Conducting co-creation for public health in low and middle-income countries: a systematic review and key informant perspectives on implementation barriers and facilitators
Abstract Background There has been an increase in the use of co-creation for public health because of its claimed potential to increase an intervention’s impact, spark change and co-create knowledge. Still, little is reported on its use in low-and-middle-income countries (LMICs). This study offers a...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2024-01-01
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| Series: | Globalization and Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12992-024-01014-2 |
| _version_ | 1797349667092037632 |
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| author | Giuliana Raffaella Longworth Oritseweyinmi Erikowa-Orighoye Ebuka Miracle Anieto Danielle Marie Agnello Jorge Raul Zapata-Restrepo Caroline Masquillier Maria Giné-Garriga |
| author_facet | Giuliana Raffaella Longworth Oritseweyinmi Erikowa-Orighoye Ebuka Miracle Anieto Danielle Marie Agnello Jorge Raul Zapata-Restrepo Caroline Masquillier Maria Giné-Garriga |
| author_sort | Giuliana Raffaella Longworth |
| collection | DOAJ |
| description | Abstract Background There has been an increase in the use of co-creation for public health because of its claimed potential to increase an intervention’s impact, spark change and co-create knowledge. Still, little is reported on its use in low-and-middle-income countries (LMICs). This study offers a comprehensive overview of co-creation used in public-health-related interventions, including the interventions’ characteristics, and reported implementation barriers and facilitators. Methods We conducted a systematic review within the Scopus and PubMed databases, a Google Scholar search, and a manual search in two grey literature databases related to participatory research. We further conducted eight interviews with first authors, randomly selected from included studies, to validate and enrich the systematic review findings. Results Through our review, we identified a total of twenty-two studies conducted in twenty-four LMIC countries. Majority of the interventions were designed directly within the LMIC setting. Aside from one, all studies were published between 2019 and 2023. Most studies adopted a co-creation approach, while some reported on the use of co-production, co-design, and co-development, combined either with community-based participatory research, participatory action research or citizen science. Among the most reported implementation barriers, we found the challenge of understanding and accounting for systemic conditions, such as the individual’s socioeconomic status and concerns related to funding constraints and length of the process. Several studies described the importance of creating a safe space, relying on local resources, and involving existing stakeholders in the process from the development stage throughout, including future and potential implementors. High relevance was also given to the performance of a contextual and/or needs assessment and careful tailoring of strategies and methods. Conclusion This study provides a systematic overview of previously conducted studies and of reported implementation barriers and facilitators. It identifies implementation barriers such as the setting’s systemic conditions, the socioeconomic status and funding constrains along with facilitators such as the involvement of local stakeholders and future implementors throughout, the tailoring of the process to the population of interest and participants and contextual assessment. By incorporating review and interview findings, the study aims to provide practical insights and recommendations for guiding future research and policy. |
| first_indexed | 2024-03-08T12:33:42Z |
| format | Article |
| id | doaj.art-aee0984344164e17a1b8d4a0b5127ee9 |
| institution | Directory Open Access Journal |
| issn | 1744-8603 |
| language | English |
| last_indexed | 2024-03-08T12:33:42Z |
| publishDate | 2024-01-01 |
| publisher | BMC |
| record_format | Article |
| series | Globalization and Health |
