Conference abstract
Dodoma community cataract surgery acceptance trial (Doccat): intervention co-creation phase
Pan African Medical Journal - Conference Proceedings. 2024:21(34).29
Apr 2024.
doi: 10.11604/pamj-cp.2024.21.34.2365
Archived on: 29 Apr 2024
Contact the corresponding author
Keywords: Cataract surgery acceptance trial, intervention co-creation phase
Oral presentation
Dodoma community cataract surgery acceptance trial (Doccat): intervention co-creation phase
Frank Sandi1,&, Gareth Mercer2, Robert Geneau3, Kenneth Bassett4, Deogratius Bintabara5, Albino Kalolo6
1Department of Ophthalmology, The University of Dodoma Medical School, Dodoma, Tanzania, 2Department of Ophthalmology & Visual Sciences, University of Toronto, Canada, 3Division of Ophthalmology at the University of Cape Town, South Africa, 4Department of Ophthalmology, the University of British Columbia, Vancouver, Canada, 5Department of Community Medicine, The University of Dodoma Medical School, Dodoma, Tanzania, 6Department of Public Health, St. Francis University College of Health and Allied Sciences, Morogoro, Tanzania
&Corresponding author
Introduction: cataract-leading cause of Avoidable blindness worldwide, the burden is alarming in developing countries. Largely due to insufficient knowledge and poor community uptake of cataract surgery services when offered. We observed this discrepancy and designed a community-led intervention study to increase cataract surgery uptake through co-creation methods. Intervention to be implemented in selected wards within Dodoma region to see its impact and determine its escalating factors. Done in other health interventions and shown to improve health services uptake. The main objective was to Co-create a community-led intervention through community engagement for cataract surgery uptake in Dodoma
Methods: phenomenological Qualitative design-KII, FGD and expert review meetings. Eight KII, 6 FGD and 2 Expert meetings (CHMT Members) were done in three wards within Dodoma region. Thematic analysis- resulted in emerging trends that were critically analyzed for intervention components. The ‘intervention package’ was developed through Leask’s four stages of intervention co-creation. Participatory community meetings and ongoing feedback and modification of the intervention based on community member perspectives and its feasibility
Results: three thematic components for the intervention package were identified: Empowerment of existing PHC system and CHCW, circumvent social barriers and Capacity building and Logistical and experiential factors. Community feedback was done using Modified-NGT to reach a consensus on themes that emerged during the initial analysis for intervention components
Conclusion: community engagement through the co-designing of health intervention programs is possible and has the potential to increases ownership of the intervention. Community engagement for co-designing of health matters in this era of PHC promotion should be integral part of the health interventions.
Dodoma community cataract surgery acceptance trial (Doccat): intervention co-creation phase
Frank Sandi1,&, Gareth Mercer2, Robert Geneau3, Kenneth Bassett4, Deogratius Bintabara5, Albino Kalolo6
1Department of Ophthalmology, The University of Dodoma Medical School, Dodoma, Tanzania, 2Department of Ophthalmology & Visual Sciences, University of Toronto, Canada, 3Division of Ophthalmology at the University of Cape Town, South Africa, 4Department of Ophthalmology, the University of British Columbia, Vancouver, Canada, 5Department of Community Medicine, The University of Dodoma Medical School, Dodoma, Tanzania, 6Department of Public Health, St. Francis University College of Health and Allied Sciences, Morogoro, Tanzania
&Corresponding author
Introduction: cataract-leading cause of Avoidable blindness worldwide, the burden is alarming in developing countries. Largely due to insufficient knowledge and poor community uptake of cataract surgery services when offered. We observed this discrepancy and designed a community-led intervention study to increase cataract surgery uptake through co-creation methods. Intervention to be implemented in selected wards within Dodoma region to see its impact and determine its escalating factors. Done in other health interventions and shown to improve health services uptake. The main objective was to Co-create a community-led intervention through community engagement for cataract surgery uptake in Dodoma
Methods: phenomenological Qualitative design-KII, FGD and expert review meetings. Eight KII, 6 FGD and 2 Expert meetings (CHMT Members) were done in three wards within Dodoma region. Thematic analysis- resulted in emerging trends that were critically analyzed for intervention components. The ‘intervention package’ was developed through Leask’s four stages of intervention co-creation. Participatory community meetings and ongoing feedback and modification of the intervention based on community member perspectives and its feasibility
Results: three thematic components for the intervention package were identified: Empowerment of existing PHC system and CHCW, circumvent social barriers and Capacity building and Logistical and experiential factors. Community feedback was done using Modified-NGT to reach a consensus on themes that emerged during the initial analysis for intervention components
Conclusion: community engagement through the co-designing of health intervention programs is possible and has the potential to increases ownership of the intervention. Community engagement for co-designing of health matters in this era of PHC promotion should be integral part of the health interventions.
