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Lessons from participatory community mapping to inform neglected tropical disease programmes in Nigeria

Lar, Luret A, Dean, Laura ORCID: https://orcid.org/0000-0002-4910-9707, Adekeye, Tosin, Oluwole, Akinola S, Lawong, Damian, Kevin, Gideon, Yashiyi, James, Gwani, Noela, Usman, Hauwa, Danjuma, Mohammed, Faneye, Adebisi, Kafil-Emiola, Maryam Abolajoko, Okoko, Ochefu O, Isiyaku, Sunday, Thomson, Rachael and Ozano, Kim (2023) 'Lessons from participatory community mapping to inform neglected tropical disease programmes in Nigeria'. International Health, Vol 15, Issue Supplement 1, i6-i17.

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Abstract

Background:
Participatory research methods promote collaborations between researchers and communities to collectively overcome implementation challenges for sustainable social change. Programmes usually take a top-down approach to addressing such challenges. This study developed and piloted contextualised participatory methods to identify community structures that could improve the equity of medicine administration for neglected tropical diseases (NTDs) in northern and southern Nigeria.

Methods:
Participants and researchers conducted transect walks and social mapping to understand which community-based structures could be used to maximise accessibility and acceptability of medicines for NTDs.

Results:
Using visual participatory methods with a diverse set of stakeholders facilitated the identification of new structures within the community that could be used to improve the equity of medicine distribution and access. Available materials such as sticks, stones and leaves were appropriately used by respondents in the rural areas, which increased meaningful engagement irrespective of their literacy level. Structures identified included Qur'anic schools, football grounds, mechanics shops, shrines, village head's houses and worship centres. Challenges in using these structures for medicine distribution included resistance from school authorities and restrictions to women's access due to traditions and norms, particularly within palaces and mosques.

Conclusions:
This article highlights the importance of meaningful community engagement methods and engaging gatekeepers in visual participatory methods. It emphasizes the importance of including divergent views of various population groups in order to ensure that all communities are reached by NTDs programmes.

Item Type: Article
Subjects: WA Public Health > WA 20.5 Research (General)
WC Communicable Diseases > Tropical and Parasitic Diseases > WC 680 Tropical diseases (General)
WC Communicable Diseases > Tropical and Parasitic Diseases > WC 695 Parasitic diseases (General)
Faculty: Department: Clinical Sciences & International Health > Clinical Sciences Department
Clinical Sciences & International Health > International Public Health Department
Digital Object Identifer (DOI): https://doi.org/10.1093/inthealth/ihac074
SWORD Depositor: JISC Pubrouter
Depositing User: JISC Pubrouter
Date Deposited: 03 Apr 2023 10:09
Last Modified: 13 Jun 2023 11:39
URI: https://archive.lstmed.ac.uk/id/eprint/22224

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