht Centre for Pharmaceutical Policy and Regulation, Division of Pharmacoepidemiology and Clinical Pharmacology, Utrecht Institute for Pharmaceutical Sciences (UIPS), Utrecht University, Utrecht, the NetherlandsHealth Action International, Amsterdam, the NetherlandsHealth Action International, Amsterdam, the NetherlandsSnakebite envenoming (SBE) is a grossly neglected tropical disease (NTD) that predominantly affects those living in rural settings in low-and-middle income countries. South Asia currently accounts for the highest global SBE-related mortality, and substantial morbidity rates. To alleviate the high burden in the region, community engagement (CE) is considered to be an integral component for optimizing SBE prevention and control. To better understand existing CE practices for SBE in the region, the experiences of SBE-CE actors concerning the barriers to, and enablers of CE practices were captured through semi-structured interviews. Fifteen key informants from India, Bangladesh and Nepal participated in the study. Important enablers included providing innovative, inclusive and continuous methods and materials, carefully planning of programs, performing monitoring and evaluation, SBE data availability, motivated and trained staff members, good organizational reputations, communication with other SBE-actors, collaborations, and the involvement of the government. Substantial barriers comprised a lack of SBE data, lack of innovative methods and materials for educational purposes, a shortage of human and physical resources, community resistance, untrained health care workers (HCWs), and ineffective traditional healing practices. In order to optimize and sustain SBE-CE practices, context-sensitive, multi-faceted approaches are needed that incorporate all these factors which influence its sustainable implementation.http://www.sciencedirect.com/science/article/pii/S2590171022000546Snakebite envenomingCommunity engagementSouth AsiaPreventionBarriers and enablers
spellingShingle N.J. Ten Have
Gaby I. Ooms
Benjamin Waldmann
Tim Reed
Barriers and enablers of community engagement practices for the prevention of snakebite envenoming in South Asia: A qualitative exploratory study
Toxicon: X
Snakebite envenoming
Community engagement
South Asia
Prevention
Barriers and enablers
title Barriers and enablers of community engagement practices for the prevention of snakebite envenoming in South Asia: A qualitative exploratory study
title_full Barriers and enablers of community engagement practices for the prevention of snakebite envenoming in South Asia: A qualitative exploratory study
title_fullStr Barriers and enablers of community engagement practices for the prevention of snakebite envenoming in South Asia: A qualitative exploratory study
title_full_unstemmed Barriers and enablers of community engagement practices for the prevention of snakebite envenoming in South Asia: A qualitative exploratory study
title_short Barriers and enablers of community engagement practices for the prevention of snakebite envenoming in South Asia: A qualitative exploratory study
title_sort barriers and enablers of community engagement practices for the prevention of snakebite envenoming in south asia a qualitative exploratory study
topic Snakebite envenoming
Community engagement
South Asia
Prevention
Barriers and enablers
url http://www.sciencedirect.com/science/article/pii/S2590171022000546
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