Sourcing Community Solutions to Antibiotic Resistance in Nepal

Lead Research Organisation: University of Leeds

Abstract

This project will develop, pilot test and evaluate a high-quality intervention aimed at preventing and controlling antibiotic resistance in Nepal. Community-led solutions to the growing problem of antibiotic resistance will be promoted through a participatory digital film-making intervention that will lead to a health-education campaign within communities, and to an advocacy campaign targeting policy makers. This will directly support the delivery of the UN's Sustainable Development Goals, in particular SDG 3: 'ensuring healthy lives and promoting well-being for all at all ages'.

In Nepal, antibiotic-treatable infections are a significant public health burden. A recent review of studies examining antibiotic resistance to common bacterial diseases in Nepal indicates that antibiotic resistance is a growing threat to public health (Basnyat 2015: 6-10). Indeed globally, as the World Health Organisation warns, "without urgent action we are heading for a post-antibiotic era, in which common infections and minor injuries can once again kill" (WHO 2016). Although the development of new medicines is critical, without behaviour change antibiotic resistance will continue to be a major threat to population health. Our project seeks rigorously to evaluate the potential of participatory arts interventions in supporting such behaviour change.

The project has three phases. Phase One will focus on the development of methodologies of co-production and participatory film-making, a health-education campaign, and an advocacy campaign. Phase Two will focus on pilot-testing the participatory film-making, health-education campaign and advocacy campaign in one urban and one rural setting, and on evaluating the approach for reach, implementation fidelity, and acceptability to a variety of stakeholders. Phase Three will focus on refining the approach prior to scale-up, evaluation of outcomes and impact.

Our specific intervention consists of four stages:
1) The co-production of short comics (drawing on the 'grass-roots comics for development' methodology) which identify critical barriers to preventing and controlling antibiotic resistance at the individual, household and community levels, and which develop community-led solutions to overcoming those barriers.
2) The development of these comics into documentary films that can be utilised both as health-education tools, which are appropriately tailored for the locality, and as advocacy tools, which are aimed at policy makers at the district and national levels;
3) The utilisation of the documentary films in a health-education campaign within localities;
4) The delivery of an advocacy campaign at the district and national levels.

Working at the intersection of humanities, social sciences and public health, and bringing together the expertise of The Centre for World Cinemas and Digital Cultures (Paul Cooke, PI), the Nuffield Centre for International Health and Development (James Newell and Rebecca King, Co-Is) and HERD International (Sushil Baral, Sudeepa Khanal, Co-Is), and working in collaboration with the Ministry of Health and Population in Nepal, this partnership will pilot an innovative approach to dealing with a significant public-health issue. Drawing on participatory-arts methodologies of co-production with community stakeholders, we aim to explore the powerful socio-cultural, political and economic issues at play in the misuse of antibiotics and support the development of community-led solutions to this issue, thus helping to increase the effectiveness of, and adding significant value to, government-led campaigns. The project will, moreover, help build capacity for the use of participatory arts as a tool for public-health campaigning, synergising the expertise of the project team to produce an outcome that none of the partners could achieve on their own.

Planned Impact

Our aim is to have impact both on the ground on the behaviour of the communities we will be supporting and on district and national-level policy. Engagement with non-academic stakeholders has been central to our project's design and is central to our impact strategy.

From the outset, we have discussed the aims of this project with the Nepal Ministry of Health and Population (MoHP), with whom we have a long-standing and trusted relationship. Nuffield and HERD have reputations in Nepal for delivering research findings that address priority problems and are policy-relevant, and for committing to supporting large-scale take-up of interventions that we have demonstrated to be effective.

In developing this project, we have held discussions with Mr Bhogendra Dotel, Director - MoHP, Policy Planning and International Cooperation Division, Mahendra Shrestha, Chief Public Health Administrator, MoHP, District Public Health Office Kathmandu, Rajendra Prasad Pant, MoHP Assistant Director, Department of Health Services, Kathmandu and their teams, who are the appropriate policy-makers and programme implementers in MoHP. Avoidance of antibiotic resistance in Nepal is a high MoHP priority (Government of Nepal 2015).

To ensure that the intervention we develop is acceptable to the intended users (that is, the general population), and hence more likely to be effective, we will obtain information from members of communities including locally elected representatives involved through interviews and focus group discussions to ensure that their knowledge and experience informs intervention design. Issues of gender and equity, to which MoHP is committed (Government of Nepal 2015), will be critical here, so we will take care to involve both men and women, and identify and involve other key equity groups.

Equally key to achieving impact are the concepts of feasibility, appropriateness for context, scalability and sustainability. To ensure that the intervention we develop is feasible, appropriate to the context, scalable and sustainable, and hence more likely to be adopted nationally, we will closely involve MoHP and District Authority officials and their development partners (who play a vital role in shaping policies and resource distribution) in design of the intervention. They are best placed to know the realities and constraints of the health system within which the intervention must be integrated. Ensuring their ownership of the project is key to facilitating impact, and care will be taken to ensure their opinions are respected and guide intervention development. The campaign package will include guidelines, materials to be used by presenter/facilitators, training materials, and training methods, to ensure that we provide an integrated package ready for assessment and use without further modification.

We will mirror implementation as it would be if going to scale, to avoid any 'demonstration site effect' of funding, human resourcing or monitoring that would not be feasible at scale. To inform future assessments, we will investigate how to measure multiple potential outcomes - in a complex intervention such as this, assessment of effectiveness and cost effectiveness will not be sufficient, since there are also likely to be wider impact benefits/dis-benefits related to community cohesion, gender relationships, health ownership etc.

To monitor our impact activities, which are integral to the whole project, we will hold regular virtual meetings between partners. This will ensure any problems are identified early and mitigation can be initiated early.
 
Title BST Youth Advocacy Campaign Film:Twisted Souls - Reiger Park 
Description This film was made by young participants of the Bishop Simeon Trust's and University of Leeds' Arts Based Youth Leadership Programme in Ekurhleni Municipality, South Africa. A central part of the programme involves training youth to use participatory filmmaking approaches to develop youth advocacy tools for themselves and their communities. During 2019 the Youth Committees advocacy campaign model ran on two six-month cycles. The Youth Committees supported within the Safe Parks launched their campaign films and performances at a central showcase event in Ekurhuleni, with all Youth Committees in attendance, along with key strategic stakeholders. 
Type Of Art Film/Video/Animation 
Year Produced 2019 
Impact The film showcase events within the Safe Parks were followed with showcasing of their films and performances in their own communities, with children from within their Safe Parks and broader community invited to attend. By doing so all 1,594 children and young people served by the Safe Parks were engaged in the delivery of the Youth Committee Advocacy campaigns, alongside other key stakeholders within their community. The films themselves will also be uploaded onto YouTube, providing the Youth Committees with the opportunity share with other young people in their community via social media. 
 
Title CARAN Community Arts Against Antibiotic Resistance in Nepal HERD International presents 'United to end TB' 
Description Documents public art event in Patan Durbar Square (Lalitpur, Nepal) as part of international TB eradication awareness event. Features talking heads in English and Nepalese of Managing Director of HERD International (Dr Sushil Chandra Baral), WHO Representative to Nepal (Dr Jos Vandelaer), Director of SAARC TB and HIV Center (Dr Rajendra Pant), Director of National Tuberculosis Center ( DR Bhim Singh Tinkari), representative of National Tuberculosis Center (Badri Nath Jnawali), representative of National Tuberculosis Center (Pushpa Raj Joshi), representative of HERD International (Prabin Shrestha) 
Type Of Art Composition/Score 
Year Produced 2018 
Impact 21 views to date. This video represents how CARAN Community Arts Against Antibiotic Resistance in Nepal has built the capacity of HERD International to use video as part of their work. 
URL https://vimeo.com/293284359
 
Title CARAN Community Arts Against Antibiotic Resistance in Nepal antibiotic resistance and introductory information video 
Description Short documentary information film on antibiotic resistance and introduction to aims and methods of CARAN 
Type Of Art Film/Video/Animation 
Year Produced 2018 
Impact 39 views to dated. Video used to raise awareness of the project in Nepal, particularly with the policymaking community (local and national level). 
URL https://vimeo.com/273634188
 
Title CARAN Community Arts Against Antibiotic Resistance in Nepal introductory video (English language) 
Description Short introductory video about CARAN project. 
Type Of Art Film/Video/Animation 
Year Produced 2018 
Impact Viewed 48 times to date. Video used to raise awareness of the project in the UK. 
URL https://vimeo.com/259989980
 
Title CARAN Community Arts Against Antibiotic Resistance in Nepal introductory video (Nepali language) 
Description Short introductory video about CARAN project. 
Type Of Art Film/Video/Animation 
Year Produced 2018 
Impact Viewed 40 times to date. Video used to raise awareness of the project in Nepal, particularly in the communities we have been engaging with. 
URL https://vimeo.com/259995510
 
Title CARAN Community Arts Against Antibiotic Resistance in Nepal training video 5 shot sequence 
Description Training video demonstrating 5 shot sequence of taking antibiotics. 
Type Of Art Film/Video/Animation 
Year Produced 2018 
Impact 15 views to date. Training material which can has been used in other iterations of this work- including Changing the story and our work in Lebanon. 
URL https://vimeo.com/289025657
 
Title CARAN Community Arts Against Antibiotic Resistance in Nepal training video 5 shot sequence (Singh) 
Description Training video demonstrating a 5 shot sequence featuring a talking head 
Type Of Art Film/Video/Animation 
Year Produced 2018 
Impact 20 views to date. Training material which can has been used in other iterations of this work- including Changing the story and our work in Lebanon. 
URL https://vimeo.com/288272500
 
