Moving from formative research to co-creation of interventions: insights from a community health system project in Mozambique, Nepal and Peru

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 h...

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Bibliographic Details
Published in:BMJ global health 2018-11, Vol.3 (6), p.e001183-e001183
Main Authors: Beran, David, Lazo-Porras, Maria, Cardenas, Maria Kathia, Chappuis, François, Damasceno, Albertino, Jha, Nilambar, Madede, Tavares, Lachat, Sarah, Perez Leon, Silvana, Aya Pastrana, Nathaly, Pesantes, Maria Amalia, Singh, Suman Bahadur, Sharma, Sanjib, Somerville, Claire, Suggs, L Suzanne, Miranda, J Jaime
Format: Article
Language:English
Subjects:
Cohesion
Data collection
Diabetes
Global health
Hypertension
Infectious diseases
Intervention
Knowledge
Low income groups
Practice
Research methodology
Stakeholders
Tropical diseases
Womens health
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Summary: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.
ISSN:2059-7908
2059-7908
DOI:10.1136/bmjgh-2018-001183