| spelling | doaj.art-aee0984344164e17a1b8d4a0b5127ee92024-01-21T12:39:32ZengBMCGlobalization and Health1744-86032024-01-0120111810.1186/s12992-024-01014-2Conducting co-creation for public health in low and middle-income countries: a systematic review and key informant perspectives on implementation barriers and facilitatorsGiuliana Raffaella Longworth0Oritseweyinmi Erikowa-Orighoye1Ebuka Miracle Anieto2Danielle Marie Agnello3Jorge Raul Zapata-Restrepo4Caroline Masquillier5Maria Giné-Garriga6Faculty of Psychology, Education and Sport Sciences, Universitat Ramon Llul, BlanquernaNewcastle UniversitySchool of Health and Life Sciences, Glasgow Caledonian UniversitySchool of Health and Life Sciences, Glasgow Caledonian UniversityFaculty of Psychology, Education and Sport Sciences, Universitat Ramon Llul, BlanquernaFamily Medicine and Population Health’– FAMPOP, Faculty of Medical and Health Sciences & ‘Centre for Family, Population and Health, Faculty of Social sciences, University of AntwerpFaculty of Psychology, Education and Sport Sciences, Universitat Ramon Llul, BlanquernaAbstract Background There has been an increase in the use of co-creation for public health because of its claimed potential to increase an intervention’s impact, spark change and co-create knowledge. Still, little is reported on its use in low-and-middle-income countries (LMICs). This study offers a comprehensive overview of co-creation used in public-health-related interventions, including the interventions’ characteristics, and reported implementation barriers and facilitators. Methods We conducted a systematic review within the Scopus and PubMed databases, a Google Scholar search, and a manual search in two grey literature databases related to participatory research. We further conducted eight interviews with first authors, randomly selected from included studies, to validate and enrich the systematic review findings. Results Through our review, we identified a total of twenty-two studies conducted in twenty-four LMIC countries. Majority of the interventions were designed directly within the LMIC setting. Aside from one, all studies were published between 2019 and 2023. Most studies adopted a co-creation approach, while some reported on the use of co-production, co-design, and co-development, combined either with community-based participatory research, participatory action research or citizen science. Among the most reported implementation barriers, we found the challenge of understanding and accounting for systemic conditions, such as the individual’s socioeconomic status and concerns related to funding constraints and length of the process. Several studies described the importance of creating a safe space, relying on local resources, and involving existing stakeholders in the process from the development stage throughout, including future and potential implementors. High relevance was also given to the performance of a contextual and/or needs assessment and careful tailoring of strategies and methods. Conclusion This study provides a systematic overview of previously conducted studies and of reported implementation barriers and facilitators. It identifies implementation barriers such as the setting’s systemic conditions, the socioeconomic status and funding constrains along with facilitators such as the involvement of local stakeholders and future implementors throughout, the tailoring of the process to the population of interest and participants and contextual assessment. By incorporating review and interview findings, the study aims to provide practical insights and recommendations for guiding future research and policy.https://doi.org/10.1186/s12992-024-01014-2Co-creationLMICsImplementationReviewFacilitatorsBarriers |
| spellingShingle | Giuliana Raffaella Longworth Oritseweyinmi Erikowa-Orighoye Ebuka Miracle Anieto Danielle Marie Agnello Jorge Raul Zapata-Restrepo Caroline Masquillier Maria Giné-Garriga Conducting co-creation for public health in low and middle-income countries: a systematic review and key informant perspectives on implementation barriers and facilitators Globalization and Health Co-creation LMICs Implementation Review Facilitators Barriers |
| title | Conducting co-creation for public health in low and middle-income countries: a systematic review and key informant perspectives on implementation barriers and facilitators |
| title_full | Conducting co-creation for public health in low and middle-income countries: a systematic review and key informant perspectives on implementation barriers and facilitators |
| title_fullStr | Conducting co-creation for public health in low and middle-income countries: a systematic review and key informant perspectives on implementation barriers and facilitators |
| title_full_unstemmed | Conducting co-creation for public health in low and middle-income countries: a systematic review and key informant perspectives on implementation barriers and facilitators |
| title_short | Conducting co-creation for public health in low and middle-income countries: a systematic review and key informant perspectives on implementation barriers and facilitators |
| title_sort | conducting co creation for public health in low and middle income countries a systematic review and key informant perspectives on implementation barriers and facilitators |
| topic | Co-creation LMICs Implementation Review Facilitators Barriers |
| url | https://doi.org/10.1186/s12992-024-01014-2 |
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