The use of creative arts to engage Nepali schools with antimicrobial-resistance and create positive behaviour change on health-seeking behaviours.
Lead Research Organisation:
University of Leeds
Department Name: Sch of Languages, Cultures and Societies
Abstract
This project will apply the methodology and learnings from AH/R005869/1 to a new audience, children aged 9-11 in Nepali schools. This group emerged as key actors within health seeking behaviours including the purchasing of non-prescription antimicrobials in our original project, hence all partners wish to modify the initial project to reach this group. This will involve community co-production of an education programme based upon existing community engagement methodology which allowed Nepali communities to explore their relationship with the issue of antimicrobial resistance (AMR) through participatory filmmaking. AMR is a major One Health threat, particularly acute in developing countries such as Nepal due to growing populations, limited health infrastructure and the accessibility of antimicrobials without medical advice or prescription.
While the previous project engaged adult participants, our original research project highlighted the key role that Children in Nepal play in AMR-related health-seeking behaviour. They are frequently the member of the family sent to purchase non-prescription antimicrobials. The misuse of these drugs exacerbates AMR, but public understanding of this risk is low. Children especially have limited AMR knowledge or empowerment to change harmful behaviours because conversations regarding AMR are mainly held at Ministerial level and the risks of AMR are not currently taught in schools. Our co-produced education programme will use participatory arts to encourage children to share how their behaviours interact with AMR. This will significantly extend the community-level reach of the previous project, allowing children in Nepal to develop knowledge and confidence to facilitate changes in their own AMR behaviour, and spread this message through their communities.
In preparation for this education programme, the project will invest heavily in training community volunteers as facilitators. This will involve the re-engagement of AH/R005869/1 participants and the use of their original outputs (participatory films), both are integral to the community engagement aspect of our educational programme. They maximise the value of existing community resources, ensure Global-South ownership of the project, and provide local-contextualisation to help young people understand this complex 'One Health' issue. Existing AH/R005869/1 films will be used as educational resources and AH/R005869/1 participants will be trained as Community AMR Champions to facilitate the educational programme. Training will enhance their AMR knowledge and confidence whilst at the same time developing their skills in public speaking, working with children (including safeguarding and unconscious bias) and their understanding of participatory arts methodology. The training programme will then reach out to schools engaging head teachers, school nurses and subject specific teachers with the same training programme. Supported by Community AMR Champions, these participants will then co-produce the final content of the AMR education programme to be delivered in their school.
This project is designed to be scalable. Regular debriefing sessions with participants, robust evaluations of the both the education programme and facilitator training package will provide a rich dataset to assess the impact of community engagement and participatory arts methodology for creating behaviour change with regard to AMR. This will allow the creation of best-practice resources (manuals), allowing other practitioners to repeat this intervention. It will, moreover, allow the original research team to continue to engage the Nepali Ministry of Health and Population as it develops its national AMR action plan.
While the previous project engaged adult participants, our original research project highlighted the key role that Children in Nepal play in AMR-related health-seeking behaviour. They are frequently the member of the family sent to purchase non-prescription antimicrobials. The misuse of these drugs exacerbates AMR, but public understanding of this risk is low. Children especially have limited AMR knowledge or empowerment to change harmful behaviours because conversations regarding AMR are mainly held at Ministerial level and the risks of AMR are not currently taught in schools. Our co-produced education programme will use participatory arts to encourage children to share how their behaviours interact with AMR. This will significantly extend the community-level reach of the previous project, allowing children in Nepal to develop knowledge and confidence to facilitate changes in their own AMR behaviour, and spread this message through their communities.
In preparation for this education programme, the project will invest heavily in training community volunteers as facilitators. This will involve the re-engagement of AH/R005869/1 participants and the use of their original outputs (participatory films), both are integral to the community engagement aspect of our educational programme. They maximise the value of existing community resources, ensure Global-South ownership of the project, and provide local-contextualisation to help young people understand this complex 'One Health' issue. Existing AH/R005869/1 films will be used as educational resources and AH/R005869/1 participants will be trained as Community AMR Champions to facilitate the educational programme. Training will enhance their AMR knowledge and confidence whilst at the same time developing their skills in public speaking, working with children (including safeguarding and unconscious bias) and their understanding of participatory arts methodology. The training programme will then reach out to schools engaging head teachers, school nurses and subject specific teachers with the same training programme. Supported by Community AMR Champions, these participants will then co-produce the final content of the AMR education programme to be delivered in their school.
This project is designed to be scalable. Regular debriefing sessions with participants, robust evaluations of the both the education programme and facilitator training package will provide a rich dataset to assess the impact of community engagement and participatory arts methodology for creating behaviour change with regard to AMR. This will allow the creation of best-practice resources (manuals), allowing other practitioners to repeat this intervention. It will, moreover, allow the original research team to continue to engage the Nepali Ministry of Health and Population as it develops its national AMR action plan.
