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10.1371/journal.pone.0239234

http://scihub22266oqcxt.onion/10.1371/journal.pone.0239234
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32931509!7491735!32931509
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suck abstract from ncbi


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pmid32931509      PLoS+One 2020 ; 15 (9): e0239234
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  • Evaluating approaches to designing effective Co-Created hand-hygiene interventions for children in India, Sierra Leone and the UK #MMPMID32931509
  • Crosby S; Younie S; Williamson I; Laird K
  • PLoS One 2020[]; 15 (9): e0239234 PMID32931509show ga
  • Effective and culturally appropriate hand-hygiene education is essential to promote health-related practices to control and prevent diseases such as Diarrhoea, Ebola and COVID-19. In this paper we outline and evaluate the Co-Creation processes underpinning a handwashing intervention for young children (A Germ's Journey) developed and delivered in India, Sierra Leone and the UK, and consider the implications surrounding Imperialist/Colonial discourse and the White Saviour Complex. The paper focuses both on the ways Co-Creation was conceptualised by our collaborators in all three countries and the catalysts and challenges encountered. Qualitative data have been drawn from in-depth interviews with five key stakeholders, focus group data from 37 teachers in Sierra Leone and responses to open-ended questionnaires completed by teachers in India (N = 66) and UK (N = 63). Data were analysed using thematic analysis and three themes, each with three constituent subthemes are presented. In the theme 'Representations of and Unique Approaches to Co-Creation' we explore the ways in which Co-Creation was constructed in relation to teamwork, innovative practice and more continuous models of evaluation. In 'Advantages of Co-Creation' we consider issues around shared ownership, improved outcomes and more meaningful insights alongside the mitigation of risks and short-circuiting of problems. In 'Challenges of Co-Creation' we discuss issues around timing and organisation, attracting and working with appropriate partners and understanding the importance of local context with inherent social, economic and structural barriers, especially in low-and-middle-income countries. We consider how theoretical elements of Co-Creation can inform effective international public health interventions; crucial during a global pandemic in which handwashing is the most effective method to control the transmission of COVID-19. Finally we reflect on some of the methodological challenges of our own work and in managing the potentially conflicting goals of the ethical and participatory values of Co-Creation with pragmatic considerations about ensuring an effective final 'product'.
  • |*Hand Hygiene[MESH]
  • |Betacoronavirus[MESH]
  • |COVID-19[MESH]
  • |Child[MESH]
  • |Communicable Disease Control/*methods[MESH]
  • |Communicable Diseases/pathology/transmission/virology[MESH]
  • |Coronavirus Infections/prevention & control/transmission/virology[MESH]
  • |Focus Groups[MESH]
  • |Humans[MESH]
  • |India[MESH]
  • |Interviews as Topic[MESH]
  • |Pandemics/prevention & control[MESH]
  • |Pneumonia, Viral/prevention & control/transmission/virology[MESH]
  • |SARS-CoV-2[MESH]
  • |School Teachers/psychology[MESH]
  • |Sierra Leone[MESH]
  • |Surveys and Questionnaires[MESH]


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  • suck abstract from ncbi

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