Joan Atkinson|Andrew Vallely|Lisa Fitzgerald|Maxine Whittaker|Marcel Tanner
The architecture and effect of participation: a systematic review of community participation for communicable disease control and elimination. Implications for malaria elimination
University of Queensland|UNSW Sydney|University of Queensland|University of Queensland|University of Queensland|Swiss Tropical and Public Health Institute|University of Basel|University of Queensland
community engagement participation played critical role successful disease control elimination campaigns many countries despite benefits malaria control elimination yet fully realized may due limited understanding influences participation developing countries well inadequate investment infrastructure resources support sustainable community participation paper reports findings atypical systematic review 60 years literature order arrive comprehensive awareness constructs participation communicable disease control elimination provide guidance current malaria elimination campaignevidence derived quantitative research considered independently collectively qualitative research papers case reports papers included review systematically coded using predetermined qualitative coding matrix identified influences community participation individual household community governmentcivil society levels colour coding also carried reflect key primary health care period community participation programmes originated processes allowed exhaustive content analysis synthesis data attempt realize conceptual development beyond able achieved individual empirical studies case reportsof 60 papers meeting selection criteria four studies attempted determine effect community participation disease transmission due inherent differences design interventions outcome measures results could compared however studies showed statistically significant reductions disease incidence prevalence using various forms community participation use locally selected volunteers provided adequate training supervision resources common important elements success interventions studies addition qualitative synthesis 60 papers elucidates complex architecture community participation communicable disease control elimination presented hereinthe current global malaria elimination campaign calls health systems strengthening approach provide enabling environment programmes developing countries order realize benefits approach vital provide adequate investment people component health systems understand multilevel factors influence participation challenges strengthening component health systems discussed importance ensuring current global malaria elimination efforts derail renewed momentum towards comprehensive primary health care approach recommended application results systematic review considered diseases poverty order harmonize efforts building competent communities communicable disease control optimising health system effectiveness