Planned Impact
The aim of this project is to generate significant impact at Community level (Kathmandu Valley). This, in turn, will have impact at both the National (Nepal) and International levels. We are specifically aiming to change health seeking behaviours of children in the Kathmandu Valley in relation to antimicrobials whilst also producing outputs to continue conversations around AMR within their local communities. We foresee these outputs having a wider reach throughout Nepali communities and being used to influence policymakers as the participatory films produced in the originally funded project have done. Finally, we envisage the scalable nature of this project to have potential international significance in terms of promoting the use of community engagement techniques to tackle major health issues in other international settings.
Community/local level
Children in Nepal will become informed and empowered to make behavioural changes relating to antimicrobial resistance (AMR), particularly in terms of their own health seeking behaviours and the purchasing of antimicrobials.
Community AMR Champions and school stakeholders will increase their AMR knowledge and confidence as well as develop communication skills around this issue. This will ensure AMR conversations can continue within the community beyond the duration of the project, whilst also enhancing the transferable skill set of our Community AMR Champions.
National level
Nepali communities will have a wider pool of resources to draw on when considering AMR and how it relates to their daily lives. This will allow local connection to the often-abstract issue of AMR and facilitate meaningful suggestions for behavioural changes.
AH/R005869/1 films and newly created outputs, developed by children, can be used as tools to engage ministerial and governmental offices, allowing HERDi to continue to engage with Ministry officials and support the development of the Nepali National AMR action plan.
Beyond Nepal
The development of facilitator manuals for both the educational programme and the training package will ensure the local and national impacts of this project can be scaled and similar projects can be run in other countries.
The robust evaluation of both the training and educational programme will allow community engagement and participatory arts methods used within this project to be rigorously evaluated in terms of their scope to address a One Health challenge.
International development
The project will strengthen the credibility of HERDi as a leading authority on AMR within Nepal. Showcasing the film outputs of our previous collaboration to Ministry of Health officials spiked interest in developing this proposed training programme, and we hope that this project will help to continue to build the momentum generated through our previous work, allowing HERDi to influence AMR-related policy in Nepal.
Community/local level
Children in Nepal will become informed and empowered to make behavioural changes relating to antimicrobial resistance (AMR), particularly in terms of their own health seeking behaviours and the purchasing of antimicrobials.
Community AMR Champions and school stakeholders will increase their AMR knowledge and confidence as well as develop communication skills around this issue. This will ensure AMR conversations can continue within the community beyond the duration of the project, whilst also enhancing the transferable skill set of our Community AMR Champions.
National level
Nepali communities will have a wider pool of resources to draw on when considering AMR and how it relates to their daily lives. This will allow local connection to the often-abstract issue of AMR and facilitate meaningful suggestions for behavioural changes.
AH/R005869/1 films and newly created outputs, developed by children, can be used as tools to engage ministerial and governmental offices, allowing HERDi to continue to engage with Ministry officials and support the development of the Nepali National AMR action plan.
Beyond Nepal
The development of facilitator manuals for both the educational programme and the training package will ensure the local and national impacts of this project can be scaled and similar projects can be run in other countries.
The robust evaluation of both the training and educational programme will allow community engagement and participatory arts methods used within this project to be rigorously evaluated in terms of their scope to address a One Health challenge.
International development
The project will strengthen the credibility of HERDi as a leading authority on AMR within Nepal. Showcasing the film outputs of our previous collaboration to Ministry of Health officials spiked interest in developing this proposed training programme, and we hope that this project will help to continue to build the momentum generated through our previous work, allowing HERDi to influence AMR-related policy in Nepal.
Publications
Mitchell J
(2023)
Co-designing community-based interventions to tackle antimicrobial resistance (AMR): what to include and why.
