Community engagement in health systems interventions and research in conflict-affected countries: a scoping review of approaches

作者：Anna Durrance‐Bagale, Manar Marzouk, Sze Tung Lam, Sunanda Agarwal, Zeenathnisa Mougammadou Aribou, Nafeesah Bte Mohamed Ibrahim, Hala Mkhallalati, Sanjida Newaz, Maryam Omar, Mengieng Ung, Ayshath Zaseela, Michiko Hayashi, Natasha Howard · 发表于：Global Health Action · 年份：2022 · DOI：10.1080/16549716.2022.2074131 · 被引用次数：80 · 研究领域：Global Maternal and Child Health、Health and Conflict Studies、Global Health and Surgery

BACKGROUND: Healthcare research, planning, and delivery with minimal community engagement can result in financial wastage, failure to meet objectives, and frustration in the communities that programmes are designed to help. Engaging communities - individual service-users and user groups - in the planning, delivery, and assessment of healthcare initiatives from inception promotes transparency, accountability, and 'ownership'. Health systems affected by conflict must try to ensure that interventions engage communities and do not exacerbate existing problems. Engaging communities in interventions and research on conflict-affected health systems is essential to begin addressing effects on service delivery and access. OBJECTIVE: This review aimed to identify and interrogate the literature on community engagement in health system interventions and research in conflict-affected settings. METHODS: We conducted a scoping review using Arksey & O'Malley's framework, synthesising the data descriptively. RESULTS: We included 19 of 2,355 potential sources identified. Each discussed at least one aspect of community engagement, predominantly participatory methods, in 12 conflict-affected countries. Major lessons included the importance of engaging community and religious leaders, as well as people of lower socioeconomic status, in both designing and delivering culturally acceptable healthcare; mobilising community members and involving them in programme delivery to increase acceptability; me...