Title CARAN Community Arts Against Antibiotic Resistance in Nepal video CARAN pre-testing in Chandragiri-04 
Description Video documenting the pre-testing stage of the CARAN project, including short interviews with participants about their experience of the method and snapshots of the edited films 
Type Of Art Film/Video/Animation 
Year Produced 2018 
Impact 53 views to date. Video used as training material in second iteration of the project 
URL https://vimeo.com/289052119
 
Title CARAN Community Arts Against Antibiotic Resistance in Nepal video documenting showcasing events 
Description Video documenting the CARAN showcasing event on 17/11/2018, during World Antibiotic Awareness Week, and on 05/12/2018 for Female Community Health Volunteer Day. 
Type Of Art Film/Video/Animation 
Year Produced 2018 
Impact 10 views to date. The event was attended by the Mayor of Chandragiri Municipality, who invited participants to screen their film at the National Female Community Health Volunteer Day on 05/12/2018. Documents the impact of the information film made by participants on health workers and local policy-makers. Video used as training material in second iteration of the project. 
URL https://vimeo.com/305691912
 
Title CARAN Nepali 
Description Information film about the project for local Nepali community participants 
Type Of Art Film/Video/Animation 
Year Produced 2018 
Impact the film has only just been produced and so it is too early to judge. 
URL https://vimeo.com/259995510
 
Title CARAN delivery manaul 
Description The CARAN delivery manual is a research tool to guide the re-production of this intervention and promote its scalability. The manual is available in hard copy or as a pdf file in English and Nepali (although wider translations are being considered for the future). It describes all activities in detail and list the resources, space, time and personnel requirements for each. The manual is designed for the use of participatory video to explore AMR however it can be modified to tackle other One Health issues such as climate change and eco-anxiety as explained in an additional entry (see engagement activities). 
Type Of Art Artefact (including digital) 
Year Produced 2019 
Impact The manual is currently being utilised by a PhD student who will be investigating the role of gender in AMR behaviours and adopting participatory video as her engagement tool. This will result in a better understanding of AMR related behaviours and allow gender-specific interventions to be actioned if necessary. The manual has also been utilised by a project using participatory video to explore people's perception of their natural environment. The impact of this has been a better understanding of how communities in semi-rural areas value and engage with nature, allowing more specific interventions to project environmental features to be actioned. Activities from the manual (particularly those in the ice-breaker section) are now regularly used by the project team at conferences and events to warm up the audience and create a more open and trusting working environment. 
URL https://ce4amr.leeds.ac.uk/wp-content/uploads/sites/84/2019/11/CARAN-manual-version-1.1-1-min.pdf
 
Title COSTAR introductory video 
Description In 2021 the COSTAR project was launched online through an existing CE4AMR event, This short video was produced by key project partners to explain COSTAR, the collaborations that led to it's formation, COSTAR's aims in Bangladesh and Nepal, and it's relevance within the wider AMR research landscape 
Type Of Art Film/Video/Animation 
Year Produced 2021 
Impact The video gained a lot of attention and the original launch event and was the focus of Q&A sessions 
URL https://vimeo.com/user164091354/review/668178374/f2258f8c68
 
Title Nisha's Story 
Description Nisha is a Voluntary Female Health Working, working in Chandragiri Municipality, outside Kathmandu. This 20 minute documentary shows how she's working to stop her community misusing antibiotics. This is a massive problem that is leading to antibiotics no longer working, which could lead to a world where infections can't be controlled. For many in the medical world, this is a bigger threat to humanity than climate change. 
Type Of Art Film/Video/Animation 
Year Produced 2020 
Impact The film has been submitted and shown at a number of global film festivals. It was a finalist at the Eurasia International Monthly Film Festival and Mindfield Film Festival, Albuquerque and won the award for best short documentary at the Model N Movie International Short Film Festival and The Impact DOCS Awards 
URL https://ce4amr.leeds.ac.uk/
 
Title Post-intervention participant experience film 
Description Professor Paul Cooke is currently working with the Nepali-based team to develop a short follow-up film which re-connects with CARAN participants to discuss their experiences, learning and potential attitudinal change around AMR since being involved with the CARAN project. The film-making is being led by the same film-making who engaged throughout the CARAN project from our Nepali-based partner organisation HERD international. He and Professor Cooke are creating and editing the film together with input from the community participants. 
Type Of Art Film/Video/Animation 
Year Produced 2020 
Impact The film has not yet been finished but the intended impact is to reach a wider audience within our research community including local government, policy makers, NGOs, the general public and schools children. We hope that the film makes the issue of AMR more approachable and tangible to these community members but also encourages them to take their own actions against it based on the examples of CARAN participants within the film. Wider impacts may also include making research more approachable to community-level individuals within Nepal, long-term this may help other research teams to recruit diverse participant pools for similar creative or health-based research projects. 
 
Description The CARAN project has been a wonderful example of how interdisciplinarity can allow people both to play to their disciplinary strengths and yet develop an innovative approach to an established research problem. The disciplinary expectations of public health are very different to those of participatory video. All participants engaged in a detailed process of negotiation, where every member of team had to continually revaluate what they considered to be the core purpose of the project. Initially, I thought that this was going to be very similar to work I'd undertaken previously. The community would define how they wanted to engage with the topic and this would change with each group we worked with. There would be little need for a detailed 'manual' and the project would develop iteratively in response to the creative direction the groups wished to go in. This, I think it's fair to say, made our colleagues in public health somewhat nervous. They were particularly concerned that an entirely community-led filmmaking process could lead to the spread of misinformation about ABR. They also initially saw the project primarily as about data-collection on attitudes to ABR, rather than about how film can generate advocacy. Through detailed discussion, where everyone involved was very keen both to see the collaboration work, and also to ensure that their core disciplinary values were maintained, we developed a working method that we feel will genuinely bring something new to the discussion about the role of participatory arts within public health. Through the use of film, we feel that the project has genuinely provided new research insights, foregrounding the specific cultural barriers to antibiotic misuse within specific communities that are not generally engaged in policy development. Our project has provided a way of engaging communities on their own terms, while also ensuring that the project is rooted in an understanding of the facts about ABR. This, in turn, has allowed us to develop a manual on the specific value of participatory video in public health campaigns. At the same time, we have also investigated how social science methodologies can work together with arts practice to engage policy makers. In so doing, we are now discussing the thorny issue of 'scalability', exploring the value of 'micro' knowledge in a world of 'big data'. This was a focus of the workshops on days 2 and 3 of our international event in Kathmandu in June 2019 where projects using creative, community and participatory approaches to health problems came together to discuss developments and challenges in the field. Key to our thinking in this project has been a reflection on the nature of 'equitable partnerships' within a participatory project, where all members of the team, from public health specialist to filmmaker to community participant understand why they want to participate in the project, what they bring to the table in terms of expertise and what they hope to gain from it.
Exploitation Route The aim of the project was to use our findings both the raise awareness of antimicrobial resistance (AMR) at community level and also to engage national healthcare policy in Nepal. We have achieved these aims by co-producing participatory videos which illustrate some of the common behaviors linked to antimicrobial resistance (AMR) within two Nepali communities http://www.herdint.com/projects/29/read-more. These films have been showcased at the local level to spread awareness of AMR which we know has been impactful due to focus group discussions following the showcasing in which participants discuss their learnings on safe antibiotic use. The films have also been shown at policy level, influencing the development on the Nepali national action plan on AMR. Finally the films and project manual https://ce4amr.leeds.ac.uk/projects/caran-2/ are available as free-to-use resources, the aim being to encourage the use of creative methodologies such as participatory video in other health interventions.
Sectors Agriculture, Food and Drink,Communities and Social Services/Policy,Healthcare

URL https://ce4amr.leeds.ac.uk/projects/caran-2/outputs-and-impacts-caran/
 
Description The findings of this study are frequently used as case study examples of community engagement and participatory research methods in health. Members of the team have shared findings at online webinars for networks such as ReACT action on antibiotic resistance, the SONAR Global social science network and the One Health EJP. SONAR global have also included findings of this project within their AMR curriculum. Films resulting from this project are shared with Ministry of Health and Population officials in Nepal as examples of developing equitable partnerships in AMR research. Discussions continue within Nepal regarding how to scale up the impact of this study to other areas and particularly within the field of education. Through an AHRC funded follow project we have developed a facilitation and resource pack to enable Nepali school staff to engage students on the topic of antimicrobial resistance (AMR) these packs are in the final stages of translation and will shortly be available on the CE4AMR website. There are also several short films, info graphics and AMR educational presentations that were created for our online information sessions - these are now being modified to share on the CE4AMR website so that other projects may use them. Finally, we have spent a large amount of time training our participants on how to use online technologies such as zoom. Due to COVID-19 almost all our engagement was online including initial information sessions, consent taking, Q&A session, orientations, and engagement activities. We have a set of resources and learnings which we are now refining into guidance for other projects.
First Year Of Impact 2019
Sector Communities and Social Services/Policy,Education,Healthcare,Government, Democracy and Justice
Impact Types Cultural,Societal,Policy & public services

 
Description Meeting with Nepali Minister for Health and Population June 25th 2019
Geographic Reach Asia 
Policy Influence Type Participation in a guidance/advisory committee
 
Description Recruitment of Master Trainers from provincial government level
Geographic Reach National 
Policy Influence Type Contribution to new or improved professional practice
Impact Following the sensitization sessions and follow-up meetings a cross-sectional group of policy makers from health, veterinary, environmental and agricultural sectors agreed to take part in a One Health AMR Master training as part of the COSTAR project. This was one of the first cross-sectoral training sessions of its kind in Nepal and was very well received.
 
