What works in engaging communities? Prioritising nutrition interventions in Burkina Faso, Ghana and South Africa.

<h4>Background</h4>"Choosing All Together" (CHAT), is a community engagement tool designed to give the public a voice in how best to allocate limited resources to improve population health. This process evaluation explored the mechanisms through which CHAT generates community e...

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Main Authors: Daniella Watson, Mary Barker, P Romuald Boua, Samuel Chatio, Adelaide Compaoré, Marion Danis, Maxwell Dalaba, Agnes Erzse, Polly Hardy-Johnson, Sarah H Kehoe, Karen J Hofman, Wendy T Lawrence, Engelbert A Nonterah, Hermann Sorgho, Teurai Rwafa-Ponela, Kate A Ward, Aviva Tugendhaft, INPreP study group
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2023-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0294410
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author Daniella Watson
Mary Barker
P Romuald Boua
Samuel Chatio
Adelaide Compaoré
Marion Danis
Maxwell Dalaba
Agnes Erzse
Polly Hardy-Johnson
Sarah H Kehoe
Karen J Hofman
Wendy T Lawrence
Engelbert A Nonterah
Hermann Sorgho
Teurai Rwafa-Ponela
Kate A Ward
Aviva Tugendhaft
INPreP study group
author_facet Daniella Watson
Mary Barker
P Romuald Boua
Samuel Chatio
Adelaide Compaoré
Marion Danis
Maxwell Dalaba
Agnes Erzse
Polly Hardy-Johnson
Sarah H Kehoe
Karen J Hofman
Wendy T Lawrence
Engelbert A Nonterah
Hermann Sorgho
Teurai Rwafa-Ponela
Kate A Ward
Aviva Tugendhaft
INPreP study group
author_sort Daniella Watson
collection DOAJ
description <h4>Background</h4>"Choosing All Together" (CHAT), is a community engagement tool designed to give the public a voice in how best to allocate limited resources to improve population health. This process evaluation explored the mechanisms through which CHAT generates community engagement.<h4>Method</h4>The CHAT tool was adapted and implemented for use in two rural communities (Nanoro, Burkina Faso, and Navrongo, Ghana) and one urban township (Soweto, South Africa) to prioritize maternal and child nutrition interventions. Community discussions were audio-recorded, transcribed, and translated into English. Twenty-two transcripts, including six each from Navrongo and Soweto and 10 from Nanoro, were analysed thematically to generate data driven codes and themes to explain mechanisms underlying the CHAT process. The process evaluation was based on the UK MRC process evaluation guidance.<h4>Results</h4>Seven themes describing the functions and outcomes of CHAT were identified. Themes described participants deliberating trade-offs, working together, agreeing on priorities, having a shared vision, and increasing their knowledge, also the skills of the facilitator, and a process of power sharing between participants and researchers. Participants came to an agreement of priorities when they had a shared vision. Trained facilitators are important to facilitate meaningful discussion between participants and those with lower levels of literacy to participate fully.<h4>Conclusion</h4>CHAT has been shown to be adaptable and useful in prioritising maternal and child nutrition interventions in communities in Burkina Faso, Ghana, and South Africa. Conducting CHAT in communities over a longer period and involving policy-makers would increase trust, mutual respect and develop partnerships.
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spelling doaj-art-e332e5552017400499049c5df2ce1ba22025-08-20T03:44:38ZengPublic Library of Science (PLoS)PLoS ONE1932-62032023-01-011812e029441010.1371/journal.pone.0294410What works in engaging communities? Prioritising nutrition interventions in Burkina Faso, Ghana and South Africa.Daniella WatsonMary BarkerP Romuald BouaSamuel ChatioAdelaide CompaoréMarion DanisMaxwell DalabaAgnes ErzsePolly Hardy-JohnsonSarah H KehoeKaren J HofmanWendy T LawrenceEngelbert A NonterahHermann SorghoTeurai Rwafa-PonelaKate A WardAviva TugendhaftINPreP study group<h4>Background</h4>"Choosing All Together" (CHAT), is a community engagement tool designed to give the public a voice in how best to allocate limited resources to improve population health. This process evaluation explored the mechanisms through which CHAT generates community engagement.<h4>Method</h4>The CHAT tool was adapted and implemented for use in two rural communities (Nanoro, Burkina Faso, and Navrongo, Ghana) and one urban township (Soweto, South Africa) to prioritize maternal and child nutrition interventions. Community discussions were audio-recorded, transcribed, and translated into English. Twenty-two transcripts, including six each from Navrongo and Soweto and 10 from Nanoro, were analysed thematically to generate data driven codes and themes to explain mechanisms underlying the CHAT process. The process evaluation was based on the UK MRC process evaluation guidance.<h4>Results</h4>Seven themes describing the functions and outcomes of CHAT were identified. Themes described participants deliberating trade-offs, working together, agreeing on priorities, having a shared vision, and increasing their knowledge, also the skills of the facilitator, and a process of power sharing between participants and researchers. Participants came to an agreement of priorities when they had a shared vision. Trained facilitators are important to facilitate meaningful discussion between participants and those with lower levels of literacy to participate fully.<h4>Conclusion</h4>CHAT has been shown to be adaptable and useful in prioritising maternal and child nutrition interventions in communities in Burkina Faso, Ghana, and South Africa. Conducting CHAT in communities over a longer period and involving policy-makers would increase trust, mutual respect and develop partnerships.https://doi.org/10.1371/journal.pone.0294410
spellingShingle Daniella Watson
Mary Barker
P Romuald Boua
Samuel Chatio
Adelaide Compaoré
Marion Danis
Maxwell Dalaba
Agnes Erzse
Polly Hardy-Johnson
Sarah H Kehoe
Karen J Hofman
Wendy T Lawrence
Engelbert A Nonterah
Hermann Sorgho
Teurai Rwafa-Ponela
Kate A Ward
Aviva Tugendhaft
INPreP study group
What works in engaging communities? Prioritising nutrition interventions in Burkina Faso, Ghana and South Africa.
PLoS ONE
title What works in engaging communities? Prioritising nutrition interventions in Burkina Faso, Ghana and South Africa.
title_full What works in engaging communities? Prioritising nutrition interventions in Burkina Faso, Ghana and South Africa.
title_fullStr What works in engaging communities? Prioritising nutrition interventions in Burkina Faso, Ghana and South Africa.
title_full_unstemmed What works in engaging communities? Prioritising nutrition interventions in Burkina Faso, Ghana and South Africa.
title_short What works in engaging communities? Prioritising nutrition interventions in Burkina Faso, Ghana and South Africa.
title_sort what works in engaging communities prioritising nutrition interventions in burkina faso ghana and south africa
url https://doi.org/10.1371/journal.pone.0294410
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