Implementation barriers and facilitators to a COVID-19 intervention in Bangladesh: The benefits of engaging the community for the delivery of the programme

• DOI: 10.1186/s12913-022-08939-7
• Publication Date: 2022-12-28T05:02:48Z
• Authors: Fahmida Akter; Malika Tamim; Avijit Saha; Imran Ahmed Chowd...; Omor Faruque; Animesh Talukder; Mohiuddin Ahsanul...; Monzur Morshed Pa...; Albaab-Ur Rahman; Morseda Chowdhury; Malabika Sarker
• Keywords: Rural Population; Facilitators; FOS: Political science; Social Sciences; FOS: Health sciences; Intervention (counseling); 0302 clinical medicine; Implementation fidelity; Sociology; Psychology; Government (linguistics); Political science; Bangladesh; Modeling the Dynamics of COVID-19 Pandemic; 1. No poverty; Public Health Interventions; Social science; FOS: Sociology; FOS: Philosophy, ethics and religion; 3. Good health; FOS: Psychology; Clinical Psychology; Environmental health; And Barriers; Health; Modeling and Simulation; Physical Sciences; Medicine; Public aspects of medicine; RA1-1270; Research Article; Medical education; Public relations; Health Personnel; Population; Nursing; 12. Responsible consumption; 03 medical and health sciences; Qualitative research; FOS: Mathematics; Humans; Community engagement; COVID-19; Linguistics; Philosophy; Attitude; Impact of COVID-19 on Mental Health; FOS: Languages and literature; Factors Affecting Vaccine Hesitancy and Acceptance; Community resilience; Mathematics

BRAC (Bangladesh Rural Advancement Committee), the largest NGO globally, implemented a community-based comprehensive social behavior communication intervention to increase community resilience through prevention, protection, and care for COVID-19. We conducted implementation research assess fidelity explore barriers facilitators of this implementation.We adopted concurrent mixed-method triangulation design. interviewed 666 members 60 Community Corona Protection Committees (CCPCs) 80 Support Teams (CSTs) multi-stage cluster sampling using structured questionnaire. The qualitative components relied on 54 key informant interviews with implementers government providers.The knowledge about wearing mask, keeping distance, washing hands COVID-19 symptoms were high (on average more than 70%) among CCPC CST members. While 422 (63.4%) reported they 'always' wear mask while going out, 69 (86.3%) same practice. Only 247 (37.1%) distributed masks, 229 (34.4%) donated soap underprivileged population during last two weeks preceding survey. included influential in CCPC, greater acceptability front-line health workers, free-of-cost materials, telemedicine services. important identified insufficient training, irregular participation members, favouritism distributing essential preventive disruption supply shortage preventative improper use handwashing station, non-compliant attitude people, challenges ensure home quarantine, regarding network interruptions, lack coordination stakeholders, short duration project.Engaging combination services Government-NGO partnership is sustainable strategy implementing prevention program. Engaging should be promoted as an integral component any public sustainability. Engagement structures incorporate systems perspective facilitate relationships, quality delivery program, mindful heterogeneity different concerning capacity building. Finally, reaching out engagement also effective mechanism progress universal coverage.