Description Changing the Story Additional Funding Stream - AMR Community Event
Amount £50,500 (GBP)
Funding ID AH/R005354/1 
Organisation Arts & Humanities Research Council (AHRC) 
Sector Public
Country United Kingdom
Start 05/2019 
End 07/2019
 
Description Developing Community-Led Solutions to Antimicrobial Resistance: Building a One Health Approach in Low and Middle Income Countries
Amount £133,107 (GBP)
Funding ID EP/T02335X/1 
Organisation Engineering and Physical Sciences Research Council (EPSRC) 
Sector Public
Country United Kingdom
Start 05/2020 
End 05/2021
 
Description Engaging communities to address antimicrobial resistance: Identifying contextualised and sustainable community-led solutions in low resource settings
Amount £2,020,467 (GBP)
Funding ID MR/T029676/1 
Organisation Medical Research Council (MRC) 
Sector Public
Country United Kingdom
Start 01/2021 
End 12/2023
 
Description GCRF follow on funding
Amount £99,998 (GBP)
Funding ID AH/T007915/1 
Organisation Arts & Humanities Research Council (AHRC) 
Sector Public
Country United Kingdom
Start 02/2020 
End 01/2021
 
Description HEFCE Allocation for Global Challenge Research, University of Leeds
Amount £99,209 (GBP)
Organisation Higher Education Funding Council for England 
Sector Public
Country United Kingdom
Start 01/2018 
End 07/2018
 
Description CARAN 
Organisation HERD International
Country Nepal 
Sector Private 
PI Contribution This is an interdisciplinary project between participatory filmmakers and public health specialists from the University of Leeds, who bring their academic and practical expertise to the project
Collaborator Contribution Our partners bring their public health knowledge and specific understanding of the in-country context.
Impact This is a multidisciplinary project, involving Anthropology, Filmmaking Practice, Public Health
Start Year 2017
 
Description Cross-institutional collaboration for GCRF challenge Clusters bid 
Organisation GCRF One Health Poultry HUB
Sector Charity/Non Profit 
PI Contribution Following the Community engagement and AMR focused event in Nepal (June 2019) a sub-group of researchers representing 7 different projects came together to design and submit a proposal to the GCRF challenge clusters funding stream. This was focused on the application of community engagement methods to tackle AMR in LMICs, developing a set of behavioural objectives to minimise AMR and to develop frameworks to support new CE activities within AMR research. These projects represent 5 LIMIC countries (Ghana, India, Nepal, Bangladesh and Vietnam) where a Co-I from each country is included in the bid. Researchers identified key questions based on discussions at the Nepal conference event and each project team's specialist areas.
Collaborator Contribution Partner projects provided overviews of their current work, discussed their areas of expertise and how these could support other group members. The CARAN team organised all calls and took the lead on writing the bid however this was informed by discussions with all group members and went through 5 draft stages, gathering feedback from all other projects ahead of submission.
Impact GCRF challenge clusters grant submission - decision due March 15th 2020 This is an interdisciplinary application including researchers from the fields of medicine, veterinary medicine, parasitology, zoology, anthropology, film making, design and microbiology.
Start Year 2019
 
Description Cross-institutional collaboration for GCRF challenge Clusters bid 
Organisation Indian Institute of Public Health Gandhinagar
Country India 
Sector Academic/University 
PI Contribution Following the Community engagement and AMR focused event in Nepal (June 2019) a sub-group of researchers representing 7 different projects came together to design and submit a proposal to the GCRF challenge clusters funding stream. This was focused on the application of community engagement methods to tackle AMR in LMICs, developing a set of behavioural objectives to minimise AMR and to develop frameworks to support new CE activities within AMR research. These projects represent 5 LIMIC countries (Ghana, India, Nepal, Bangladesh and Vietnam) where a Co-I from each country is included in the bid. Researchers identified key questions based on discussions at the Nepal conference event and each project team's specialist areas.
Collaborator Contribution Partner projects provided overviews of their current work, discussed their areas of expertise and how these could support other group members. The CARAN team organised all calls and took the lead on writing the bid however this was informed by discussions with all group members and went through 5 draft stages, gathering feedback from all other projects ahead of submission.
Impact GCRF challenge clusters grant submission - decision due March 15th 2020 This is an interdisciplinary application including researchers from the fields of medicine, veterinary medicine, parasitology, zoology, anthropology, film making, design and microbiology.
Start Year 2019
 
Description Cross-institutional collaboration for GCRF challenge Clusters bid 
Organisation Jawaharlal Nehru University, India
Country India 
Sector Academic/University 
PI Contribution Following the Community engagement and AMR focused event in Nepal (June 2019) a sub-group of researchers representing 7 different projects came together to design and submit a proposal to the GCRF challenge clusters funding stream. This was focused on the application of community engagement methods to tackle AMR in LMICs, developing a set of behavioural objectives to minimise AMR and to develop frameworks to support new CE activities within AMR research. These projects represent 5 LIMIC countries (Ghana, India, Nepal, Bangladesh and Vietnam) where a Co-I from each country is included in the bid. Researchers identified key questions based on discussions at the Nepal conference event and each project team's specialist areas.
Collaborator Contribution Partner projects provided overviews of their current work, discussed their areas of expertise and how these could support other group members. The CARAN team organised all calls and took the lead on writing the bid however this was informed by discussions with all group members and went through 5 draft stages, gathering feedback from all other projects ahead of submission.
Impact GCRF challenge clusters grant submission - decision due March 15th 2020 This is an interdisciplinary application including researchers from the fields of medicine, veterinary medicine, parasitology, zoology, anthropology, film making, design and microbiology.
Start Year 2019
 
Description Cross-institutional collaboration for GCRF challenge Clusters bid 
Organisation Lancaster University
Country United Kingdom 
Sector Academic/University 
PI Contribution Following the Community engagement and AMR focused event in Nepal (June 2019) a sub-group of researchers representing 7 different projects came together to design and submit a proposal to the GCRF challenge clusters funding stream. This was focused on the application of community engagement methods to tackle AMR in LMICs, developing a set of behavioural objectives to minimise AMR and to develop frameworks to support new CE activities within AMR research. These projects represent 5 LIMIC countries (Ghana, India, Nepal, Bangladesh and Vietnam) where a Co-I from each country is included in the bid. Researchers identified key questions based on discussions at the Nepal conference event and each project team's specialist areas.
Collaborator Contribution Partner projects provided overviews of their current work, discussed their areas of expertise and how these could support other group members. The CARAN team organised all calls and took the lead on writing the bid however this was informed by discussions with all group members and went through 5 draft stages, gathering feedback from all other projects ahead of submission.
Impact GCRF challenge clusters grant submission - decision due March 15th 2020 This is an interdisciplinary application including researchers from the fields of medicine, veterinary medicine, parasitology, zoology, anthropology, film making, design and microbiology.
Start Year 2019
 
Description Cross-institutional collaboration for GCRF challenge Clusters bid 
Organisation London School of Hygiene and Tropical Medicine (LSHTM)
Country United Kingdom 
Sector Academic/University 
PI Contribution Following the Community engagement and AMR focused event in Nepal (June 2019) a sub-group of researchers representing 7 different projects came together to design and submit a proposal to the GCRF challenge clusters funding stream. This was focused on the application of community engagement methods to tackle AMR in LMICs, developing a set of behavioural objectives to minimise AMR and to develop frameworks to support new CE activities within AMR research. These projects represent 5 LIMIC countries (Ghana, India, Nepal, Bangladesh and Vietnam) where a Co-I from each country is included in the bid. Researchers identified key questions based on discussions at the Nepal conference event and each project team's specialist areas.
Collaborator Contribution Partner projects provided overviews of their current work, discussed their areas of expertise and how these could support other group members. The CARAN team organised all calls and took the lead on writing the bid however this was informed by discussions with all group members and went through 5 draft stages, gathering feedback from all other projects ahead of submission.
Impact GCRF challenge clusters grant submission - decision due March 15th 2020 This is an interdisciplinary application including researchers from the fields of medicine, veterinary medicine, parasitology, zoology, anthropology, film making, design and microbiology.
Start Year 2019
 
Description Cross-institutional collaboration for GCRF challenge Clusters bid 
Organisation Noguchi Memorial Institute for Medical Research (NMRR)
Country Ghana 
Sector Academic/University 
PI Contribution Following the Community engagement and AMR focused event in Nepal (June 2019) a sub-group of researchers representing 7 different projects came together to design and submit a proposal to the GCRF challenge clusters funding stream. This was focused on the application of community engagement methods to tackle AMR in LMICs, developing a set of behavioural objectives to minimise AMR and to develop frameworks to support new CE activities within AMR research. These projects represent 5 LIMIC countries (Ghana, India, Nepal, Bangladesh and Vietnam) where a Co-I from each country is included in the bid. Researchers identified key questions based on discussions at the Nepal conference event and each project team's specialist areas.
Collaborator Contribution Partner projects provided overviews of their current work, discussed their areas of expertise and how these could support other group members. The CARAN team organised all calls and took the lead on writing the bid however this was informed by discussions with all group members and went through 5 draft stages, gathering feedback from all other projects ahead of submission.
Impact GCRF challenge clusters grant submission - decision due March 15th 2020 This is an interdisciplinary application including researchers from the fields of medicine, veterinary medicine, parasitology, zoology, anthropology, film making, design and microbiology.
Start Year 2019
 
Description Cross-institutional collaboration for GCRF challenge Clusters bid 
Organisation University of Oxford
Department Oxford University Clinical Research Unit Vietnam (OUCRU)
Country Viet Nam 
Sector Academic/University 
PI Contribution Following the Community engagement and AMR focused event in Nepal (June 2019) a sub-group of researchers representing 7 different projects came together to design and submit a proposal to the GCRF challenge clusters funding stream. This was focused on the application of community engagement methods to tackle AMR in LMICs, developing a set of behavioural objectives to minimise AMR and to develop frameworks to support new CE activities within AMR research. These projects represent 5 LIMIC countries (Ghana, India, Nepal, Bangladesh and Vietnam) where a Co-I from each country is included in the bid. Researchers identified key questions based on discussions at the Nepal conference event and each project team's specialist areas.
Collaborator Contribution Partner projects provided overviews of their current work, discussed their areas of expertise and how these could support other group members. The CARAN team organised all calls and took the lead on writing the bid however this was informed by discussions with all group members and went through 5 draft stages, gathering feedback from all other projects ahead of submission.
Impact GCRF challenge clusters grant submission - decision due March 15th 2020 This is an interdisciplinary application including researchers from the fields of medicine, veterinary medicine, parasitology, zoology, anthropology, film making, design and microbiology.
Start Year 2019
 
