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Community engagement in population-level research in the context of Covid-19 in rural Bangladesh

Morrison, Joanna; Hossin, Raduan; Kuddus, Abdul; Pires, Malini; King, Carina; Ahmed, Naveed; Nahar, Tasmin; ... Fottrell, Edward; + view all (2023) Community engagement in population-level research in the context of Covid-19 in rural Bangladesh. Research for All , 7 (1) , Article 17. 10.14324/rfa.07.1.17. Green open access

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Abstract

Globally, researchers have been struggling with the ethical and practical questions of implementing community-based population-level research interventions during the Covid-19 pandemic. The safety of researchers and participants while implementing the interventions, and the need to avoid overburdening a health system already under pressure, are priorities, but it is also important to understand community perspectives on research. This article analyses community opinions about restarting a population-level community-based intervention for the prevention and control of type 2 diabetes in rural Bangladesh in a population of 120,000. We used qualitative phone interviews, discussions with key stakeholders and consultation with a trial steering committee. Community members were able and interested to attend intervention group meetings, but Covid-19 preventative measures were not being implemented routinely. People with diabetes did not perceive themselves to be at particular risk from Covid-19. Community members were meeting in groups and felt safe among friends and neighbours, but they did not feel safe among ‘outsiders’. As a result of our community engagement, we restarted the intervention but controlled the size of the groups and screened group members and group facilitators for Covid-19 symptoms. Community engagement enabled community members to contribute to decisions about how to restart the intervention.

Type: Article
Title: Community engagement in population-level research in the context of Covid-19 in rural Bangladesh
Open access status: An open access version is available from UCL Discovery
DOI: 10.14324/rfa.07.1.17
Publisher version: https://doi.org/10.14324/RFA.07.1.17
Language: English
Additional information: This is an open-access article distributed under the terms of the Creative Commons Attribution Licence (CC BY) 4.0 https://creativecommons.org/licenses/by/4.0/, which permits unrestricted use, distribution and reproduction in any medium, provided the original author and source are credited.
Keywords: Community engagement; Bangladesh; Covid-19; participatory learning and action; diabetes; non-communicable disease; community participation
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute for Global Health
URI: https://discovery.ucl.ac.uk/id/eprint/10182502
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