Table 1 Rapid PAR training framework
Week/Workshop | Focus | Participants | Facilitator/s | Activities |
|---|---|---|---|---|
Week 1 Workshop 1 | Introduction Training | • CHWs [9] • Community mentors [6] • Clinic nurses [3] • Clinic committee [3] | Researchers | • Training in PAR tool 1 (listing/ranking/rating) to support and orient CHWs and community mentors to identify and prioritize focus health issue(s) |
Weeks 2–3 Workshop 2 | Training | • CHWs [9] • Community mentors [6] | Researchers | • Training in PAR tool 2 (problem tree) to identify priority health-related condition, facilitation and consensus building and community engagement—engaging active participant selection and representation (n = 3 for each CHW) • Training in PAR tool 3 (Photovoice) to convey lived experience visually. Basic photography training conveying topics in context and showcased in discourses. Captions on images • Baseline interviews |
Week 4 Workshop 3–5 | Problematising | • CHWs [3] • Community mentors [2] • Community pax. [9] | CHWs and community mentors | • Application of PAR tools 2 and 3 to understand priority health issue from different perspectives, identifying cause-and-effect relationships, consequences, and other effects, building shared accounts. Orient community pax. to collection of visual data |
Week 5 Workshop 6 | Training | • CHWs [9] • Community mentors [6] | Researchers | • Reflect on week 4 workshops [3,4,5] • Training in PAR tool 4 (Venn diagram) to identify actors and organisations involved with the topic and how they relate to one another with regard to collaboration and contact |
Week 6 Workshop 7–9 | Actors and impacts | • CHWs [3] • Community mentors [2] • Community pax. [9] | CHWs and community mentors | • Application of PAR tool 4 to understand actors and impacts. Collective account indicating relationships and interactions between various actors and institutions |
Week 7 Workshop 10 | Training | • CHWs [9] • Community mentors [6] | Researchers | • Reflect on week 6 workshops [7,8,9] • Training in PAR tool 5 (Action planning) to collectively articulate overall goal(s) and develop series of interconnected steps and events to achieve these |
Week 8 Workshop 11–13 | Action planning | • CHWs [3] • Community mentors [2] • Community pax. [9] | CHWs and community mentors | • Application of PAR tool 5 to agree overall goal(s) to address issues identified and develop stepwise actions to achieve these. Draw on problem tree and Venn diagram to collectively articulate a desired goal and a series of interconnected steps and events |
Week 9 Workshop 14 | Synthesis and process for engaging authorities | • CHWs [9] • Community mentors [6] • Clinic nurses [3] • Clinic committee [3] | Researchers | • Reflect on week 8 workshops [11,12,13] • Codesign/plan taking local action plans to multisectoral fora for analysis and planning • End-line interviews |
Week 10 Workshop 15 | Reflect on evidence, planning engagement | • CHWs [9] • Community mentors [6] • Clinic nurses [3] and • Clinic committee [3] • Community pax. [27] | CHWs and community mentors | • Present and finalise PAR data for 3 villages • End-line interviews |