Mobilisation et implication efficaces des parties prenantes communautaires dans la coproduction de la recherche en santé mondiale

Titre original en anglais : Effective engagement and involvement with community stakeholders in the co-production of global health research

Tembo, D., Hickey, G., Montenegro, C., Chandler, D., Nelson, E., Porter, K., Dikomitis, L., Chambers, M., Chimbari, M. J., Mumba, N., Beresford, P., Ekiikina, P. O., Musesengwa, R., Staniszewska, S., Coldham, T., & Rennard, U. (2021). Effective engagement and involvement with community stakeholders in the co-production of global health research. BMJ, 372, n178. https://doi.org/10.1136/bmj.n178

Date de publication: 15/02/2021 Ajout dans AutiHub: 18/07/2026 Type: Article Langue de l’article: Anglais

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Résumé

Doreen Tembo et ses collègues soutiennent que de petits changements ainsi que des changements plus larges à l’échelle du système peuvent renforcer la contribution des citoyens à la production de connaissances dans la recherche en santé. L’intégration d’un large éventail de perspectives individuelles et collectives dans la recherche en santé mondiale, en dehors de la recherche universitaire, est de plus en plus reconnue comme un mécanisme permettant d’obtenir un impact plus important. Cette activité porte de nombreux noms (encadré 1). Dans le Nord global ou dans un pays à revenu élevé, elle est couramment appelée « participation des patients et du public », « engagement » ou « participation ». Dans les pays à revenu faible et intermédiaire ou dans le Sud global, ces processus participatifs sont désignés par les termes « engagement communautaire », « participation » et « engagement et implication communautaires ». La coproduction, caractéristique centrale de l’engagement et de l’implication communautaires, est courante dans la recherche en santé tant dans le Nord que dans le Sud globaux, avec toute une gamme d’avantages potentiels. Elle aide à garantir que la recherche en santé contribue à développer les connaissances et à générer des innovations qui bénéficient aux utilisateurs de la recherche. Pour une recherche qui suscite des changements et réduit le gaspillage des ressources, la coproduction devrait commencer dès les premières étapes, lorsque les problèmes sont identifiés et les priorités définies.6 Une telle approche favorise une recherche éthique, spécifique et adaptée à la communauté locale. Il a également été montré que l’implication des utilisateurs finaux dans la conception des projets améliore le recrutement des participants et les méthodes de recherche, rendant plus probable la mise en œuvre et l’impact des résultats de la recherche. (...).

Doreen Tembo and colleagues argue that small changes as well as larger system-wide changes can strengthen citizens’ contribution to knowledge in health research Involving a broad range of individual and collective perspectives in global health research outside of academic research is gaining increasing recognition as a mechanism for achieving a greater impact. This activity goes by many names (box 1). In the global north or a high income country, it is commonly called “patient and public involvement,” “engagement,” or “participation.” In low and middle income countries or the global south, these participatory processes are termed “community engagement,” “participation,” and “community engagement and involvement.” Co-production, a core feature of community engagement and involvement, is common to health research in both the global north and south, with a range of potential benefits. It helps to ensure that health research contributes to building knowledge and generating innovations that benefit users of research. For research that drives change and reduces the waste of resources, co-production should start from the earliest stages, when problems are identified and priorities defined.6 Such an approach supports research that is ethical, specific, and appropriate to the local community. Involvement of end users in the design of projects has also been shown to improve recruitment of participants and research methods, making implementation and the impact of the research results more likely. (...).

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