Evidence map›Paper›PMID 29501716›Full record

ArticleSocial science & medicine (1982)2018

The role of community participation for sustainable integrated neglected tropical diseases and water, sanitation and hygiene intervention programs: A pilot project in Tanzania.

Shirin Madon, Mwele Ntuli Malecela, Kijakazi Mashoto, Rose Donohue, Godfrey Mubyazi, Edwin Michael

Open access · hybridAbstract read
In one paragraph

Article in Social science & medicine (1982), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 6 pooled it
15.2field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

42 citing papers in PubMed, 6 syntheses or guidelines pooled it, 100 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Review
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 3 countries.

Shirin MadonDepartment of International Development & Department of Management, London School of Economics & Political Science, UK. Electronic address: s.madon@lse.ac.uk.
Mwele Ntuli MalecelaNational Institute for Medical Research, 2448 Ocean Road, P.O. Box 9653, Dar es Salaam, Tanzania.
Kijakazi MashotoNational Institute for Medical Research, 2448 Ocean Road, P.O. Box 9653, Dar es Salaam, Tanzania.
Rose DonohueDepartment of Biological Sciences, University of Notre Dame, Notre Dame, IN 46556-0369, USA.
Godfrey MubyaziNational Institute for Medical Research, 2448 Ocean Road, P.O. Box 9653, Dar es Salaam, Tanzania.
Edwin MichaelDepartment of Biological Sciences, University of Notre Dame, Notre Dame, IN 46556-0369, USA.
National Institute for Medical Research · TZUniversity of Notre Dame · USLondon School of Economics and Political Science · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Strategies aimed at reducing the prevalence of neglected tropical diseases (NTDs) in Tanzania including those attributed to water, sanitation and hygiene (WASH) problems have been largely top-down in nature. They have focused on strengthening the governance of NTD-WASH programs by integrating different vertical disease programs and improving the efficiency of report-generation. In this paper, we argue for community participation as an effective strategy for developing sustainable village health governance. We present the results of a pilot undertaken between November 2015 and April 2016 in which we adopted a mixed methods case study approach to implement an Enhanced Development Governance (EDG) model using existing village governance structures. Our results show that the EDG model was associated with a statistically significant reduction in the prevalence of schistosomiasis and diarrhoea, and has led to an increase in awareness of WASH interventions for sustaining gains in NTD control. We identify five key social processes enacted by the EDG model that have led to improved health benefits related to frequency of meetings and attendance, promotion of health and sanitation awareness, income-generating activities, self-organising capabilities, and interaction between village bodies. These findings hold important implications for conceptualising the role of community participation in sustaining NTD-WASH intervention programs and for sensitising institutional and policy reform.

Indexed as

Community ParticipationTropical MedicineHealth PromotionHumansHygieneNeglected DiseasesPilot ProjectsProgram EvaluationSanitationTanzaniaWater SupplyCommunity participationHealth program sustainabilityMixed methodologyNTD-WASH programsTanzaniaVillage governance

Identifiers

PMID29501716
PMCPMC5906643
OpenAlexW2791168220

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.