Engaging with Community Advisory Boards (CABs) in Lusaka Zambia: perspectives from the research team and CAB members

BMC Medical Ethics

Keymanthri Moodley¹  Alwyn Mwinga¹ 

[1] Centre for Medical Ethics and Law, Stellenbosch University, Stellenbosch, South Africa

关键词: research team;    Community based participatory research;    Community advisory board;    Community engagement;   

Others  :  1212273
DOI  :  10.1186/s12910-015-0031-y

 received in 2014-10-20, accepted in 2015-05-20,  发布年份 2015

【 摘 要 】

Background

The use of a Community Advisory Board (CAB) is one method of ensuring community engagement in community based research. To identify the process used to constitute CABs in Zambia, this paper draws on the perspectives of both research team members and CAB members from research groups who used CABs in Lusaka. Enabling and restricting factors impacting on the functioning of the CAB were identified.

Methods

All studies approved by the University of Zambia Bioethics Research Committee (UBNZABREC) from 2008 – 2012 were reviewed to identify those studies that were likely to include a CAB. Eight teams with studies that included a CAB were identified. For each of these studies, consent was obtained to conduct an informal interview with a research team member and to obtain contact details for one CAB member. In total 14 interviews were conducted with 8 research team members and 6 CAB members from 12–30 August 2013.

Results

Identification of potential CAB members from the community and their participation in developing the terms of reference for CABs was perceived to have contributed to the success of the CAB. Due to the trust that the community had in members of their community the CABs were then in a stronger position to influence community participation in the research. Training of CAB members was identified as a factor that enhanced the functioning of a CAB. Lack of commitment and low literacy levels of CAB members posed a threat to the role of the CAB. Although compensation in the form of a stipend was not provided, CAB members were provided with transport reimbursements for attending meetings.

Conclusions

Selection of CAB members from within the community contributed to community confidence in the CAB, enhancing its ability to act as an effective link between study team and community. This contributed positively to the conduct of the study and enhanced community awareness and acceptance of the research. However, establishment of study specific CABs has the potential to compromise CAB independence due to support provided by the research team in the form of transport reimbursements and other forms of support. Consideration should be given to establishing community wide Community Advisory Boards that could function across a range of studies to increase independent objective decision-making.

【 授权许可】

   
2015 Mwinga and Moodley; licensee BioMed Central.

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