Description MESH collaboration 
Organisation Wellcome Trust
Country United Kingdom 
Sector Charity/Non Profit 
PI Contribution The MESH community engagement platform engaged via the CE4AMR twitter account (set up during the CARAN project) to discuss ways of disseminating and sharing information on community engagement methods with a specific focus on AMR. The MESH and CARAN project team now share 3-monthly skype calls to update on each other's progress, new resources and news. The MESH platform helped to launch the official CE4AMR website by providing a press release and social media content. The CARAN team use the CE4AMR twitter account to promote new MESH resources, webinars and updates to their network.
Collaborator Contribution This relationsip is collaborative and works on the basis of promoting eachother's outputs where they are relevent to both the MESH and CE4AMR audience. The MESH platform sign-posts to CE4AMR for AMR specific resources whilst the CE4AMR platform signposts community engagment projects to MESH. Both MESH and CE4AMR host some of the same resources but are trying not to overlap too much. CE4AMR will signpost projects without a specific AMR focus to the MESH platform as their content better fits this website.
Impact Press release and website launch tweets from MESH for the CE4AMR website 3-monthly meetings on progress, news, updates, resources, meetings between MESH and the CARAN/CE4AMR team
Start Year 2019
 
Description ReACT meeting 
Organisation ReAct
Country Global 
Sector Charity/Non Profit 
PI Contribution The CARAN project team were contacted by the ReAct group to discuss similarities in their creative approach to tackling AMR via film-making. ReAct group members from India made the initial connection with a view to establishing research crossovers and paving the way for future collaborations. Team members from ReAct Europe were also present in the call with the aim of learning more about the CARAN project and wider CE4AMR network. There is now a date set for a more detailed call to discuss research aims and potential areas of overlap for future funding bids.
Collaborator Contribution The CARAN project team were contacted by the ReAct group to discuss similarities in their creative approach to tackling AMR via film-making. ReAct group members from India made the initial connection with a view to establishing research crossovers and paving the way for future collaborations. Team members from ReAct Europe were also present in the call with the aim of learning more about the CARAN project and wider CE4AMR network. There is now a date set for a more detailed call to discuss research aims and potential areas of overlap for future funding bids.
Impact Ongoing meetings to discuss potential areas of research overlap and future funding bids
Start Year 2020
 
Description 5 Day workshop at HERD International, Kathmandu, Nepal 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Professional Practitioners
Results and Impact The event involved a series of training workshops and discussions on participatory arts in public health. It also involved detailed discussions around identifying project stakeholders and formulating our engagement strategy. We also had meetings with the Ministry of Health and the national media in order to formulate an effective project dissemination plan.We also began to identify community stakeholders who will be central to the project's delivery.
Year(s) Of Engagement Activity 2018
URL http://www.herdint.com/projects/29/read-more
 
Description A cross-discipline analysis of the Community Engagement for Antimicrobial Resistance Conference - blog 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact The blog forms part of the series of blogs written by delegates who attended the CE4AMR conference in Nepal and part of the evaluation of the event covering a wide range of perspectives/ disciplines. In this blog, Jane Plastow, Emmanuel Tsekleves and Juan Carrique-Mas discuss their experience of the event from 3 distinct backgrounds and disciplines.
The blog was shared on the CTS website and Twitter account. The blog was retweeted by the CE4AMR Twitter account which to date has 149 followers. Collectively CE4AMR blogs have increased the CTS twitter following inclusive of an AMR audience and supported the building of an online CE4AMR network.
Year(s) Of Engagement Activity 2019
URL https://changingthestory.leeds.ac.uk/2019/09/17/a-cross-discipline-analysis-of-the-community-engagem...
 
Description Art, AMR and Global Health - Getting Creative with Superbugs 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Public/other audiences
Results and Impact Written by Jess Mitchell and uploaded 4 June 2019, the blog launches the CE4AMR project public and the conference set to take place in Nepal in July. The blog outlines the partnership with CE4AMR, CTS and HERD International and lets readers know what they can expect from the event in Nepal.
Year(s) Of Engagement Activity 2019
URL https://changingthestory.leeds.ac.uk/2019/06/04/arts-amr-and-global-health-getting-creative-with-sup...
 
Description BioInfect Conference 2022: Invited Speakers 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Industry/Business
Results and Impact On March 9th Members of the CE4AMR network were invited to present their work at the BioNow conference which focused on AMR for year of 2022. The conference requested our specific attendance in order to share our work on community/patient engagement in the AMR space. Speakers were Paul Cooke, Nichola Jones and Jessica Mitchell who represented several research projects within the CE4AMR portfolio (EP/T02335X/1, AH/T007915/1, AH/R005869/1, ES/P004075/1, MR/T029676/1)
Year(s) Of Engagement Activity 2022
URL https://bionow.co.uk/event/BIONOW120/2022-bioinfect-conference
 
Description Blog on WAAW 2022 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Public/other audiences
Results and Impact HERD international colleagues created a blog on their World Antimicrobial Awareness Week (WAAW) activities which used the AMR Educational resources created during this project.
Year(s) Of Engagement Activity 2022
URL https://www.herdint.com/update/antimicrobial-resistance-week-2021/
 
Description Blog: Can we do participatory research online 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Other audiences
Results and Impact In July 2021 the HERD and UoL team prepared a blog to reflect on our initial experiences of engaging community participants online and the challenges of encouraging genuine participation through this method. Because of COVID-19 there was no other way to engage participants safely but we worried about the co-creation and participation nature of our work. The blog was well-received by the CE4AMR network and twitter following with many other research groups asking for support with this approach, the CARAN participants were also pleased to see that their involvement had already allowed the project to develop outputs and learnings.
Year(s) Of Engagement Activity 2021
URL https://ce4amr.leeds.ac.uk/team-reflection-can-we-do-participatory-research-online/
 
Description Blog: Delivering PV training online 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Study participants or study members
Results and Impact In February 2022 we shared a blog on the CE4AMR website discussing the challenges and successes of our online PV training sessions which engaged an international audience within this project. We hope the blog will be useful for other projects attempting to deliver training to international partners during the pandemic
Year(s) Of Engagement Activity 2022
URL https://ce4amr.leeds.ac.uk/participatory-video-training-can-it-be-done-online/
 
Description Blog: National Stakeholder workshop Nepal 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact In this blog the HERD International Team tell us more about their National Stakeholder workshops in Kathmandu which ran in 2020 and engaged around 30 participants. This event also links to the CARAN project (Sourcing Community solutions to antibiotic resistance in Nepal) as it is this project from which many of the learnings are being shared.

The blog is accessible via the CE4AMR webpage and has been shared on CE4AMR twitter which has over 1000 followers
Year(s) Of Engagement Activity 2021
URL https://ce4amr.leeds.ac.uk/national-stakeholder-meeting-nepal/
 
Description Blog: Using community produced resources out of context 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact On Wednesday 31st August 2022 the project team developed and published a short blog describing how co-created resources from this project could be utilised by wider audiences. The purpose of this blog is to ensure our outputs have a wide reach and use, but that this is appropriate and sustainable.
Year(s) Of Engagement Activity 2022
URL https://ce4amr.leeds.ac.uk/using-co-produced-resources-out-of-context/
 
Description CARAN Community Arts Against Antibiotic Resistance in Nepal Chandragiri: Co-ordination Meeting 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Policymakers/politicians
Results and Impact 27/07/2018. Co-ordination meeting with Ward Chair of locality and the HERD International team (Romi Giri, Abriti Arjyal and Ashim Shrestha)
Year(s) Of Engagement Activity 2018
URL https://herdint.com/projects/29/read-more
 
Description CARAN Community Arts Against Antibiotic Resistance in Nepal Chandragiri: Co-ordination meeting 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact 07/09/2018 Co-ordination meeting with Ward Chair of Chandragiri Municipality and the HERD International team (Romi Giri, Abriti Arjyal and Ashim Shrestha)
Year(s) Of Engagement Activity 2018
URL https://herdint.com/projects/29/read-more
 
Description CARAN Community Arts Against Antibiotic Resistance in Nepal Co-ordination Meeting Chandragiri 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Policymakers/politicians
Results and Impact 20/07/2018. Co-ordination meeting with Mayor and Chief Administrative Officer of Chandragiri Municipality and the HERD International team (Romi Giri, Abriti Arjyal and Ashim Shrestha)
Year(s) Of Engagement Activity 2018
URL https://herdint.com/projects/29/read-more
 
Description CARAN Community Arts Against Antibiotic Resistance in Nepal blog 'Blending film making in research' 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Public/other audiences
Results and Impact Blog post (06/06/2018) discussing the integration of film-making with health research written by the project's film-maker. Highlights particularly the innovativeness of this approach in Nepal.
Year(s) Of Engagement Activity 2018
URL https://herdint.com/blogs/43
 
Description CARAN Community Arts Against Antibiotic Resistance in Nepal blog 'Developing scripts for participatory film' 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Public/other audiences
Results and Impact Blog post (14/09/2018) written by the project's film-maker discussing the process of script-writing with participants during the pre-testing of the project in Chandragiri. Includes transcripts of the scripts which were written on the day and evaluations of the issues these scripts raised. Concludes with appraisal of use of script-writing as a tool for participation (even when these scripts are not filmed).
Year(s) Of Engagement Activity 2018
URL https://herdint.com/blogs/41
 