in BMC research notes
Description | This grant was suspended until Feb 28th 2021 due to the impact of COVID-19 in Nepal. It was then re-started but faced more delays due to new COVID waves in Nepal. This project has allowed us to co-develop a suite of educational resources on the topic of antimicrobial resistance (AMR) for use in Nepali high schools. However the way we worked changed dramatically due to COVID and we have had to create slightly different outputs to the programme we had originally planned. Never the less we have still been able to engage with the key stakeholders we originally planned to involve. We have continued as best we could and switched the modality of most grant-related interventions to online platforms such as zoom and WhatsApp. This was not a problem for the research team who are used to working in this way but it was challenging to recruit community level participants via this modality. We spent large periods of time sourcing good internet connectivity and training potential participants how to use zoom so that they could attend information sessions and decide if they wanted to taken part and then provide fully informed consent. However, although very challenging this process allowed us to ethically and coherently connect with participants who were then online-literate for the duration of the project. Previous participants (from the CARAN project which this project follows-on from), school teachers and students were all able to connect with us in this way and co-design a full suite of resources on AMR which were then tested in a face-to-face session in November 2021 Additionally, we had time for more desk based work which is now in press. In short, the initial data analysis phase using information from the original project from which this follow-on funding was awarded, revealed some interesting findings. Children in Nepal are involved in antimicrobial purchasing at the request of adults in the families. Adult community members recognize that this is a harmful behavior and are keen for children to be engaged on the topic of AMR so that they can potentially challenge this behavior in their households. The community are particularly keen for children to be exposed to the original co-produced films which were created during a project from which this funding follows on. They stress that the local nature of the films will be important to engage children with the issue of AMR. This sentiment draws parallels with climate crisis education methods, where locally meaningful stories and tools are used to engage children with climate change and encourage them to take meaningful action to change some of their climate-harming behaviors. It is useful to look at AMR through the same lens as climate change as it is a global challenge of similar magnitude and where children have a significant role to play in mediating it. This information is currently being prepared for publication with members of Leeds University and HERD International as authors. The grant has now allowed furthur funding awards to test the educational materials in two new schools in the Kapilvastu region of Nepal. Testing occurred in February 2023 and evaluation data is currently being analyzed for publication by the University of Leeds team. Materials created through this project (Facilitation and resource pack) are now routinely used by HERD International when presenting on the topic of AMR. The images and ways of explaining AMR within this pack are seen to be very engaging and helpful especially when speaking to non-specialist audiences. |
Exploitation Route | Desk based findings are to be published in the PLOS One journal - submitted February 2023. Evaluation data is currently being analysed for publication. The facilitation and resource pack are now available on the CE4AMR website where they are freely downloadable so our entire network can use them. Through additional funding we have now translated these documents into Nepal and these will also shortly be hosted on the website. |
Sectors | Communities and Social Services/Policy Education Environment Healthcare |
URL | https://ce4amr.leeds.ac.uk/engaging-adolescents-and-youths-in-amr-discussions/ |
Description | We have developed a facilitation and resource pack to enable Nepali school staff to engage students on the topic of Antimicrobial resistance (AMR) which are now available in English on the CE4AMR website, and in Nepali on request. There are also a number of short film bytes, 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 spend 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. As a direct result of this project the PI now sits on the Quadripartitie working group on youth and antimicrobial Resistance. This international group includes 14 leading individuals in the field of AMR from 14 different countries and we meet annually in Geneva at the WHO headquarters. In 2023 we began to use the educational tools to engage the conservation and wildlife sector of Nepal and Uganda with the concept of antimicrobial resistance (AMR). These collaborations have resulted in recent (2024) grant applications, a publication and a news article. The scope of this project is now moving toward wildlife and conservation actors, using the co-produced tools as a way of engaging them with the concept of AMR and planning future research, policy engagement and action |
First Year Of Impact | 2021 |
Sector | Communities and Social Services/Policy,Digital/Communication/Information Technologies (including Software),Education,Environment,Other |
Impact Types | Cultural Societal Policy & public services |
Description | PI membership of working group on youth engagement and AMR led by the World Health Organisation |
Geographic Reach | Multiple continents/international |
Policy Influence Type | Participation in a guidance/advisory committee |
URL | https://www.who.int/news/item/05-10-2023-quadripartite-launches-the-working-group-on-youth-engagemen... |
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 | Signing of joint letter to WHO regarding children's engagement with AMR |
Geographic Reach | Multiple continents/international |
Policy Influence Type | Implementation circular/rapid advice/letter to e.g. Ministry of Health |
URL | https://twitter.com/pilimat/status/1351488619832250371 |
Description | University module content |
Geographic Reach | Europe |
Policy Influence Type | Influenced training of practitioners or researchers |
URL | https://webprod3.leeds.ac.uk/catalogue/dynmodules.asp?Y=202324&M=PIED-5245M |
Description | Research England grant |
Amount | £20,000 (GBP) |
Organisation | University of Leeds |
Sector | Academic/University |
Country | United Kingdom |
Start | 02/2022 |
End | 08/2022 |
Description | Quadripartite (Food and Agriculture Organization of the United Nations, United Nations Environment Programme, World Health Organization and World Organization for Animal Health) |
