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Redvers N, Odugleh-Kolev A, Paula Cordero J, Zerwas F, Zitoun NM, Kamalabadi YM, Stevens A, Nagasivam A, Cheh P, Callon E, Aparicio-Reyes K, Kubota S. Relational community engagement within health interventions at varied outcome scales. PLOS GLOBAL PUBLIC HEALTH 2024; 4:e0003193. [PMID: 38861576 PMCID: PMC11166349 DOI: 10.1371/journal.pgph.0003193] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/13/2024]
Abstract
Relational community engagement may be a powerful approach with multiple health outcomes. Relational community engagement has the potential to promote health and involves collaborative efforts between multiple stakeholders. The COVID-19 pandemic further highlighted the centrality of community engagement in health crises. Challenges continue to persist, however, in genuinely engaging and empowering communities for better health outcomes. Understanding the multi-level and complex relational nature of community engagement is essential to comprehend its influence on health at micro, meso, and macro scales of influence. The purpose of this narrative review was to synthesize the literature on relational community engagement within varied health interventions at the three major system levels (micro, meso, and macro) to support the development of future research agendas. At the micro level, relational community engagement interventions demonstrated a range of positive outcomes including: increased sense of control, satisfaction, positive behavior, improved knowledge, behavior change, empowerment, and overall positive health and social outcomes. At the meso level, relational community engagement interventions resulted in increased trust between stakeholders and groups/teams, and increased community senses of ownership of interventions, decisions, structures. At the macro level, relational community engagement interventions influenced broader societal factors and had positive impacts on health policy and governance including collaboration between sectors and communities as well as increased access to services. The review highlights the potential versatility and effectiveness of interventions that prioritize relationships, health promotion, and social change while underscoring the significance of holistic and community-centered approaches in addressing diverse health and social challenges.
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Affiliation(s)
- Nicole Redvers
- Schulich School of Medicine and Dentistry, University of Western Ontario, London, Canada
| | - Asiya Odugleh-Kolev
- Department of Integrated Health Services, World Health Organization, Geneva, Switzerland
| | - Joanna Paula Cordero
- Health Promotion and Social Determinants of Health Unit (HPD), World Health Organization African Regional Office, Brazzaville, Republic of the Congo
| | - Felicia Zerwas
- Department of Psychology, New York University, New York, New York, United States of America
| | - Natalie Mariam Zitoun
- Schulich School of Medicine and Dentistry, University of Western Ontario, London, Canada
| | | | - Amy Stevens
- School of Public Health, Yorkshire and the Humber Postgraduate Deanery, Leeds, United Kingdom
| | - Ahimza Nagasivam
- School of Public Health, Health Education England, London, United Kingdom
| | - Paul Cheh
- The Equity Initiative, China Medical Board Foundation, Bangkok, Thailand
| | - Emma Callon
- Division of Healthy Environments and Populations, World Health Organization Western Pacific Regional Office, Manila, Philippines
| | | | - Shogo Kubota
- Maternal Child Health and Quality Safety, World Health Organization Western Pacific Regional Office, Manila, Philippines
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Todahl JL, Schnabler S, Barkhurst PD, Ratliff M, Cook K, Franz D, Schwartz S, Shen F, Trevino S. Stewards of Children: A Qualitative Study of Organization and Community Impact. JOURNAL OF CHILD SEXUAL ABUSE 2021; 30:146-166. [PMID: 33565385 DOI: 10.1080/10538712.2021.1885547] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/27/2020] [Revised: 08/15/2020] [Accepted: 12/15/2020] [Indexed: 06/12/2023]
Abstract
Child sexual abuse is a persistent public health, human rights, and social justice issue that continues at unacceptable levels. This qualitative study investigated organizational and community impact of Stewards of Children (SOC) in the context of a statewide initiative to prevent child sexual abuse. Participants, representing 11 sites, were SOC trainers or in administrative and leadership roles with their organizations. The study focused on four research questions: 1) How has your organization been impacted (by SOC), if at all? 2) How have your relationships with other organizations and groups changed, if at all? 3) How has the perception of your organization changed in the community, if at all? and 4) Have you noticed changes in your community as a result of Stewards of Children trainings? The findings include three themes and seven subthemes. Participants uniformly agreed that SOC had an impact on their organization, their relationship with partner and new-partner organizations, and that it contributed to increased awareness about a) the problem of child sexual abuse overall, b) their organization among multiple groups and partners, and c) the full array of services and expertise provided by SOC organizations.
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Hatcher AM, McBride RS, Rebombo D, Munshi S, Khumalo M, Christofides N. Process evaluation of a community mobilization intervention for preventing men's partner violence use in peri-urban South Africa. EVALUATION AND PROGRAM PLANNING 2020; 78:101727. [PMID: 31639542 PMCID: PMC7264430 DOI: 10.1016/j.evalprogplan.2019.101727] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/08/2019] [Revised: 09/29/2019] [Accepted: 10/02/2019] [Indexed: 05/05/2023]
Abstract
Intimate partner violence (IPV) is experienced by one-third of women globally, yet few programs attempt to shift men's IPV perpetration. Community mobilization is a potential strategy for reducing men's IPV perpetration, but this has rarely been examined globally. We conducted a mixed-methods process evaluation alongside a trial testing community mobilization in peri-urban South Africa. We used in-depth interviews (n=114), participant observation (160 h), and monitoring and evaluation data to assess program delivery. Qualitative data (verbatim transcripts and observation notes) were managed in Dedoose using thematic coding and quantitative data were descriptively analyzed using Stata13. We learned that outreach elements of community mobilization were implemented with high fidelity, but that critical reflection and local advocacy were difficult to achieve. The context of a peri-urban settlement (characterized by poor infrastructure, migrancy, low education, social marginalization, and high levels of violence) severely limited intervention delivery, as did lack of institutional support for staff and activist volunteers. That community mobilization was poorly implemented may explain null trial findings; in the larger trial, the intervention failed to measurably reduce men's IPV perpetration. Designing community mobilization for resource-constrained settings may require additional financial, infrastructural, organizational, or political support to effectively engage community members and reduce IPV.
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Affiliation(s)
- Abigail M Hatcher
- School of Public Health, Faculty of Health Sciences, Unviersity of the Witwatersrand, Johannesburg, South Africa; Department of Medicine, University of California, San Francisco, United States.
| | - Ruari-Santiago McBride
- School of Public Health, Faculty of Health Sciences, Unviersity of the Witwatersrand, Johannesburg, South Africa
| | | | - Shehnaz Munshi
- School of Public Health, Faculty of Health Sciences, Unviersity of the Witwatersrand, Johannesburg, South Africa
| | | | - Nicola Christofides
- School of Public Health, Faculty of Health Sciences, Unviersity of the Witwatersrand, Johannesburg, South Africa
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