Description CARAN Community Arts Against Antibiotic Resistance in Nepal blog 'Fogo Process in locally-led developments' 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Public/other audiences
Results and Impact Blog post (19/07/2018) written by the project's film-maker discussing the 'Fogo Process' of participatory film-making and how this can be applied to CARAN's project aims.
Year(s) Of Engagement Activity 2018
URL https://herdint.com/blogs/37
 
Description CARAN Community Arts Against Antibiotic Resistance in Nepal blog 'Journey from camera to CARAN' 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Public/other audiences
Results and Impact Blog post (05/07/2018) written by the project's film-maker discussing the possibilities and opportunities of participatory documentary film-making in the Nepali context specifically, where documentary film-making does not have an established tradition.
Year(s) Of Engagement Activity 2009,2018
URL https://herdint.com/blogs/36
 
Description CARAN Community Arts Against Antibiotic Resistance in Nepal blog 'Making the film on CARAN' 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Public/other audiences
Results and Impact Blog post (07/06/2018) discussing the making of an introductory video for CARAN written by the project's film-maker. Includes link to video hosted on Vimeo. Highlights particularly how researching the video helped the film-maker develop his own understanding of the importance of work on antibiotic resistance.
Year(s) Of Engagement Activity 2018
URL https://herdint.com/blogs/32
 
Description CARAN Community Arts Against Antibiotic Resistance in Nepal blog 'My test in the pretest' 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Public/other audiences
Results and Impact Blog post (17/08/2019) written by the project's film-maker describing the pre-testing which was carried out in Chandragiri.
Year(s) Of Engagement Activity 2018
URL https://herdint.com/blogs/38
 
Description CARAN Community Arts Against Antibiotic Resistance in Nepal blog 'Participatory approach - one of its kind' 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Public/other audiences
Results and Impact Blog post (31/10/2018) written by project Qualitative Research Officer on her experience of the participatory film-making approach of CARAN.
Year(s) Of Engagement Activity 2018
URL https://herdint.com/blogs/43
 
Description CARAN Community Arts Against Antibiotic Resistance in Nepal blog 'So why is CARAN important?' 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Public/other audiences
Results and Impact Blog post (05/07/2018) discussing the context of antibiotic resistance and the importance of CARAN written by University of Leeds team member (public health specialist doctor)
Year(s) Of Engagement Activity 2018
URL https://herdint.com/blogs/33
 
Description CARAN Community Arts Against Antibiotic Resistance in Nepal blog 'Training community to film' 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Public/other audiences
Results and Impact Blog post (26/10/2018) written by the project's film-maker describing the 5-day pilot testing of the participatory film-making method for CARAN.
Year(s) Of Engagement Activity 2018
URL https://herdint.com/blogs/42
 
Description CARAN Community Arts Against Antibiotic Resistance in Nepal blog 'What can we do and what is being done about antibiotic resistance?' 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Public/other audiences
Results and Impact Blog post (22/06/2018) discussing recommendations and strategies for combating antibiotic resistance written by University of Leeds team member (public health specialist doctor), highlighting particular the need for international co-operation.
Year(s) Of Engagement Activity 2018
URL https://herdint.com/blogs/34
 
Description CARAN Community Arts Against Antibiotic Resistance in Nepal picture gallery 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Public/other audiences
Results and Impact Picture gallery documenting some of CARAN's participatory film-making, presented in an accessible visual medium.
Year(s) Of Engagement Activity 2018
URL https://herdint.com/galleries/24#lg=1&slide=0
 
Description CARAN Community Arts Against Antibiotic Resistance in Nepal project website via HERD International 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Public/other audiences
Results and Impact The project website on the HERD International website is a platform for people to learn more about the aims of the project and its activities. It also hosts blogs on the process on the project's work and a photo gallery.
Year(s) Of Engagement Activity 2017,2018,2019
URL https://herdint.com/projects/29/read-more
 
Description CARAN Community Arts Against Antibiotic Resistance in Nepal, Chandragiri: Female Community Health Volunteer Day showcase 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact 05/12/2018. At the invitation of the Mayor of Chandragiri Municipality, the project showcased their work at the 14th National Female Community Health Volunteers Day. This was held at Satugal Party Palace. Following the screening, female community health volunteers reported greater understanding of the issue of anti-microbial resistance, and planned to change their practice.
Year(s) Of Engagement Activity 2018
URL https://vimeo.com/305691912
 
Description CARAN Community Arts Against Antibiotic Resistance in Nepal, Chandragiri: Orientation regarding project 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Study participants or study members
Results and Impact 07/09/2019 Orientation meeting with the gatekeeper, 6 eligible participants and the HERD International team (Romi Giri, Abriti Arjyal and Ashim Shrestha)
Year(s) Of Engagement Activity 2018
 
Description CARAN Community Arts Against Antibiotic Resistance in Nepal, Chandragiri: Pre-test workshop 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Study participants or study members
Results and Impact 31/07/2018-02/08/2018 Pre-testing workshop with 9 eligible participants, the gatekeeper, HERD International team (Romi Giri, Abriti Arjyal and Ashim Shrestha) and Inés Soria-Donlan (University of Leeds)
Year(s) Of Engagement Activity 2018
URL https://changingthestory.leeds.ac.uk/2018/08/22/learning-by-doing-public-health-meets-the-arts-in-ne...
 
Description CARAN Community Arts Against Antibiotic Resistance in Nepal, Chandragiri: World Antibiotic Awareness Day showcase 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Public/other audiences
Results and Impact 17/11/2018. Community showcasing event in which the videos made by the participants were shown. Held on the occasion of 'World Antibiotic Awareness Week, 12-18/11/2018. At this event, the Mayor of Chandragiri Municipality invited the team to present their work at National Female Community Health Volunteers Day, 05/12/2018.
Year(s) Of Engagement Activity 2018
URL https://vimeo.com/305691912
 
Description CARAN Community Arts Against Antibiotic Resistance in Nepal, Chandragiri: filming take-away messages for final video 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Study participants or study members
Results and Impact 01/11/2018, 03/11/2018, 05/11/2018, 06/11/2018. Filming 'take away messages' for the final video, and discussion of stakeholders to be invited, with 8 participants and HERD International team (Romi Giri, Abriti Arjyal and Ashim Shrestha). Held at Library Hall of Ward 3 public school, Chandragiri Municipality.
Year(s) Of Engagement Activity 2018
URL https://herdint.com/projects/29/read-more
 
Description CARAN Community Arts Against Antibiotic Resistance in Nepal, Chandragiri: first iteration pilot test 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Study participants or study members
Results and Impact 15/09/2018-19/09/2019 Pilot test workshop final workshop participants (9, of which one dropped out due to family circumstances) and HERD International team (Romi Giri, Abriti Arjyal and Ashim Shrestha). Held in the Library hall of Ward 3 public school, Chandragiri Municipality.
Year(s) Of Engagement Activity 2018
URL https://herdint.com/projects/29/read-more
 
Description CARAN Community Arts Against Antibiotic Resistance in Nepal, Chandragiri: first review of footage 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Study participants or study members
Results and Impact 23/09/2018 First review of footage with with 8 participants and HERD International team (Romi Giri, Abriti Arjyal and Ashim Shrestha), after several phone calls and field visits. Held at Library hall of War 3 public school, Chandragiri Municipality.
Year(s) Of Engagement Activity 2018
URL https://herdint.com/projects/29/read-more
 
Description CARAN Community Arts Against Antibiotic Resistance in Nepal, Chandragiri: focus group discussion (showcase participants aged>30) 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Study participants or study members
Results and Impact 10/12/2018. Focus group discussion with showcasing participants over 30 years of age (8 in total) and HERD International team (Romi Giri, Abriti Arjyal and Ashim Shrestha)
Year(s) Of Engagement Activity 2018
URL https://herdint.com/projects/29/read-more
 
Description CARAN Community Arts Against Antibiotic Resistance in Nepal, Chandragiri: focus group discussion with showcase participants aged<30 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Study participants or study members
Results and Impact 15/12/2018. Focus group with participants of the showcase aged under 30 (consent was sought beforehand for children aged under 16) and HERD International team (Romi Giri, Abriti Arjyal and Ashim Shrestha)
Year(s) Of Engagement Activity 2018
URL https://herdint.com/projects/29/read-more
 
Description CARAN Community Arts Against Antibiotic Resistance in Nepal, Chandragiri: focus group discussion with workshop participants 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Study participants or study members
Results and Impact 13/12/2018. Focus group discussion with the 7 workshop participants and HERD International team (Romi Giri, Abriti Arjyal and Ashim Shrestha).
Year(s) Of Engagement Activity 2018
URL https://herdint.com/projects/29/read-more
 
Description CARAN Community Arts Against Antibiotic Resistance in Nepal, Chandragiri: issuing invitation card to stakeholders 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Policymakers/politicians
Results and Impact 15/11/2018 HERD International team (Romi Giri and Ashim Shrestha) and 8 participants met with Mayor and Ward Chair to invite them to showcasing event.
Year(s) Of Engagement Activity 2018
URL https://herdint.com/projects/29/read-more
 
Description CARAN Community Arts Against Antibiotic Resistance in Nepal, Chandragiri: second review of footage and focus group discussion 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Study participants or study members
Results and Impact 11/10/2018 Second review of film footage and focus group discussion with 8 participants and HERD International team (Romi Giri, Abriti Arjyal and Ashim Shrestha). Held at Library Hall of Ward 3 public school, Chandragiri Municipality.
Year(s) Of Engagement Activity 2018
URL https://herdint.com/projects/29/read-more
 
Description CARAN Community Arts Against Antibiotic Resistance in Nepal, Madhyapur Thimi: Co-ordination meeting 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Policymakers/politicians
Results and Impact 04/01/2019. Meeting with deputy mayor of Madhyapur Thimi Municipality and HERD International team (Romi Giri, Abriti Arjyal and Ashim Shrestha)
Year(s) Of Engagement Activity 2019
URL https://herdint.com/projects/29/read-more
 
