Hubris, humility and humanity: expanding evidence approaches for improving and sustaining community health programmes
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Date
2018
Journal Title
Journal ISSN
Volume Title
Publisher
BMC
Abstract
Community-based approaches are a critical foundation for
many health outcomes, including reproductive, maternal,
newborn and child health (RMNCH). Evidence is a vital part
of strengthening that foundation, but largely focuses on
the technical content of what must be done, rather than on
how disparate community actors continuously interpret,
implement and adapt interventions in dynamic and varied
community health systems. We argue that efforts to
strengthen evidence for community programmes must
guard against the hubris of relying on a single approach or
hierarchy of evidence for the range of research questions
that arise when sustaining community programmes
at scale. Moving forward we need a broader evidence
agenda that better addresses the implementation realities
influencing the scale and sustainability of community
programmes and the partnerships underpinning them
if future gains in community RMNCH are to be realised.
Description
Keywords
Humanity, Hubris, Humility, Health programmes, Sustainability
Citation
George, A. S. (2018). Hubris, humility and humanity: Expanding evidence approaches for improving and sustaining community health programmes. BMJ Global Health, 3(3), 1–9. https://doi.org/10.1136/bmjgh-2018-000811