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Community Dynamics and Engagement Strategies in Establishing Demographic Development and Environmental Surveillance Systems: A Multi-Site Report from India

Background: Six diverse Demographic Development and Environmental Surveillance System (DDESS) sites were established in urban slum, urban resettlement, peri-urban, rural, and tribal areas located in Northern, North-East, Eastern, and Southern regions of India from June 2020 to March 2022. Understand...

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Autores principales: Sharma, Nandini, Palo, Subrata Kumar, Bhimarasetty, Devi Madhavi, Kandipudi, Kesava Lakshmi Prasad, Purty, Anil J., Kumar, Tivendra, Basu, Saurav, Alice, Alice, Velavan, A., Madhavan, Sathish, Rongsen-Chandola, Temsunaro, Arora, Narendra Kumar, Dixit, Shikha, Pati, Sanghamitra, Taneja Malik, Shikha
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9914790/
https://www.ncbi.nlm.nih.gov/pubmed/36766985
http://dx.doi.org/10.3390/healthcare11030411
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author Sharma, Nandini
Palo, Subrata Kumar
Bhimarasetty, Devi Madhavi
Kandipudi, Kesava Lakshmi Prasad
Purty, Anil J.
Kumar, Tivendra
Basu, Saurav
Alice, Alice
Velavan, A.
Madhavan, Sathish
Rongsen-Chandola, Temsunaro
Arora, Narendra Kumar
Dixit, Shikha
Pati, Sanghamitra
Taneja Malik, Shikha
author_facet Sharma, Nandini
Palo, Subrata Kumar
Bhimarasetty, Devi Madhavi
Kandipudi, Kesava Lakshmi Prasad
Purty, Anil J.
Kumar, Tivendra
Basu, Saurav
Alice, Alice
Velavan, A.
Madhavan, Sathish
Rongsen-Chandola, Temsunaro
Arora, Narendra Kumar
Dixit, Shikha
Pati, Sanghamitra
Taneja Malik, Shikha
author_sort Sharma, Nandini
collection PubMed
description Background: Six diverse Demographic Development and Environmental Surveillance System (DDESS) sites were established in urban slum, urban resettlement, peri-urban, rural, and tribal areas located in Northern, North-East, Eastern, and Southern regions of India from June 2020 to March 2022. Understanding the community dynamics and engaging people in the community is critically important in the process of establishing DDESS. We ascertained the barriers, challenges, and facilitators during the establishment of multiple DDESS sites across India. Methods: This was a cross-sectional descriptive mixed-methods study. Results: Multiple barriers and challenges encountered were reported in the process of community engagement (CE), such as geographical inaccessibility, language barriers, adverse weather, non-responsiveness due to perceived lack of individual benefit or financial gain, fear of contracting COVID-19, COVID-19 vaccine hesitancy, etc. Facilitators in the CE process were pre-existing links with the community, constitution of community advisory boards, community need assessment, concomitant delivery of outreach health services, and skill-building facilities. Conclusion: Most community barriers in the development of DDESS sites in resource-limited settings can be overcome through a multipronged approach, including effective community engagement by focusing on demonstrating trust at the local level, enlisting community mobilization and support, utilizing pre-existing community linkages, initiating community diagnosis, and meeting perceived community health needs.
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spelling pubmed-99147902023-02-11 Community Dynamics and Engagement Strategies in Establishing Demographic Development and Environmental Surveillance Systems: A Multi-Site Report from India Sharma, Nandini Palo, Subrata Kumar Bhimarasetty, Devi Madhavi Kandipudi, Kesava Lakshmi Prasad Purty, Anil J. Kumar, Tivendra Basu, Saurav Alice, Alice Velavan, A. Madhavan, Sathish Rongsen-Chandola, Temsunaro Arora, Narendra Kumar Dixit, Shikha Pati, Sanghamitra Taneja Malik, Shikha Healthcare (Basel) Article Background: Six diverse Demographic Development and Environmental Surveillance System (DDESS) sites were established in urban slum, urban resettlement, peri-urban, rural, and tribal areas located in Northern, North-East, Eastern, and Southern regions of India from June 2020 to March 2022. Understanding the community dynamics and engaging people in the community is critically important in the process of establishing DDESS. We ascertained the barriers, challenges, and facilitators during the establishment of multiple DDESS sites across India. Methods: This was a cross-sectional descriptive mixed-methods study. Results: Multiple barriers and challenges encountered were reported in the process of community engagement (CE), such as geographical inaccessibility, language barriers, adverse weather, non-responsiveness due to perceived lack of individual benefit or financial gain, fear of contracting COVID-19, COVID-19 vaccine hesitancy, etc. Facilitators in the CE process were pre-existing links with the community, constitution of community advisory boards, community need assessment, concomitant delivery of outreach health services, and skill-building facilities. Conclusion: Most community barriers in the development of DDESS sites in resource-limited settings can be overcome through a multipronged approach, including effective community engagement by focusing on demonstrating trust at the local level, enlisting community mobilization and support, utilizing pre-existing community linkages, initiating community diagnosis, and meeting perceived community health needs. MDPI 2023-01-31 /pmc/articles/PMC9914790/ /pubmed/36766985 http://dx.doi.org/10.3390/healthcare11030411 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Sharma, Nandini
Palo, Subrata Kumar
Bhimarasetty, Devi Madhavi
Kandipudi, Kesava Lakshmi Prasad
Purty, Anil J.
Kumar, Tivendra
Basu, Saurav
Alice, Alice
Velavan, A.
Madhavan, Sathish
Rongsen-Chandola, Temsunaro
Arora, Narendra Kumar
Dixit, Shikha
Pati, Sanghamitra
Taneja Malik, Shikha
Community Dynamics and Engagement Strategies in Establishing Demographic Development and Environmental Surveillance Systems: A Multi-Site Report from India
title Community Dynamics and Engagement Strategies in Establishing Demographic Development and Environmental Surveillance Systems: A Multi-Site Report from India
title_full Community Dynamics and Engagement Strategies in Establishing Demographic Development and Environmental Surveillance Systems: A Multi-Site Report from India
title_fullStr Community Dynamics and Engagement Strategies in Establishing Demographic Development and Environmental Surveillance Systems: A Multi-Site Report from India
title_full_unstemmed Community Dynamics and Engagement Strategies in Establishing Demographic Development and Environmental Surveillance Systems: A Multi-Site Report from India
title_short Community Dynamics and Engagement Strategies in Establishing Demographic Development and Environmental Surveillance Systems: A Multi-Site Report from India
title_sort community dynamics and engagement strategies in establishing demographic development and environmental surveillance systems: a multi-site report from india
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9914790/
https://www.ncbi.nlm.nih.gov/pubmed/36766985
http://dx.doi.org/10.3390/healthcare11030411
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