Effective community engagement in one health research in Sub-Saharan Africa: a systematic review

Abstract Background The one health (OH) approach, linking human, animal, and environmental health, relies on effective community engagement (CE), education, stewardship, and effective regional and global partnerships. For real impact, communities should be at the centre of research agenda setting an...

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Main Authors: Sidney Sangong, Farrukh Ishaque Saah, Luchuo Engelbert Bain
Format: Article
Language:English
Published: BMC 2025-01-01
Series:One Health Outlook
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Online Access:https://doi.org/10.1186/s42522-024-00126-4
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author Sidney Sangong
Farrukh Ishaque Saah
Luchuo Engelbert Bain
author_facet Sidney Sangong
Farrukh Ishaque Saah
Luchuo Engelbert Bain
author_sort Sidney Sangong
collection DOAJ
description Abstract Background The one health (OH) approach, linking human, animal, and environmental health, relies on effective community engagement (CE), education, stewardship, and effective regional and global partnerships. For real impact, communities should be at the centre of research agenda setting and program implementation. This review aimed at synthesizing empirical evidence on how communities are involved in one health research. Specifically, the review aimed at documenting the extent of community involvement in one health research, as well as to identify the barriers and facilitators to effective community engagement in one health research in sub Saharan Africa. Methods The study was a systematic review conducted using the 2020 Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. Empirical peer-reviewed research articles on community engagement in one health research published from January 2000 to September 2023 in English or French were retrieved from seven databases: MEDLINE, EMBASE, CINAHL, Cochrane Library, WHO Afro Library, the National Institute for Health Research, and African Journals Online databases. The extracted data from the included studies were analysed using a thematic synthesis approach. Results The final review and synthesis included eight studies. The extent of CE in the one health research approach is quite limited. Two main best practices of CE in OH research were: 1) Awareness raising on OH research through social mobilization, rural outreach sensitization, and wide community assembly and 2) Building local capacity through community-based OH Training and Leadership workshops. The barriers to effective CE included: inadequate community research literacy levels, contextual disparities in CE, inadequate dissemination of research findings, language barriers and ineffective and uncoordinated stakeholder involvement. Conclusion The review underscores the importance of effective CE in one health research. The best practices for CE in one health research are raising awareness and co-creation which should guide future initiatives. There are cultural, geographical, linguistic, and educational constraints that pose barriers to CE, requiring a more integrated and community-centric approach to one health research in SSA. An effective CE in one health research through this approach will ultimately lead to more effective responses and control of zoonotic disease outbreaks.
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spelling doaj-art-44e594ec877141e782773b8d6ca93aea2025-01-19T12:38:21ZengBMCOne Health Outlook2524-46552025-01-017111510.1186/s42522-024-00126-4Effective community engagement in one health research in Sub-Saharan Africa: a systematic reviewSidney Sangong0Farrukh Ishaque Saah1Luchuo Engelbert Bain2ICAP Global Health, Columbia University, Columbia Mailman School of Public HealthDepartment of Population and Health, Faculty of Social Science, University of Cape CoastDepartment of Psychology, Faculty of Humanities, University of JohannesburgAbstract Background The one health (OH) approach, linking human, animal, and environmental health, relies on effective community engagement (CE), education, stewardship, and effective regional and global partnerships. For real impact, communities should be at the centre of research agenda setting and program implementation. This review aimed at synthesizing empirical evidence on how communities are involved in one health research. Specifically, the review aimed at documenting the extent of community involvement in one health research, as well as to identify the barriers and facilitators to effective community engagement in one health research in sub Saharan Africa. Methods The study was a systematic review conducted using the 2020 Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. Empirical peer-reviewed research articles on community engagement in one health research published from January 2000 to September 2023 in English or French were retrieved from seven databases: MEDLINE, EMBASE, CINAHL, Cochrane Library, WHO Afro Library, the National Institute for Health Research, and African Journals Online databases. The extracted data from the included studies were analysed using a thematic synthesis approach. Results The final review and synthesis included eight studies. The extent of CE in the one health research approach is quite limited. Two main best practices of CE in OH research were: 1) Awareness raising on OH research through social mobilization, rural outreach sensitization, and wide community assembly and 2) Building local capacity through community-based OH Training and Leadership workshops. The barriers to effective CE included: inadequate community research literacy levels, contextual disparities in CE, inadequate dissemination of research findings, language barriers and ineffective and uncoordinated stakeholder involvement. Conclusion The review underscores the importance of effective CE in one health research. The best practices for CE in one health research are raising awareness and co-creation which should guide future initiatives. There are cultural, geographical, linguistic, and educational constraints that pose barriers to CE, requiring a more integrated and community-centric approach to one health research in SSA. An effective CE in one health research through this approach will ultimately lead to more effective responses and control of zoonotic disease outbreaks.https://doi.org/10.1186/s42522-024-00126-4Community engagementOne healthZoonotic diseasesSub-Saharan Africa
spellingShingle Sidney Sangong
Farrukh Ishaque Saah
Luchuo Engelbert Bain
Effective community engagement in one health research in Sub-Saharan Africa: a systematic review
One Health Outlook
Community engagement
One health
Zoonotic diseases
Sub-Saharan Africa
title Effective community engagement in one health research in Sub-Saharan Africa: a systematic review
title_full Effective community engagement in one health research in Sub-Saharan Africa: a systematic review
title_fullStr Effective community engagement in one health research in Sub-Saharan Africa: a systematic review
title_full_unstemmed Effective community engagement in one health research in Sub-Saharan Africa: a systematic review
title_short Effective community engagement in one health research in Sub-Saharan Africa: a systematic review
title_sort effective community engagement in one health research in sub saharan africa a systematic review
topic Community engagement
One health
Zoonotic diseases
Sub-Saharan Africa
url https://doi.org/10.1186/s42522-024-00126-4
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