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      Media and Digital Technologies for Mixed Methods Research in Public Health Emergencies Such as COVID-19: Lessons Learned From Using Interactive Radio–SMS for Social Research in Somalia

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          Abstract

          Radio shows which invite audience participation via short message service (SMS)—interactive radio–SMS—can be designed as a mixed methods approach for applied social research during COVID-19 and other crises in low and middle income countries. In the aftermath of a cholera outbreak in Somalia, we illustrate how this method provides social insights that would have been missed if a purely qualitative or quantitative approach were used. We then examine the strengths and limitations associated with interactive radio–SMS through an evaluation using a multimethod comparison. Our research contributes an application of a mixed methods approach which addresses a specific challenge raised by COVID-19, namely utilizing media and digital technologies for social research in low and middle income countries.

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          The impact of COVID-19 and strategies for mitigation and suppression in low- and middle-income countries

          The ongoing COVID-19 pandemic poses a severe threat to public health worldwide. We combine data on demography, contact patterns, disease severity, and health care capacity and quality to understand its impact and inform strategies for its control. Younger populations in lower income countries may reduce overall risk but limited health system capacity coupled with closer inter-generational contact largely negates this benefit. Mitigation strategies that slow but do not interrupt transmission will still lead to COVID-19 epidemics rapidly overwhelming health systems, with substantial excess deaths in lower income countries due to the poorer health care available. Of countries that have undertaken suppression to date, lower income countries have acted earlier. However, this will need to be maintained or triggered more frequently in these settings to keep below available health capacity, with associated detrimental consequences for the wider health, well-being and economies of these countries.
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              Community engagement for COVID-19 prevention and control: a rapid evidence synthesis

              Introduction Community engagement has been considered a fundamental component of past outbreaks, such as Ebola. However, there is concern over the lack of involvement of communities and ‘bottom-up’ approaches used within COVID-19 responses thus far. Identifying how community engagement approaches have been used in past epidemics may support more robust implementation within the COVID-19 response. Methodology A rapid evidence review was conducted to identify how community engagement is used for infectious disease prevention and control during epidemics. Three databases were searched in addition to extensive snowballing for grey literature. Previous epidemics were limited to Ebola, Zika, SARS, Middle East respiratory syndromeand H1N1 since 2000. No restrictions were applied to study design or language. Results From 1112 references identified, 32 articles met our inclusion criteria, which detail 37 initiatives. Six main community engagement actors were identified: local leaders, community and faith-based organisations, community groups, health facility committees, individuals and key stakeholders. These worked on different functions: designing and planning, community entry and trust building, social and behaviour change communication, risk communication, surveillance and tracing, and logistics and administration. Conclusion COVID-19’s global presence and social transmission pathways require social and community responses. This may be particularly important to reach marginalised populations and to support equity-informed responses. Aligning previous community engagement experience with current COVID-19 community-based strategy recommendations highlights how communities can play important and active roles in prevention and control. Countries worldwide are encouraged to assess existing community engagement structures and use community engagement approaches to support contextually specific, acceptable and appropriate COVID-19 prevention and control measures.
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                Author and article information

                Journal
                J Mix Methods Res
                J Mix Methods Res
                MMR
                spmmr
                Journal of Mixed Methods Research
                SAGE Publications (Sage CA: Los Angeles, CA )
                1558-6898
                1558-6901
                21 January 2021
                July 2021
                : 15
                : 3
                : 304-326
                Affiliations
                [1 ]University of Cambridge, Cambridge, UK
                [2 ]United Nations University, Kuala Lumpur, Malaysia
                [3 ]Africa’s Voices Foundation, Nairobi, Kenya
                Author notes
                [*]Johanna Riha, Centre of Governance and Human Rights, Department of Politics and International Studies, University of Cambridge, 7 West Road, Cambridge CB3 9DT, Cambridge CB2 1TN, UK. Email: johanna.riha@ 123456gmail.com
                Author information
                https://orcid.org/0000-0001-8267-1745
                Article
                10.1177_1558689820986748
                10.1177/1558689820986748
                8311909
                34366731
                b2c10b08-c9c4-4782-9c76-ccead53888b6
                © The Author(s) 2021

                This article is distributed under the terms of the Creative Commons Attribution 4.0 License ( https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page ( https://us.sagepub.com/en-us/nam/open-access-at-sage).

                History
                Funding
                Funded by: Department for International Development, FundRef https://doi.org/10.13039/501100000278;
                Award ID: 206015/Z/16/Z
                Funded by: Wellcome Trust, FundRef https://doi.org/10.13039/100004440;
                Award ID: 206015/Z/16/Z
                Categories
                Empirical Research
                Custom metadata
                ts1

                mixed methods,interactive radio,digital technology,evaluation,public health

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