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

机译：农村东非社区参与现行实践的范围综述：蛇非envenming的建议

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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.
机译：社区赋权和参与是在世界卫生组织战略中强调的四项战略目标之一，以预防和控制蛇咬envenging。寻求保健行为不适当的行为导致不利的结果，社区参与是驾驶行为变革的关键。世卫组织突出了东非作为对蛇咬的地理领域。该项目的整体目标是为蛇培养和其他NTDS开发社区参与工具包。该范围审查的目的是确定最近在农村东非的社区参与的现行做法;讨论了这些结果的适用性对蛇非envenoming。 2017年1月1日至9月3日，搜索了Psycinfo和Google学者的PubMed，Psycinfo和Google学者。搜索条文用于识别与农村社区和健康或疾病有关的出版物，适用于人类和动物。在审查所有地理区域的全文后，包括112个出版物，其中30个是在东非进行的。文件包括九个不同国家，并涵盖了广泛的健康主题;值得注意的是，水，卫生和卫生，营养和母亲和儿童健康。只有一个出版物认为动物健康。最常见的参与形式是在会议，讲座，讲课，讨论或问答（63.3％）的上下文中。社区内的各种地点被用来与人互动，最常见的是个人家庭（23.3％）。通信因素是积极和消极的关键影响因素。参与的主要障碍包括当地语言和健康信念，识字水平，移动电话所有权和移动互联网覆盖水平，农业工作负担和天气状况。本研究提供了广泛的概述了最近在东非的公共卫生社区参与，这将作为寻求在东非偏远和农村地区进行干预的小组的有用资源。此外，它是帮助量身定制对蛇培养的恐慌envening的指导。

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