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Yes i have learned a lot through this course, i have been talking GPP for as long as i remember but has never engage in to this level. Being thought the importance of community engagement and how every principle is talking to one another has made me value stakeholdres engagement even more, and my passion has been renewed.
I would like to thank you GPP team especially Anne and Jessica for this opportunity and for your patience.
We continue to hold stakeholders meeting once every 6 months and monthly CAB meetings. We work in the same area so we communicate with them with upcoming projects and they become our entry piont in the community. The relationship with thses stakeholders and past participants needs to be maintaines as this can be beneficial in both parties.
The first that i could have done before the project start is formattive research, where i will get the feel of the community, identify their culture and norms. Then i will organise a stakeholders meeting were i will include the influentail people in the community and identify those who work and deal with MSM. And the community dialauge will be another form of communicating with the community were i will discuss about the project and answer the community questions and concerns.
The trial lacked the ethical obligation hence thier outcome wont be considered as accurate or correct. Stakeholders engagement and consultation is every importatnt in any clinical trial the trial can cover all the nessessary steps.
Interesting question. When we recieve the protocol we organise a meeting with CAB members to review the protocol word by word and document all the input. The investigator will be present to answer any questions the CAB members might have and give clarity in some terms the CAB members may not be familiar with. After the protocol review the CAB members will review the informed consent and also make some comments on the content, language and other important factors. My only concern is our engagement with the broader stakeholder on the protocol review.
Social media (What’s up) has proved to be one mechanisim that can be used to reach participants in terms of retetion of adherence. You can communicate with the participant that is not answering their call by what’s up and you can send a motivational message to the participants to adhere to their products, or the participants can use it to report any arising issues.
It needs to be managed by one or two staff members who are responsible for retention and adherence.
Hi Mark
In my opinion GPP implementation its not according to trial phase or number required. It is very important to follow all the principles.
Thats a good one, At my site we have four different CAB’s that serve different projects. Youth CAB serve projects that are youth focused, Prevention CAB serves HIV prevention projects e.t.c. You can not choose to involve one stakeholder and not the other but you can prioritise. review your stakeholders list and select first the ones that are relevant to the current project (e.g. Adolescent and youth project you look at your community youth organisations), review their influnce in the community, what methods do they us to communicate with the community and how often and if they are interested in the project outcome.
In our site we have a team GPP team that oversee the community engagement of all the projects that are currently going on. This team consist of the Community technical head, Gpp manager and the Community project coordinator, then we support the Community health workers and the Community liaison officers for each project. Im not sure if this will work on your site.
Hi Sherri
We had been engaging with the community for months before we had the protocol and yes before the study we already had a Youth Friendly Clinic that had been runnin for over 3years. We were providing youth friendly services e.g. family planning, HIV testing and treatment, pregnancy test and psychosocial counseling, so we had already established the relationship with the community. My opinion will be even though you dont have a protocol that include adolescents yet just do the ground work as we are shifting the focus now to include young people in clinical trials. This will help you when that protocol finaly comes your way.
In my opinion when it comes to retention, no one method fits all, you have to use different startegies for different communities and different age groups. But always be open and transparent about any new information that is learned during the trail with your trail participants.
The site was planning an Adolescent Vaccine study. We invited everyone that works with young people e.g. teachers, nurses, community health care workers, Parents and Adolescents. We held a lot of focus groups, dialogues and one on one interviews to get their opinion, understanding and preparing them for the study. The response we got on those was overwhelming and so positive. It was a lessoned learned that consultation with the relevant groups is vital before the commence of the project.
It was when we established the CAB for the first time. the people who dominated every meeting were the Primary Health Care Nurses which resulted in other stakeholders not participating in the meetings, and thier input being missed. At the end of the day other stakeholders withdraw from the board and we were left with few members. We had to go back to the drawing board to try and correct this, and recruiting new members.
I agree with you Joyce on that one, it start from the community engagement. we need to get the buy in of the community first and that will illiminate the hear say in the community as it affect the participants retention. 2 the screening visit is very important, that informed consent process determines our retention at the end of the day. if we give participants enough time to go through the informed consent and understand what is the study all about before agreeing to join then they know axactely what they are agreeing into.
