A scoping review of current practices on community engagement in rural East Africa: Recommendations for snakebite envenomingSummary/Recommendations

Community empowerment and engagement is one of the four strategic aims highlighted in the WHO strategy to prevent and control snakebite envenoming. Inappropriate health-seeking behaviours contribute to adverse outcomes, and community engagement is key in driving behavioural change. WHO has highlight...

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Main Authors: Bethany Moos, David Williams, Isabelle Bolon, Denise Mupfasoni, Bernadette Abela-Ridder, Rafael Ruiz de Castaneda
Format: Article
Language:English
Published: Elsevier 2021-09-01
Series:Toxicon: X
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2590171021000096
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author Bethany Moos
David Williams
Isabelle Bolon
Denise Mupfasoni
Bernadette Abela-Ridder
Rafael Ruiz de Castaneda
author_facet Bethany Moos
David Williams
Isabelle Bolon
Denise Mupfasoni
Bernadette Abela-Ridder
Rafael Ruiz de Castaneda
author_sort Bethany Moos
collection DOAJ
description Community empowerment and engagement is one of the four strategic aims highlighted in the WHO strategy to prevent and control snakebite envenoming. Inappropriate health-seeking behaviours contribute to adverse outcomes, and community engagement is key in driving behavioural change. WHO has highlighted East Africa as a geographical area of concern for snakebite envenoming. The overall aim of the project is to develop a community engagement toolkit for snakebite envenoming and other NTDs. The objective of this scoping review was to identify current practices in recent community engagement in rural East Africa; the applicability of these results to snakebite envenoming are discussed. PubMed, Web of Science, PsycINFO and Google Scholar were searched from 1 January 2017 to 3 September 2020. Search terms were used to identify publications which related to rural communities and health or disease, for both humans and animals. After reviewing the full papers for all geographical areas, 112 publications were included, 30 of which were conducted in East Africa. Papers included nine different countries and covered a broad range of health topics; notably, water, sanitation and hygiene, nutrition, and maternal and child health. Only one publication considered animal health. The most common form of engagement was in the context of a group meeting, lecture, presentation, discussion or question and answer session (63.3%). A variety of locations within the community were used to engage with people, the most common being an individual's household (23.3%). Communication factors was the key influencer for engagement, both positively and negatively. Key barriers to engagement include local languages and health beliefs, literacy levels, mobile phone ownership and the level of mobile Internet coverage, burden of agricultural work and weather conditions. This study provides an extensive overview of recent public health community engagement in East Africa, which will serve as a useful resource for any group seeking to plan an intervention in remote and rural areas in East Africa. Furthermore, it serves as a guide to help tailor community engagement to snakebite envenoming.
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spelling doaj.art-c92e8b540ab34ffc998a69482200acb82022-12-21T18:40:09ZengElsevierToxicon: X2590-17102021-09-0111100073A scoping review of current practices on community engagement in rural East Africa: Recommendations for snakebite envenomingSummary/RecommendationsBethany Moos0David Williams1Isabelle Bolon2Denise Mupfasoni3Bernadette Abela-Ridder4Rafael Ruiz de Castaneda5Hedena Health, 207 London Road, Headington, Oxford, UK; Corresponding author.Department of Control of Neglected Tropical Diseases, World Health Organization, Avenue Appia 20, CH-1211, Geneva 27, SwitzerlandInstitute of Global Health, Department of Community Health and Medicine, Faculty of Medicine, University of Geneva, Campus Biotech, Chemin des Mines 9, CH-1202, Geneva, SwitzerlandDepartment of Control of Neglected Tropical Diseases, World Health Organization, Avenue Appia 20, CH-1211, Geneva 27, SwitzerlandDepartment of Control of Neglected Tropical Diseases, World Health Organization, Avenue Appia 20, CH-1211, Geneva 27, SwitzerlandDivision of Tropical and Humanitarian Medicine & Institute of Global Health, Department of Community Health and Medicine, Faculty of Medicine, University of Geneva, Geneva, SwitzerlandCommunity empowerment and engagement is one of the four strategic aims highlighted in the WHO strategy to prevent and control snakebite envenoming. Inappropriate health-seeking behaviours contribute to adverse outcomes, and community engagement is key in driving behavioural change. WHO has highlighted East Africa as a geographical area of concern for snakebite envenoming. The overall aim of the project is to develop a community engagement toolkit for snakebite envenoming and other NTDs. The objective of this scoping review was to identify current practices in recent community engagement in rural East Africa; the applicability of these results to snakebite envenoming are discussed. PubMed, Web of Science, PsycINFO and Google Scholar were searched from 1 January 2017 to 3 September 2020. Search terms were used to identify publications which related to rural communities and health or disease, for both humans and animals. After reviewing the full papers for all geographical areas, 112 publications were included, 30 of which were conducted in East Africa. Papers included nine different countries and covered a broad range of health topics; notably, water, sanitation and hygiene, nutrition, and maternal and child health. Only one publication considered animal health. The most common form of engagement was in the context of a group meeting, lecture, presentation, discussion or question and answer session (63.3%). A variety of locations within the community were used to engage with people, the most common being an individual's household (23.3%). Communication factors was the key influencer for engagement, both positively and negatively. Key barriers to engagement include local languages and health beliefs, literacy levels, mobile phone ownership and the level of mobile Internet coverage, burden of agricultural work and weather conditions. This study provides an extensive overview of recent public health community engagement in East Africa, which will serve as a useful resource for any group seeking to plan an intervention in remote and rural areas in East Africa. Furthermore, it serves as a guide to help tailor community engagement to snakebite envenoming.http://www.sciencedirect.com/science/article/pii/S2590171021000096Snakebite envenomingNeglected tropical diseasesCommunity engagementPublic healthOne healthCommunication
spellingShingle Bethany Moos
David Williams
Isabelle Bolon
Denise Mupfasoni
Bernadette Abela-Ridder
Rafael Ruiz de Castaneda
A scoping review of current practices on community engagement in rural East Africa: Recommendations for snakebite envenomingSummary/Recommendations
Toxicon: X
Snakebite envenoming
Neglected tropical diseases
Community engagement
Public health
One health
Communication
title A scoping review of current practices on community engagement in rural East Africa: Recommendations for snakebite envenomingSummary/Recommendations
title_full A scoping review of current practices on community engagement in rural East Africa: Recommendations for snakebite envenomingSummary/Recommendations
title_fullStr A scoping review of current practices on community engagement in rural East Africa: Recommendations for snakebite envenomingSummary/Recommendations
title_full_unstemmed A scoping review of current practices on community engagement in rural East Africa: Recommendations for snakebite envenomingSummary/Recommendations
title_short A scoping review of current practices on community engagement in rural East Africa: Recommendations for snakebite envenomingSummary/Recommendations
title_sort scoping review of current practices on community engagement in rural east africa recommendations for snakebite envenomingsummary recommendations
topic Snakebite envenoming
Neglected tropical diseases
Community engagement
Public health
One health
Communication
url http://www.sciencedirect.com/science/article/pii/S2590171021000096
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