Influences of community engagement and health system strengthening for cholera control in cholera reporting countries

Dados Bibliográficos

ID21881157
AutoresStephanie Ayres Baličević (Karolinska Institutet), Kelly Elimian (0000-0003-2729-1613, Karolinska Institutet, autor correspondente), Carina King (0000-0002-6885-6716, Karolinska Institutet), Karin Diaconu (0000-0002-5810-9725, Queen Margaret University), Oluwatosin Akande (0000-0001-6906-895X, University of Ilorin Teaching Hospital), Vivianne Ihekweazu (0000-0003-1300-5161, World Health Organization - Nigeria), Hanna Trolle (Karolinska Institutet), Giulia Gaudenzi (0000-0003-4923-6965, Science for Life Laboratory), BIRGER C FORSBERG (0000-0001-6179-3970, Karolinska Institutet), Birger Forsberg (Karolinska Institutet), Tobias Alfvén (0000-0002-2328-3512, Karolinska Institutet)
Ano2023
Volume8
Fascículo12
Páginase013788
Data de publicação2023-12-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoBMJ Global Health (JOURNAL)
Identificadores do periódicoISSN: 2059-7908 • E-ISSN: 2059-7908
EditoraBMJ (PUBLISHER • GB)
DOI10.1136/bmjgh-2023-013788
PMID38084475
OpenAlexW4389390862
IdiomaEN
Citações recebidas3
Referências citadas77

The 2030 Global Task Force on Cholera Control Roadmap hinges on strengthening the implementation of multistranded cholera interventions, including community engagement and health system strengthening. However, a composite picture of specific facilitators and barriers for these interventions and any overlapping factors existing between the two, is lacking. Therefore, this study aims to address this shortcoming, focusing on cholera-reporting countries, which are disproportionately affected by cholera and may be cholera endemic. A scoping methodology was chosen to allow for iterative mapping, synthesis of the available research and to pinpoint research activity for global and local cholera policy-makers and shareholders. Using the Arksey and O’Malley framework for scoping reviews, we searched PubMed, Web of Science and CINAHL. Inclusion criteria included publication in English between 1990 and 2021 and cholera as the primary document focus in an epidemic or endemic setting. Data charting was completed through narrative descriptive and thematic analysis. Forty-four documents were included, with half relating to sub-Saharan African countries, 68% (30/44) to cholera endemic settings and 21% (9/44) to insecure settings. We identified four themes of facilitators and barriers to health systems strengthening: health system cooperation and agreement with external actors; maintaining functional capacity in the face of change; good governance, focused political will and sociopolitical influences on the cholera response and insecurity and targeted destruction. Community engagement had two themes: trust building in the health system and growing social cohesion. Insecurity and the community; cooperation and agreement; and sociopolitical influences on trust building were themes of factors acting at the interface between community engagement and health system. Given the decisive role of the community–health system interface for both sustained health system strengthening and community engagement, there is a need to advocate for conflict resolution, trust building and good governance for long-term cholera prevention and control in cholera reporting countries

Cholera · Community engagement · Economic growth · Political science · Psychological intervention · Public relations · Qualitative research · Social science · Sociology · Thematic analysis · Global Maternal and Child Health · Medicine · Nursing · Vaccine Coverage and Hesitancy · Vibrio bacteria research studies