Description CARAN Community Arts Against Antibiotic Resistance in Nepal, Madhyapur Thimi: Co-ordination meeting with ward chair 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Policymakers/politicians
Results and Impact 04/01/2019. Co-ordination meeting with Ward Chair of Ward 1, Madhyapur Thimi Municipality, and HERD International team (Romi Giri, Abriti Arjyal and Ashim Shrestha)
Year(s) Of Engagement Activity 2019
URL https://herdint.com/projects/29/read-more
 
Description CARAN Community Arts Against Antibiotic Resistance in Nepal, Madhyapur Thimi: Group A field visit 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Study participants or study members
Results and Impact 07/03/2019. Field visit of Group A to the local private hospital, Madhyapur Thimi, Bhaktapur. New footages echoing the new dialogues handed over on 11 Feb,2019 produced by Ashim Shrestha
Year(s) Of Engagement Activity 2019
URL https://herdint.com/projects/29/read-more
 
Description CARAN Community Arts Against Antibiotic Resistance in Nepal, Madhyapur Thimi: Group A field visit 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Study participants or study members
Results and Impact 28/01/2019. Field visit for A Group of final workshop participants (4)
Year(s) Of Engagement Activity 2019
URL https://herdint.com/projects/29/read-more
 
Description CARAN Community Arts Against Antibiotic Resistance in Nepal, Madhyapur Thimi: Group B field visit 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Study participants or study members
Results and Impact 20/02/2019. Field visit of workshop group B to Lokanthali, Madhyapur Thimi, Bhaktapur. HERD International's Ashim Shrestha took additional shots along.
Year(s) Of Engagement Activity 2019
URL https://herdint.com/projects/29/read-more
 
Description CARAN Community Arts Against Antibiotic Resistance in Nepal, Madhyapur Thimi: Group B field visit 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Study participants or study members
Results and Impact 24/01/2019. Field visit with final workshop participants (3)
Year(s) Of Engagement Activity 2019
URL https://herdint.com/projects/29/read-more
 
Description CARAN Community Arts Against Antibiotic Resistance in Nepal, Madhyapur Thimi: Group B field visit 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Study participants or study members
Results and Impact 28/02/2019. Field visit of Group B to Lokanthali, Madhyapur Thimi, Bhaktapur.. HERD International's Ashim Shrestha was with the team throughout the shooting providing technical support for the film.
Year(s) Of Engagement Activity 2019
URL https://herdint.com/projects/29/read-more
 
Description CARAN Community Arts Against Antibiotic Resistance in Nepal, Madhyapur Thimi: Group C field visit 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Study participants or study members
Results and Impact 19/02/2019. Field visit to Loakthani, Madhyapur Thami, Bhaktapur with 3 workshop participants. HERD International's Ashim Shrestha was with the team throughout the shooting providing technical support
Year(s) Of Engagement Activity 2019
URL https://herdint.com/projects/29/read-more
 
Description CARAN Community Arts Against Antibiotic Resistance in Nepal, Madhyapur Thimi: Orientation meeting 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Study participants or study members
Results and Impact 11/01/2019. Orientation meeting with 9 eligible participants, the gatekeeper, and HERD International team (Romi Giri, Abriti Arjyal and Ashim Shrestha)
Year(s) Of Engagement Activity 2019
URL https://herdint.com/projects/29/read-more
 
Description CARAN Community Arts Against Antibiotic Resistance in Nepal, Madhyapur Thimi: Second iteration pilot test workshop 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Study participants or study members
Results and Impact 14/01/2019-22/01/2019. Second iteration pilot test workshop with 9 final workshop participants, gatekeeper, HERD International team (Romi Giri, Abriti Arjyal and Ashim Shrestha) and Caroline Tait from University of Leeds (14-18/01/2019 only)
Year(s) Of Engagement Activity 2019
URL https://herdint.com/projects/29/read-more
 
Description CARAN Community Arts Against Antibiotic Resistance in Nepal, Madhyapur Thimi: Second review of footage 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Study participants or study members
Results and Impact 11/02/2019. Second review of footage, after several phone calls and field visits. New dialogues have been prepared and handed over to participants for execution
Year(s) Of Engagement Activity 2019
URL https://herdint.com/projects/29/read-more
 
Description CARAN Community Arts Against Antibiotic Resistance in Nepal, Madhyapur Thimi: first review of footage 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Study participants or study members
Results and Impact 31/01/2019. First review of footage captured through field visits. Needful actions were suggested.
Year(s) Of Engagement Activity 2019
URL https://herdint.com/projects/29/read-more
 
Description CARAN Community Arts Against Antibiotic Resistance in Nepal: Chandragiri Orientation meeting 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Study participants or study members
Results and Impact 27/07/2018 Orientation meeting with eligible participants (9) at the Mahila Bhawan ('Woman House') and the HERD International team (Romi Giri, Abriti Arjyal and Ashim Shrestha)
Year(s) Of Engagement Activity 2018
URL https://herdint.com/projects/29/read-more
 
Description CARAN Community Arts Against Antibiotic Resistance, Chandragiri: in Nepal 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Study participants or study members
Results and Impact 16/11/2018. 8 participants and HERD International team (Romi Giri, Abriti Arjyal and Ashim Shrestha) met to arrange logistics and other arrangements for showcasing events.
Year(s) Of Engagement Activity 2018
URL https://herdint.com/projects/29/read-more
 
Description CARAN participants orientation workshop 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Study participants or study members
Results and Impact On June 26th 2021 the CARAN participants were engaged in an online workshop to refresh our shared knowledges of AMR. The CARAN participants were encouraged to remember their time on the CARAN project and what they had learned about AMR. our research team then discussed the aims to work in schools and the CARAN participants were very excited about this. We discussed what the most important AMR information to share would be and what sort of methods we should use to engage students. CARAN participants were asked if they would be happy to talk to teachers in a future meeting, most were very keen and one who didnt want said they would make notes so their ideas could be shared.
Year(s) Of Engagement Activity 2021
 
Description CARAN project page on CE4AMR website 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact The CARAN project has a dedicated page on the CE4AMR website which describes all project methods, findings and outputs. This is intended to support others interested in using the participatory film-making process in health research and to showcase the project manual in action. The manual is also included in the resources section of the website (See additional entry). The website was officially launched in January 2020 and has been well promoted on social media and through partner organisations, we estimate around 500 people have viewed the CARAN page or manual so far. The primary audience of the website is researchers and practitioners working in the area of AMR however those involved in community engagement, participatory research and One Health research have also been targeted. Under- and Post-graduate students at the University of Leeds are likely to have come across the website due to members of the team being involved in teaching and supervision. The CARAN page has also been promoted within tweets linking to behaviour change, policy interventions on AMR and the sustainable development goals which should drive traffic from policy and governmental areas as well as other research organisations, NGOs, charity and social enterprise groups interested in both AMR and creative practices.
Year(s) Of Engagement Activity 2020
URL https://ce4amr.leeds.ac.uk/projects/caran-2/
 
Description CE4AMR twitter account 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Following the success of the CARAN project the team have become invested in an AMR-centred research agenda, particularly the use of community engagement and participatory approaches to tackle this challenge. This has resulted in the development of the CE4AMR (community engagement for antimicrobial resistance) network of (currently) 60 researchers and practitioners who share this aim. A twitter account was set up with in this name ahead of our June 2019 event in Nepal which brought together researchers and practitioners using CE methods for AMR and other health challenges. The twitter account was primarily used to drive interest toward this event and live-share learnings from the workshops and presentations at the event. Where possible tweets on projects and workshop content were linked to the sustainable development goals to attract more interest. The twitter account was incredibly successful during this event reaching 11083 accounts and creating 59184 impressions over the 3-day event. We currently have 285 followers which has happened in an organic fashion, however a drive to recruit more followers is planned for later this spring.
Year(s) Of Engagement Activity 2019
URL https://twitter.com/ce4amr
 
Description CE4AMR website developed and launched 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Following the success of the CARAN project the team have become invested in an AMR-centred research agenda, particularly the use of community engagement and participatory approaches to tackle this challenge. This has resulted in the development of the CE4AMR network for researchers and practitioners who share this aim. Originally the network was supported by a twitter account however it became clear following the June event in Nepal that the network wanted an online space to share resources, learn about other projects, collaborate and connect with other AMR and CE researchers. In January 2020 the CE4AMR website was officially launched and has been well promoted on social media and through partner organisations, we estimate around 500 people have viewed the website so far. The primary audience of the website is researchers and practitioners working in the area of AMR however those involved in community engagement, participatory research and One Health research have also been targeted. Under- and Post-graduate students at the University of Leeds are likely to have come across the website due to members of the team being involved in teaching and supervision. The website includes 10 project pages including the CARAN project, links to resources from these project such as the CARAN manual, links to external publications including key academic and non-academic literature on AMR and guidance on implementing CE practice. There is also a blog section where projects can share their news.
Year(s) Of Engagement Activity 2020
URL https://ce4amr.leeds.ac.uk/
 
Description COSTAR Inception meeting 2 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Study participants or study members
Results and Impact On February 24th 2021 all Co-Is on this project came together for the second time to give full introductions to each others background and previous involvement in the pilot studies which led to this project being created. There was detailed background given on the community dialogues approach and Participatory video methods. The name COSTAR was also created in this meeting
Year(s) Of Engagement Activity 2021
 
Description COSTAR Inception meeting 3 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Study participants or study members
Results and Impact On March 3rd 2021 the COSTAR team gathered together to speak in detail about beginning the project within the current COVID-19 context. Discussions of responsibilities and working groups were had and field work was agreed to pause for the foreseeable future. Plans for ethics and intervention development were put in place. Team members also agreed to take part in additional desk based work such as review papers

