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Evaluating approaches to designing effective Co-Created hand-hygiene interventions for children in India, Sierra Leone and the UK
- Source :
- PLoS ONE, PLoS ONE, Vol 15, Iss 9, p e0239234 (2020)
- Publication Year :
- 2020
- Publisher :
- Public Library of Science, 2020.
-
Abstract
- Effective and culturally appropriate hand-hygiene education is essential to promote health-related practices to control and prevent diseases such as Diarrhoea, Ebola and COVID-19. In this paper we outline and evaluate the Co-Creation processes underpinning a handwashing intervention for young children (A Germ's Journey) developed and delivered in India, Sierra Leone and the UK, and consider the implications surrounding Imperialist/Colonial discourse and the White Saviour Complex. The paper focuses both on the ways Co-Creation was conceptualised by our collaborators in all three countries and the catalysts and challenges encountered. Qualitative data have been drawn from in-depth interviews with five key stakeholders, focus group data from 37 teachers in Sierra Leone and responses to open-ended questionnaires completed by teachers in India (N = 66) and UK (N = 63). Data were analysed using thematic analysis and three themes, each with three constituent subthemes are presented. In the theme 'Representations of and Unique Approaches to Co-Creation' we explore the ways in which Co-Creation was constructed in relation to teamwork, innovative practice and more continuous models of evaluation. In 'Advantages of Co-Creation' we consider issues around shared ownership, improved outcomes and more meaningful insights alongside the mitigation of risks and short-circuiting of problems. In 'Challenges of Co-Creation' we discuss issues around timing and organisation, attracting and working with appropriate partners and understanding the importance of local context with inherent social, economic and structural barriers, especially in low-and-middle-income countries. We consider how theoretical elements of Co-Creation can inform effective international public health interventions; crucial during a global pandemic in which handwashing is the most effective method to control the transmission of COVID-19. Finally we reflect on some of the methodological challenges of our own work and in managing the potentially conflicting goals of the ethical and participatory values of Co-Creation with pragmatic considerations about ensuring an effective final 'product'.
- Subjects :
- Questionnaires
Social Sciences
Geographical locations
Families
0302 clinical medicine
Learning and Memory
Sociology
Surveys and Questionnaires
Psychology
Hand Hygiene
030212 general & internal medicine
Child
Children
media_common
Teamwork
Multidisciplinary
Schools
Public relations
Focus Groups
Professions
Research Design
Medicine
Workshops
Thematic analysis
Coronavirus Infections
Research Article
Asia
media_common.quotation_subject
Science
030231 tropical medicine
Pneumonia, Viral
India
Context (language use)
Qualitative property
Research and Analysis Methods
Communicable Diseases
Sierra leone
Education
Sierra Leone
Interviews as Topic
03 medical and health sciences
Betacoronavirus
Human Learning
Humans
Learning
Pandemics
Survey Research
business.industry
SARS-CoV-2
Cognitive Psychology
International health
COVID-19
Biology and Life Sciences
Teachers
Focus group
United Kingdom
Age Groups
Communicable disease transmission
Communicable Disease Control
People and Places
Africa
Cognitive Science
Population Groupings
School Teachers
business
Neuroscience
Subjects
Details
- Language :
- English
- ISSN :
- 19326203
- Volume :
- 15
- Issue :
- 9
- Database :
- OpenAIRE
- Journal :
- PLoS ONE
- Accession number :
- edsair.doi.dedup.....47b0a60ad0fd0216f65bd2cf71a47e71