Community participation in health services development, implementation, and evaluation: A systematic review of empowerment, health, community, and process outcomes
Top Cited Papers
Open Access
- 10 May 2019
- journal article
- review article
- Published by Public Library of Science (PLoS) in PLOS ONE
- Vol. 14 (5), e0216112
- https://doi.org/10.1371/journal.pone.0216112
Abstract
Community participation is widely believed to be beneficial to the development, implementation and evaluation of health services. However, many challenges to successful and sustainable community involvement remain. Importantly, there is little evidence on the effect of community participation in terms of outcomes at both the community and individual level. Our systematic review seeks to examine the evidence on outcomes of community participation in high and upper-middle income countries. This review was developed according to PRISMA guidelines. Eligible studies included those that involved the community, service users, consumers, households, patients, public and their representatives in the development, implementation, and evaluation of health services, policy or interventions. We searched the following databases from January 2000 to September 2016: Medline, Embase, Global Health, Scopus, and LILACs. We independently screened articles for inclusion, conducted data extraction, and assessed studies for risk of bias. No language restrictions were made. 27,232 records were identified, with 23,468 after removal of duplicates. Following titles and abstracts screening, 49 met the inclusion criteria for this review. A narrative synthesis of the findings was conducted. Outcomes were categorised as process outcomes, community outcomes, health outcomes, empowerment and stakeholder perspectives. Our review reports a breadth of evidence that community involvement has a positive impact on health, particularly when substantiated by strong organisational and community processes. This is in line with the notion that participatory approaches and positive outcomes including community empowerment and health improvements do not occur in a linear progression, but instead consists of complex processes influenced by an array of social and cultural factors. This review adds to the evidence base supporting the effectiveness of community participation in yielding positive outcomes at the organizational, community and individual level. Prospero record number: CRD42016048244.Keywords
This publication has 68 references indexed in Scilit:
- Women's groups practising participatory learning and action to improve maternal and newborn health in low-resource settings: a systematic review and meta-analysisThe Lancet, 2013
- Advancing Environmental and Policy Change Through Active Living CollaborativesJournal of Public Health Management and Practice, 2013
- Active Living Collaboratives in the United States: Understanding Characteristics, Activities, and Achievement of Environmental and Policy ChangePreventing Chronic Disease, 2013
- Effects of Community Participation on Improving Uptake of Skilled Care for Maternal and Newborn Health: A Systematic ReviewPLOS ONE, 2013
- A childhood obesity intervention developed by families for families: results from a pilot studyInternational Journal of Behavioral Nutrition and Physical Activity, 2013
- Integrating Services for Noncommunicable Diseases Prevention and Control: Use of Primary Health Care ApproachIndian Journal of Community Medicine, 2011
- Benefits arising from lay involvement in community-based public health initiatives: The experience from community nutritionPerspectives in Public Health, 2010
- Policy and System Change and Community Coalitions: Outcomes From Allies Against AsthmaAmerican Journal of Public Health, 2010
- Community capacity building in CDC’s Community Coalition Partnership Programs for the Prevention of Teen PregnancyJournal of Adolescent Health, 2005