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Development of a community-based COVID-19 intervention in rural Ghana: a document analysis.
Frimpong, Shadrack Osei; Seidu, Moro; Hilton, Sam Kris; Ransome, Yusuf; Paintsil, Elijah; Talbert-Slagle, Kristina; Dorcoo-Attipoe, Sharon; Brayne, Carol.
  • Frimpong SO; Cocoa360, Accra, Ghana. sof20@cam.ac.uk.
  • Seidu M; Department of Public Health and Primary Care, University of Cambridge, Cambridge, England. sof20@cam.ac.uk.
  • Hilton SK; Cocoa360, Accra, Ghana.
  • Ransome Y; Cocoa360, Accra, Ghana.
  • Paintsil E; Department of Social and Behavioural Science, Yale School of Public Health, Yale University, New Haven, USA.
  • Talbert-Slagle K; Department of Pediatrics, Yale School of Medicine, Yale University, New Haven, USA.
  • Dorcoo-Attipoe S; Departmemt of Epidemiology of Microbial Diseases, Yale School of Public Health, Yale University, New Haven, USA.
  • Brayne C; Departmemt of Epidemiology of Microbial Diseases, Yale School of Public Health, Yale University, New Haven, USA.
BMC Public Health ; 22(1): 1920, 2022 10 14.
Article in English | MEDLINE | ID: covidwho-2079410
ABSTRACT

BACKGROUND:

The COVID-19 pandemic has caused the loss of millions of lives and economic breakdowns in many countries across the globe. Despite the limited availability of vaccines and the challenges of poor health infrastructure, few interventions have been developed and implemented for those who live in rural areas, particularly in sub-Saharan Africa. In response, Cocoa360, a global health nonprofit in rural Ghana designed an intervention called Cocoa360's COVID-19 Preparedness and Outbreak Prevention Plan (CoCoPOPP). This paper aimed to examine the extent to which CoCoPOPP's design aligned with the Promoting Action on Research Implementation in Health Services (PARIHS) framework.

METHODS:

We reviewed documents influencing CoCoPOPP's design between March and June 2021. A total of 11 documents were identified for analysis. Using the Promoting Action on Research Implementation in Health Services (PARIHS) framework as a guide, thematic analysis was done to analyze the extracted data.

RESULTS:

Overall, CoCoPOPP's design aligned with the evidence, context, and facilitation domains of the PARIHS framework. It positioned CoCoPOPP as an intervention that considered the unique context of a rural Ghanaian setting. It was guided by robust and high-quality published and non-published evidence and engaged external and internal stakeholders during its implementation. CoCoPOPP's context-dependent nature positions it for potential replication in sub-Saharan Africa's rural communities with similar farming contexts. Specific areas that were less well and/or not addressed were the unintended negative consequences of community engagement, the absence of primary data in the guiding evidence, and the lack of a facilitation continuum coupled with the role of power during the facilitation process.

CONCLUSION:

CoCoPOPP, Cocoa360's response to the COVID-19 pandemic in rural Ghana, is an evidence-driven, context-dependent public health intervention that has been designed to reduce COVID-19 infections and prevent potential deaths. This study underscores the importance of considering the unique community and cultural contexts, employing evidence, and engaging local and external actors as facilitators when designing interventions to respond to global health pandemics.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 Type of study: Experimental Studies / Observational study / Qualitative research Topics: Vaccines Limits: Humans Country/Region as subject: Africa Language: English Journal: BMC Public Health Journal subject: Public Health Year: 2022 Document Type: Article Affiliation country: S12889-022-14338-8

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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 Type of study: Experimental Studies / Observational study / Qualitative research Topics: Vaccines Limits: Humans Country/Region as subject: Africa Language: English Journal: BMC Public Health Journal subject: Public Health Year: 2022 Document Type: Article Affiliation country: S12889-022-14338-8