ArticleInternational journal of environmental research and public health2021
Health Literacy Co-Design in a Low Resource Setting: Harnessing Local Wisdom to Inform Interventions across Fishing Villages in Egypt to Improve Health and Equity.
Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.
- Conducting co-creation for public health in low and middle-income countries: a systematic review and key informant perspectives on implementation barriers and facilitators.Globalization and health · 2024Pooled it
- Using Qualitative Research Methods to Codesign a Virtual Community of Practice for Global Oncology Early-Career Investigators.JCO global oncology · 2026Article
- The co-creation of Foot Selfie, a patient-centered mobile intervention to prevent diabetic foot ulcers.BMC health services research · 2026Article
- Co-Designing a Community-Based Health Literacy Programme for Individuals With Prehypertension: An Application of Ophelia (Optimise Health Literacy and Access) Process.Health expectations : an international journal of public participation in health care and health policy · 2026Article
- From means to meaningful: undertaking cluster analysis to develop health literacy profiles of people in Australian prisons.PloS one · 2026Article
- Application of co-design to develop and prioritise health literacy-informed action ideas for implementation across prisons in New South Wales, Australia.Scientific reports · 2025Article
- Development of a User-Centred Chronic Care Model for Patients With Heart Failure in a Limited-Resource Setting: A Codesign Study.Health expectations : an international journal of public participation in health care and health policy · 2025Article
- Health literacy profiles in kidney transplanted patients: A cluster analysis.Journal of renal care · 2024Article
- Measuring health literacy to inform actions to address health inequities: a cluster analysis approach based on the Australian national health literacy survey.Journal of public health (Oxford, England) · 2024Article
- Profiles of health literacy and digital health literacy in clusters of hospitalised patients: a single-centre, cross-sectional study.BMJ open · 2024Article
- Health literacy strengths and challenges among residents of a resource-poor village in rural India: Epidemiological and cluster analyses.PLOS global public health · 2023Article
- Application of the optimizing health literacy and access (Ophelia) process in partnership with a refugee community in Australia: Study protocol.Frontiers in public health · 2023Article
- Digital Health Literacy as a Predictor of Awareness, Engagement, and Use of a National Web-Based Personal Health Record: Population-Based Survey Study.Journal of medical Internet research · 2022Article
- Health Literacy Development among People with Chronic Diseases: Advancing the State of the Art and Learning from International Practices.International journal of environmental research and public health · 2022Article
- The Health Literacy in Pregnancy (HeLP) Program Study Protocol: Development of an Antenatal Care Intervention Using the Ophelia Process.International journal of environmental research and public health · 2022Article
- Modelling variance in the multidimensional Health Literacy Questionnaire: Does a General Health Literacy factor account for observed interscale correlations?SAGE open medicine · 2022Article
- Knowledge, Practice of Personal Hygiene, School Sanitation, and Risk Factors of Contracting Diarrhea among Rural Students from Five Western Provinces in China.International journal of environmental research and public health · 2021Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Fishermen in low resource settings have limited access to health services and may have a range of health literacy-related difficulties that may lead to poor health outcomes. To provide solutions and interventions based on their needs, co-design is considered best practice in such settings. This study aimed to implement a co-design process as a step towards developing health literacy interventions to improve health and equity in the Borollos Lake region of northern Egypt, a low resource setting with a high prevalence of chronic diseases. This study was guided by the Ophelia (Optimising Health Literacy and Access) process, a widely used and flexible co-design process that seeks to create local and fit-for-purpose health literacy solutions through genuine engagement and participation of community members and relevant stakeholders. Following a health literacy survey using the Health Literacy Questionnaire (HLQ), cluster analysis was conducted to identify the diverse health literacy profiles among the fishing communities. Seven health literacy profiles were identified. Vignettes, representing these profiles, were presented and discussed in ideas generation/co-design workshops with fishermen and health workers to develop intervention ideas. Seventeen fishermen, 22 wives of fishermen, and 20 nurses participated in four workshops. Fifteen key strategies across five themes, including 'Enhancing education among fishing communities', 'Provide good quality health services', 'Financial support for health', 'Social support for health', and 'Promote better health-related quality of life among fishermen', were generated. The ideas did not only target the individuals but also required actions from the government, non-government organizations, and fishermen syndicates. By harnessing local wisdom, the Ophelia process has created meaningful engagement with the local communities, leading to a wide range of practical and feasible solutions that match the special needs and environment of a low resource setting.
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