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Metcalf CD, Ostler C, Thor P, Kheng S, Srors S, Sann R, Worsley P, Gates L, Donnovan-Hall M, Harte C, Dickinson A. Engaging multisector stakeholders to identify priorities for global health innovation, change and research: an engagement methodology and application to prosthetics service delivery in Cambodia. Disabil Rehabil 2024; 46:685-696. [PMID: 36823949 DOI: 10.1080/09638288.2023.2173313] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2022] [Accepted: 01/21/2023] [Indexed: 02/25/2023]
Abstract
PURPOSE While innovation is known to catalyse solutions to global sustainable development challenges, lack of engagement from stakeholders during conceptualisation and development may influence the degree of success of implementation. METHODS AND MATERIALS This paper presents a complete and novel engagement methodology, developed from value led business modelling approaches, for working with multi-sector stakeholders. The methodology can be used to determine barriers and facilitators to clinical practice innovations or translational research, within a country-specific context. The approach has then been applied in the Cambodian prosthetics and orthotics sector to provide a practice-based exemplar application of the framework. RESULTS This approach seeks to ensure the suitability and sustainability of clinical practice and research programmes being implemented within a complex ecosystem. A theoretical basis, drawn from academic and business innovation sectors, has been consolidated and adapted for practical application to design, direct, and inform initiatives in low resource settings. CONCLUSIONS The methods presented provide a way to both develop and articulate the mission, vision, and goals of any proposed change, and to effectively communicate these with stakeholders in a way that engages the personal and professional values that exist in their ecosystem. It provides a structured process through which meaningful conversations can happen, and a basis for relationship management with key stakeholders; intrinsic to enable a sustained legacy from research and development.
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Affiliation(s)
- C D Metcalf
- School of Health Sciences, University of Southampton, Southampton, UK
- Exceed Research Network, Lisburn, Northern Ireland
| | - C Ostler
- School of Health Sciences, University of Southampton, Southampton, UK
- Exceed Research Network, Lisburn, Northern Ireland
- Portsmouth NHS, Portsmouth Hospitals University NHS Trust, Portsmouth, UK
| | - P Thor
- Department of Prosthetics & Orthotics, Phnom Penh, Cambodia
- Exceed Worldwide, Lisburn, Northern Ireland
| | - S Kheng
- Exceed Research Network, Lisburn, Northern Ireland
- Department of Prosthetics & Orthotics, Phnom Penh, Cambodia
- Exceed Worldwide, Lisburn, Northern Ireland
| | - S Srors
- Department of Prosthetics & Orthotics, Phnom Penh, Cambodia
- Exceed Worldwide, Lisburn, Northern Ireland
| | - R Sann
- National Institute of Social Affairs, Phnom Penh, Cambodia
- Elderly Welfare Department, Ministry of Social Affairs, Veterans and Youth Rehabilitation, National Elderly Care Center, Phnom Penh, Cambodia
| | - P Worsley
- School of Health Sciences, University of Southampton, Southampton, UK
| | - L Gates
- School of Health Sciences, University of Southampton, Southampton, UK
| | - M Donnovan-Hall
- School of Health Sciences, University of Southampton, Southampton, UK
- Exceed Research Network, Lisburn, Northern Ireland
| | - C Harte
- Exceed Research Network, Lisburn, Northern Ireland
- Exceed Worldwide, Lisburn, Northern Ireland
| | - A Dickinson
- Exceed Research Network, Lisburn, Northern Ireland
- School of Engineering, University of Southampton, Southampton, UK
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