RT Journal Article
SR Electronic
T1 Moving from formative research to co-creation of interventions: insights from a community health system project in Mozambique, Nepal and Peru
JF BMJ Global Health
FD BMJ Publishing Group Ltd
SP e001183
DO 10.1136/bmjgh-2018-001183
VO 3
IS 6
A1 David Beran
A1 Maria Lazo-Porras
A1 Maria Kathia Cardenas
A1 François Chappuis
A1 Albertino Damasceno
A1 Nilambar Jha
A1 Tavares Madede
A1 Sarah Lachat
A1 Silvana Perez Leon
A1 Nathaly Aya Pastrana
A1 Maria Amalia Pesantes
A1 Suman Bahadur Singh
A1 Sanjib Sharma
A1 Claire Somerville
A1 L Suzanne Suggs
A1 J Jaime Miranda
A1 ,
YR 2018
UL http://gh.bmj.com/content/3/6/e001183.abstract
AB Different methodological approaches for implementation research in global health focusing on how interventions are developed, implemented and evaluated are needed. In this paper, we detail the approach developed and implemented in the COmmunity HEalth System InnovatiON (COHESION) Project, a global health project aimed at strengthening health systems in Mozambique, Nepal and Peru. This project developed innovative formative research at policy, health system and community levels to gain a comprehensive understanding of the barriers, enablers, needs and lessons for the management of chronic disease using non-communicable and neglected tropical diseases as tracer conditions. After formative research, COHESION adopted a co-creation approach in the planning of interventions. The approach included two interactions with each type of stakeholder at policy, health system and community level in each country which aimed to develop interventions to improve the delivery of care of the tracer conditions. Diverse tools and methods were used in order to prioritise interventions based on support, resources and impact. Additionally, a COHESION score that assessed feasibility, sustainability and scaling up was used to select three potential interventions. Next steps for the COHESION Project are to further detail and develop the interventions propositioned through this process. Besides providing some useful tools and methods, this work also highlights the challenges and lessons learned from such an approach.