Evidence map›Paper›PMID 36960804›Full record

ArticleInternational health2023

Promoting equity through inclusive learning, planning and implementing: lessons from Nigeria's mass drug administration programme for neglected tropical diseases.

Helen Piotrowski, Noela Gwani, James Yashiyi, Akinola Oluwole, Samson Ayuba, Mobolanle Surakat, Oluwatosin Adekeye, Luret Lar, Diltokka Gideon Kevin, Bernsah Damian Lawong and 8 more

Abstract read
In one paragraph

Article in International health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. 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

18 authors.

Helen PiotrowskiDepartment of International Health, Liverpool School of Tropical Medicine, Liverpool, UK.
Noela GwaniDepartment of Neglected Tropical Diseases, Sightsavers Nigeria Country Office, P.O. Box 503, KadunaNigeria.
James YashiyiDepartment of Neglected Tropical Diseases, Sightsavers Nigeria Country Office, P.O. Box 503, KadunaNigeria.
Akinola OluwoleDepartment of Neglected Tropical Diseases, Sightsavers Nigeria Country Office, P.O. Box 503, KadunaNigeria.
Samson AyubaDepartment of Neglected Tropical Diseases, Sightsavers Nigeria Country Office, P.O. Box 503, KadunaNigeria.
Mobolanle SurakatDepartment of Neglected Tropical Diseases, Sightsavers Nigeria Country Office, P.O. Box 503, KadunaNigeria.
Oluwatosin AdekeyeDepartment of Neglected Tropical Diseases, Sightsavers Nigeria Country Office, P.O. Box 503, KadunaNigeria.
Luret LarDepartment of Neglected Tropical Diseases, Sightsavers Nigeria Country Office, P.O. Box 503, KadunaNigeria.
Diltokka Gideon KevinDepartment of Neglected Tropical Diseases, Sightsavers Nigeria Country Office, P.O. Box 503, KadunaNigeria.
Bernsah Damian LawongDepartment of Neglected Tropical Diseases, Sightsavers Nigeria Country Office, P.O. Box 503, KadunaNigeria.
Uduak NtuenNTDs Division, Department of Public Health, Federal Ministry of Health, Abuja, Nigeria.
Soneye IslamiatNeglected Tropical Diseases Unit, Department of Public Health, Ogun State Ministry Of Health, Ogun StateNigeria.
Maryam Kafil-EmiolaNeglected Tropical Diseases Unit, Department of Public Health, Ogun State Ministry Of Health, Ogun StateNigeria.
Hauwa UsmanDepartment of Public Health, Ministry of Health Kaduna, Nigeria.
Sally TheobaldDepartment of International Health, Liverpool School of Tropical Medicine, Liverpool, UK.
Rachael ThomsonDepartment of International Health, Liverpool School of Tropical Medicine, Liverpool, UK.ORCID 0000-0001-5010-3428
Laura DeanDepartment of International Health, Liverpool School of Tropical Medicine, Liverpool, UK.
Kim OzanoDepartment of International Health, Liverpool School of Tropical Medicine, Liverpool, UK.ORCID 0000-0001-8383-4577

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAn inclusive, localised approach to planning and implementing equitable mass drug administration was developed through participatory action research (PAR). This new approach aligns with principles of learning health systems (LHS). Tools were co-developed to support scaling up the new approach across two Nigerian states. Lessons are distilled here to enable learning for other programmes.

methodsObservations and reports by researchers (2019-2021) from 23 meetings and workshops, 8 in-depth interviews and 8 focus group discussions (FGDs) were used.

resultsNine key steps of best practice were identified to promote inclusive LHS for participatory planning and implementing: utilise participatory research methodologies to facilitate community engagement and tailor interventions; develop tools and governance structures to support learning, teamwork and sustainability; strengthen capacity for participation and collaboration with space for dialogue and shared learning; undertake participatory planning to develop action plans; advocate for implementation; monitor action plans; review and act on successes and challenges; apply community evaluation to understand challenges and enablers and disseminate policy and programme changes.

conclusionsPAR in disease programmes can support health systems to embed cyclical and iterative learning to sustainably address localised equity challenges. However, it takes time, resources and political commitment.

Indexed as

Health Services ResearchMass Drug AdministrationFocus GroupsGovernment ProgramsHumansNigeriacommunity-based programmesdecentralised planningequitylearning health systemsmass drug administrationparticipatory action research

Identifiers

PMID36960804
PMCPMC10037260

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Registered trials

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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.