There were again key note talks from project members involved in the two pilot studies which led to COSTAR (ES/P004075/1 AND AH/R005869/1 )

All 30 members of the COSTAR team were invited to the workshop which was recorded and shared
Year(s) Of Engagement Activity 2021
 
Description Call-to-Action on the use of Community Engagement approaches to tackle Antimicrobial Resistance. 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Study participants or study members
Results and Impact In November 2021 an online webinar was held to share the findings of this project which included our handbook, publication and call to action. over 200 people registered for the webinar and 80 attended live with others watching the recording. All outputs are now shared on the website for other interactions
Year(s) Of Engagement Activity 2021
URL https://ce4amr.leeds.ac.uk/news/call-to-action/
 
Description Capacity Building: Participatory Video Workshop 2 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Study participants or study members
Results and Impact In September 2021 a second workshop was held to discuss the use of the Participatory video (PV) approach in the COSTAR project. Team members reflected on learnings from the pilot study AH/R005869/1 and made plans to modify the materials in this study to meet COSTAR's needs. Working groups were established and team members began to plan the timing of PV to fit in with the other research activities within COSTAR

All 30 members of the COSTAR team were invited to the workshop which was recorded and shared
Year(s) Of Engagement Activity 2021
 
Description Capacity Building: Participatory Video workshop 1 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Study participants or study members
Results and Impact In June 2021 members of the COSTAR team who had been involved in the previous project (AH/R005869/1) discussed the participatory video method and shared learnings from the pilot study with the rest of the group. The primary aim of this meeting was to build capacity in the team and share learnings from previous experiences of using PV methods. The workshop was interactive and included discussions, presentations, activities and Q&A sessions

All 30 members of the COSTAR team were invited to the workshop which was recorded and shared
Year(s) Of Engagement Activity 2021
 
Description Collective Learning: Engaging with policy and policymakers (blog) 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact The blog forms part of a series of blogs written by delegates who attended the CE4AMR conference in Nepal. The blog forms part of the evaluation of the event covering a wide range of perspectives/ disciplines. In this blog, Post-Doc Researcher Deena Dajani discusses the prominent collective lessons shared by practitioners in the global health field. The blog was shared on the CTS website and Twitter account. The blog was retweeted by the CE4AMR Twitter account which to date has 149 followers. Collectively CE4AMR blogs have increased the CTS twitter following inclusive of an AMR audience and supported the building of an online CE4AMR network.
Year(s) Of Engagement Activity 2019
URL https://changingthestory.leeds.ac.uk/2019/09/11/collective-learning-engaging-with-policy-and-policym...
 
Description Community Engagement - A critical part of the fight against antimicrobial resistance 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact The first in a series of blogs written by delegates who attended the CE4AMR conference in Nepal. The blog forms part of the evaluation of the event covering a wide range of perspectives/ disciplines. In this blog, Naomi Bull considers the bigger picture and use of creative methods to address AMR.
The blog was shared on the CTS website and Twitter account. The blog was retweeted by the CE4AMR Twitter account which to date has 149 followers. Collectively CE4AMR blogs have increased the CTS twitter following inclusive of an AMR audience and supported the building of an online CE4AMR network.
Year(s) Of Engagement Activity 2019
URL https://changingthestory.leeds.ac.uk/2019/08/22/community-engagement-a-critical-part-of-the-fight-ag...
 
Description Community Engagement for AMR conference Nepal 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact The event explored the potential of community engagement approaches to address antimicrobial resistance, and more broadly arts-based interventions, and the lessons that can be learned from these approaches to address broader global health issues. Ministry of Health officials and other prominent Government officials from Nepal such as those from the Ministry of Education Department, Ministry of Agriculture and Livestock were in attendance. The event featured panel discussions with Government Officials, keynote speeches (GARP- NPHF, NARC, NHRC, Environment- NEFEJ, FHI, WHO) and lightning talks from researchers in the field. Day 3 of the conference was used as a launching pad for Praxis and focused on the theme of 'Engaging with Policy and Policymakers.'
The event was organized in Collaboration with HERD International.

Day One: Informing National AMR Policy in Nepal

Participants: 135

Day Two: AMR and Community Engagement: International Learning

Number of Participants: 78

Day Three: Global Health and Community Engagement in the Global South: Methodological Learning from the Arts and Humanities

Number of Participants: 78

The delegates that attended now form part of an AMR network that going forward will address the challenge of AMR.


Tweeting throughout the event made over 49,000 impressions.

Following the event a grant bid to form part of a GCRF Cluster was submitted - a total of 7 collaborators, 6 projects from across 5 Global South countries (India, Bangladesh, Nepal, Vietnam and Ghana).
Year(s) Of Engagement Activity 2019
 
Description Community Engagement: An innovative approach to tackle AMR 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact This blog is part of our Community Engagement For Antimicrobial Resistance (CE4AMR) blog series following the CE4AMR summer workshop in Nepal. It is the penultimate blog in the series and was uploaded Sept 2019. In the blog, Miriam Kayendeke reflects on her time in Nepal and what struck her about the conference. The blog was uploaded on the CTS website and shared via Twitter. The blog was retweeted by the CE4AMR Twitter account which to date has 149 followers. Collectively CE4AMR blogs have increased the CTS twitter following inclusive of an AMR audience and supported the building of an online CE4AMR network.
Year(s) Of Engagement Activity 2019
URL https://changingthestory.leeds.ac.uk/2019/09/27/community-engagement-an-innovative-approach-to-tackl...
 
Description Engagement of schools for online working 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Schools
Results and Impact In July 2021 the HERD team coordinated with schools across the Chandragiri municipality to engage teachers with the project online. This moved away from our focus on one specific school and included teachers from across the region. As per the engagement of CARAN participants, information was given out in an online workshop and physical information sheets sent out. an online consent process then took place. The mayor of the region was informed of this session taking place and was very pleased to hear the project was restarting

Once 4 teachers had been engaged the HERD team coordinated with CARAN participants to provide AMR orientation together. Some CARAN participants spoke during this orientation to explain their previous project, show the films and tell the teachers why they felt AMR as important to learn about in School. This session gave chance for group discussion and Q&A
Year(s) Of Engagement Activity 2021
URL https://ce4amr.leeds.ac.uk/team-reflection-can-we-do-participatory-research-online/
 
Description In School orientation session: Kanakmuni Secondary School 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Schools
Results and Impact In December 2022 an orientation session regarding AMR and this educational AMR project was held in Kanakmuni Secondary School. 8 teachers from across disciplines (health, sciences and the Arts) participated in the session to firstly learn a about AMR themselves and then to look at the educational materials and plan how to deliver them in school to the students. This session also included a showing of the PV films created during the CARAN project.
Year(s) Of Engagement Activity 2022
 
Description Insights from Community Engagement for Antimicrobial Resistance in Nepal 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact The first in a series of blogs written by delegates who attended the CE4AMR conference in Nepal. The blog forms part of the evaluation of the event covering a wide range of perspectives/ disciplines. In this blog, Muhammad Shafique talks about his experience of the event and the difficulties he has faced travelling to conferences due to his Pakistan nationality. The blog was shared on the CTS website and Twitter account. The blog was retweeted by the CE4AMR Twitter account which to date has 149 followers. Collectively CE4AMR blogs have increased the CTS twitter following inclusive of an AMR audience and supported the building of an online CE4AMR network.
Year(s) Of Engagement Activity 2019
URL https://changingthestory.leeds.ac.uk/2019/08/16/insights-from-community-engagement-for-antimicrobial...
 
Description National Stakeholder Workshop: Nepal 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Policymakers/politicians
Results and Impact Over the final week of December in 2020 the HERD International team ran a series of face-to-face meetings in place of a National Stakeholder Workshop (due to COVID-19). Here the team discussed the National AMR priorities in Nepal and the potential for Community Engagement approaches to be utilized in this space. Discussions built upon previous relationships that the HERD team build with policy-level partners through the CARAN project (Community solutions to Antibiotic ResistAnce in Nepal). The findings of the meetings will be shared with the cluster team in a report and presented in a webinar in March.
Year(s) Of Engagement Activity 2020
 
Description Nepali Household survey workshop 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Study participants or study members
Results and Impact From November 2021 a small working group of COSTAR colleagues has met regularly to design the household survey questions that will be used to measure community knowledge, attitudes and practice (KAP) toward antimicrobials in Nepal. This survey is heavily influenced by the pilot project ES/P004075/1 but with key contextual modifications for the Nepali audience based on learnings from our other pilot study AH/R005869/1

This workshop was held online on December 10th to discuss in detail the wording of questions, measures of knowledge and methods of delivery for the survey in Nepal. The workshop was interactive and allowed COSTAR colleagues to make plans for future field visits. Around 6 members of the COSTAR team attended live whilst the rest of the 30 strong team were able to watch the recording and contribute to email discussions and padelts.
Year(s) Of Engagement Activity 2021,2022
 
Description One Health EJP conference 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact In June 2021 two of CE4AMR's Early Career Researcher's presented the findings of our GCRF funded challenge cluster project at the OneHealth EJP 2021. This hybrid conference, based physically in Copenhagen, brought together participants from all over Europe and beyond - some presenting in Copenhagen and some virtually. Dr Jessica Mitchell (University of Leeds) and Dr Mariana Fonseca-Braga (University of Lancaster) presented online from their homes, as has become the norm for members of the our cluster known as CE4AMR: The One Health Approach. You may watch a recording of the full presentation here: https://vimeo.com/579469906
Year(s) Of Engagement Activity 2021
URL https://ohejp2021.com/programme-1
 
Description Orientation session with Siddhartha Bidhya Mandir Secondary School 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Schools
Results and Impact In January 2023, HERD International Colleagues ran an initial AMR orientation session in Siddhartha Bidhya Mandir Secondary School to introduce teachers to the concept of AMR. The original PV films from the CARAN project were shown as part of this orientation and then teachers reviewed the educational materials for this project and planned how to deliver these in the school
Year(s) Of Engagement Activity 2023
 
Description Participatory Video Training session 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Study participants or study members
Results and Impact From Jan 28th to Feb 11th 2021 the COSTAR team members in Leeds and HERD International delivered an online training session in Participatory Video methods to the team in Bangladesh. Around 12 members of the COSTAR team took part in the daily training sessions but all material has been recorded and will be edited for sharing

the training was an intense period of lectures, workshops and practical sessions to orientate the Bangladesh team on the methods of PV, using cameras in research and communicating AMR with community audiences. The team are now piloting their learnings in the field and have an online workspace to share questions and comments with the wider team. Once it is safe to travel Leeds and HERDi team members will travel to Bangladesh to refresh this training in person
Year(s) Of Engagement Activity 2021
URL https://twitter.com/arkfoundation1/status/1489149807952543745
 
Description Presentation at Liverpool Knowledge café: creative methods of research dissemination run by SRA north & engage Liverpool 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Professional Practitioners
Results and Impact Two members of the CARAN team showcased the participatory videos (primary CARAN output) at this event in September 2019. The event created space to discussed alternative (and mainly creative) methods of research dissemination and the CARAN film was seen as a key example of how to use video to do so. The project team briefly explained the background to the project and why the research on AMR was much needed in the Kathmandu region of Nepal. Audience members were very taken with the participatory video approach and asked a high number of questions around the method, its feasibility and how it could be applied to other research questions. The project team had brought hard copies of the CARAN facilitator manual to distribute at the event and were able to use some of these questions as prompts to talk through specific sections and activities within the manual.
Year(s) Of Engagement Activity 2019
 
Description Presentation, screening and discussion at Midwestern University, Kathmandu, Nepal 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Postgraduate students
Results and Impact Whilst in Nepal working on the 'Sourcing Community Solutions to Antibiotic Resistance in Nepal", Prof. Paul Cooke was invited to speak about his recent work in participatory filmmaking and international development at MidWestern University in Nepal on 16 February 2018. There were 40 Masters students present. He screened the project film "Voicing Hidden Histories: Participatory Filmmaking, Advocacy and International Development" and provided an overview of this project, his recent work challenging Xenophobia in South Africa. He also introduced the Changing the Story project, highlighting future opportunities to get involved, as well as highlighting the wider potential for creative activities and youth-focused civil society in participatory development. Prof. Cooke and Project Officer Inés Soria-Donlan then took questions and engaged in a very engaged discussion with the group. The meeting has led to a potential further partnership with the organiser of the event, Bishnu Khatri (one of the MA course leaders and also directly involved in the Nepal International Human Rights Film Festival) which we hope will support project film outputs of all project associated.
Year(s) Of Engagement Activity 2018
URL https://twitter.com/Changing_Story_/status/964917221796581377
 
Description Presentation: AMR@Leeds webinar series Jan 2021 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact Dr Rebecca King and Professor Paul Cooke presented their combined reserach regarding the use of community engagement in AMR at the AMR@Leeds monthly webinar series in Jan 2021. The presentation discussed this challenge cluster plus two previous projects which are both involved within the cluster (Community Dialogues to address antibiotic resistnace in Bangladesh and Community level solutions to antibiotic resistance in Nepal). Over 40 people attended the live webinar with around 80 registered and able to watch the recording
Year(s) Of Engagement Activity 2021
URL https://www.leeds.ac.uk/AMR
 
Description Presentation: Sonar-Global 3rd AMR Hub Meeting - Social Dimensions of Antibiotic Resistance in Asia 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Policymakers/politicians
Results and Impact Team members Dr Jessica Mitchell and Professor Paul Cooke presented summary of this project's findings on September 14th at the SONAR Global 3rd AMR Hub Meeting - Social Dimensions of Antibiotic Resistance in Asia: a One Health Perspective. The presentation also included background details of the cluster project's formation and so links to two other projects (Community arts against antibiotic resistance, and Community Dialogues for preventing antibiotic resistance)

This was an interactive meeting, consisting of a series of short presentations (two sessions over two days) followed by an optional one-hour online brainstorming session (on Day 2 after the main meeting) with a focus on identifying research gaps, prioritizing a research agenda, and brainstorming ideas for potential future funding applications. At its peak, it had 80 participants from all over the world.
Year(s) Of Engagement Activity 2021
URL https://www.sonar-global.eu/sonar-global-3rd-amr-hub-meeting/
 
Description Previous CARAN participants engaged with new project 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Study participants or study members
Results and Impact This project is follow-on funded and hinged on the engagement of participants from the previous CARAN project to work with us to co-create an education programme on AMR for Nepali school students. However due to the COVID-19 situation the CARAN participants had not yet been contacted. Our HERDinternational colleagues spend several weeks in June 2021 phoning previous participants and explaining the project. Information sheets were also sent as physical copies.

After several rounds of coordination 6 of them agreed to participate in the project, these participants were then contacted over zoom to provide their consent to take part. The Zoom and internet costs were covered by the project, phone support was needed to orientate participant's on the use of Zoom and the consent taking process was lengthily to ensure all participants fully understood what they were being asked to do. This process was also an essential part of the project itself as it gave the CARAN participants essential skills on Zoom allowing them to fully engage with the rest of the project which was almost exclusively run online
Year(s) Of Engagement Activity 2021
URL https://ce4amr.leeds.ac.uk/team-reflection-can-we-do-participatory-research-online/
 
Description WAAW engagement day 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Schools
Results and Impact Teachers who were previously oriented on AMR cascaded the AMR information to 55 (16 M, 39 F) students using the facilitation manual. The previous CARAN participants were also engaged to share their experience and screen their original films. Ministry officials were invited, 1 attended for a time

Students were very receptive to this session and showed a strong increase in AMR knowledge across the day (as measured by a baseline and endline survey) They enjoyed the CARAN films and found AMR to be an interesting and important topic
Year(s) Of Engagement Activity 2021
URL https://twitter.com/HERDIntl/status/1464150406716485637
 
Description Webinar: Articulating Participatory Video interventions into the Community Dialogue Approach 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Study participants or study members
Results and Impact From November 2021-Jan 2022 the COSTAR team have attended several workshops lead by PI Dr Rebecca King and Co-I Professor Paul Cooke to discuss how to articulate the two key approaches of Participatory Video (PV) and Community Dialogues (CDA). Around 12 people attended each workshop but all have been recorded and shared to the wider team of 30 plus their wider organisations.

The workshops have focused on how to join up learnings from our two pilot projects on PV (AH/R005869/1) and the CDA ES/P004075/1 They have allowed COSTAR colleagues to build their own capacity and understandings of each approach whilst equitably contributing to the development of the new COSTAR study
Year(s) Of Engagement Activity 2021,2022
 
Description Website article: PV pilot study in Bangladesh 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact The team summarized their learnings regarding the recent participatory video work in Bangladesh and shared it on the project website. This page was then shared on social media in order to reach a wider audience.
Year(s) Of Engagement Activity 2022
URL https://ce4amr.leeds.ac.uk/costar/formative-outputs/bangladesh-pv-pilot/
 
Description What role can community engagement play in tackling antimicrobial resistance? (blog) 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact The third in a series of blogs written by delegates who attended the CE4AMR conference in Nepal. The blog forms part of the evaluation of the event covering a wide range of perspectives/ disciplines. In this blog, initially repurposed from the Institute of Development Studies Website, Ayako Ebato reflects on what she took away from the conference and the themes that resonated with her own work. The blog was shared on the CTS website and Twitter account. The blog was retweeted by the CE4AMR Twitter account which to date has 149 followers. The blog was also retweeted on the Institute of Development Studies Twitter account which has a following of 65.9K followers to date. Collectively CE4AMR blogs have increased the CTS twitter following inclusive of an AMR audience and supported the building of an online CE4AMR network.
Year(s) Of Engagement Activity 2019
URL https://changingthestory.leeds.ac.uk/2019/08/30/what-role-can-community-engagement-play-in-tackling-...
 
Description Whole team reflection meeting on work so far 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Study participants or study members
Results and Impact In late August the HERD and UoL team had an online workshop to feedback on the current engagement process with CARAN participants and teachers. We agreed that although challenging the zoom workshops were proving effective and engaging for participants and that they were comfortable sharing their opinions. We now have a good idea of potential topics and modalities for an AMR education programme and now feel it is an appropriate time to engage with students themselves.
Year(s) Of Engagement Activity 2021
 
Description World Antimicrobial Awareness Week School session 2022 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Schools
Results and Impact During World Antimicrobial Awareness Week 2022 the HERD International Team involved in this project used AMR educational materials to inform stakeholder presentations, workshops and in-school sessions. The educational resources were an integral part of all WAAW activities and allowed us to share learnings on how to communicate AMR to new audiences through visual, creative and verbal methods.
Year(s) Of Engagement Activity 2022
URL https://www.herdint.com/update/antimicrobial-resistance-week-2021/
 
Description engagement of student participants (Part 1) 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Schools
Results and Impact Between August 25-30th The HERD team coordinated with School teachers on student's engagement with the project. Teachers identified students who would be able to interact on zoom either via existing internet connections or new connections funded by the project. The HERD team then followed up these links (via school introductions to the parents) and explained the project over the phone and via WhatsApp. Student-facing graphics and films were created using sections of the original CARAN films to explain this project.
Year(s) Of Engagement Activity 2021
 
Description engagement of student participants (Part 2) 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Schools
Results and Impact On Aug 31 an online information session was held for students who were interested in the project. The session ended with consent taking processes over the phone with the students and either their parent or a school teacher.

The online session included a full introduction to the project and the topic of AMR using the previous CARAN films.
Year(s) Of Engagement Activity 2021