Organisation | World Health Organization (WHO) |
Country | Global |
Sector | Public |
PI Contribution | The PI Dr Jessica Mitchell has been recruited to sit on the Quadripartite working group for youth engagement with AMR as a direct result of this project. The working group was funded to meet in Geneva Switzerland in October 2023 and covered all costs for Dr Mitchell's attendance. Working group membership gives a global recognition of the work carried out under this grant and paves the way for future international impact |
Collaborator Contribution | WHO and the quadripartite funded Dr Mitchell's travel for working group meeting in Oct 2023 |
Impact | https://www.who.int/campaigns/world-amr-awareness-week/2023/waaw-events 21 November A Dialogue with Future Champions: The power of Young People in the Fight against AMR in the Western Pacific Region 21 November |5:00 am - 6:30 am CET| WHO Regional Office for the Western Pacific This year, as part of the WAAW campaign, the WHO Regional Office for the Western Pacific will host the dialogue, "The Power of Young People in the Fight Against AMR." Youth leaders, Miss Earth, innovators and WHO representatives, will share how they have partnered together to raise awareness, change behaviours and create a supportive environment for combatting AMR at the national and regional level. During the past year, a series of AMR Innovation Hackathons were launched in Cambodia and Singapore to develop ideas for AMR campaigns based on country context and evidence using the Communication for Health (C4H) approach. At present, the winning ideas are being developed into real campaign in partnership with professional communication groups in both countries. Students from the winning team and Miss Earth will share their experiences and ideas during the dialogue so that more young people can be empowered to contribute to this important topic. Register here: https://wpro-who.zoom.us/webinar/register/WN_lxb5Fw0pR_u5-cnjiRXiig#/registration |
Start Year | 2023 |
Description | School partnership (Chandragiri municipality Nepal) |
Organisation | Shree Chundevi Secondary School |
Country | Nepal |
Sector | Academic/University |
PI Contribution | Although this project was essential paused before it got off the ground, our in-country Partners HERD international were able to form partnerships with two secondary schools in the municipality we are working in. These schools were not previously engaged with HERD international. |
Collaborator Contribution | HERD international staff approached the schools with a modified and translated version of the case for support and the schools were keen to take part in the co-development of the education programme. A whole team online meeting was in the process of being organized before COVID-19 restrictions came in to place in Nepal so unfortunately the UK team did not get a chance to engage with the schools |
Impact | No outputs have been generated as yet because of the COVID 19 situation |
Start Year | 2020 |
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 post: Where are children's voices on AMR |
Form Of Engagement Activity | Engagement focused website, blog or social media channel |
Part Of Official Scheme? | No |
Geographic Reach | International |
Primary Audience | Media (as a channel to the public) |
Results and Impact | Short blog post on project website detailing the importance of engaging children with AMR and sharing our research plans for the funding. Although this project is currently paused due to the COVID-19 we have engaged with an open letter to the WHO on engaging children's with AMR and wanted to share the background to our involvement and interest in this. |
Year(s) Of Engagement Activity | 2021 |
URL | https://ce4amr.leeds.ac.uk/where-are-the-voices-of-young-people-on-amr/ |
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: Engaging youth on 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 | In this blog HERDi's Project Coordinator, Shraddha Manandhar, discusses some of the challenges the team have experienced and overcome whilst connecting young people on the topic of AMR. Shraddha particularly discusses the impact of online working and how this has added a different dimension to the project. This blog has influenced conversations with evaluative projects such as the recent report "Engaging and Empowering Young People in Transformative Ways through Arts and Humanities-Based Approaches in the Context of Global Challenges" |
Year(s) Of Engagement Activity | 2021 |
URL | https://ce4amr.leeds.ac.uk/engaging-adolescents-and-youths-in-amr-discussions/ |
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 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 | Capacity building workshop - writing academic papers 1 |
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 | A series of events designed to build capacity for working professionals within the COSTAR project. Each writing workshops focuses on as different aspect of academic writing, data analysis and publishing work for an international audience. |
Year(s) Of Engagement Activity | 2022 |
Description | Engagement of focal school |
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 | HERD International re-engaged with schools via a series of calls/online meetings. This allowed school teachers to refresh their memories of the project post COVID and to discuss ways in which we could re-start activity in a COVID safe way. Funding was provided for internet connectivity and training was provided on the use of Zoom so that this method of engagement could be assessed by teachers for it's feasibility going forward |
Year(s) Of Engagement Activity | 2021 |
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 | Feedback session on WAAW event |
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 | HERDi team held a face-to-face discussion with teachers who participated in the WAAW day to gain their detailed feedback on the facilitator manual. All notes were transcribed for discussion in the wider team and changes to the manual were subsequently made based on this feedback |
Year(s) Of Engagement Activity | 2021 |
URL | https://twitter.com/HERDIntl/status/1470338635983585282 |
Description | How we used lessons learnt to optimize the COSTAR AMR Trainings in Bangladesh - 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 | On 23rd November 2022, the COSTAR research team developed and published a short blog reflecting on the learnings that have developed content and training for Community Dialogues, due to be held in the Cumilla district of Bangladesh in 2023. The purpose of this blog is to reflect openly about the process of community engagement in this location and to ensure our outputs have a wide reach and use. |
Year(s) Of Engagement Activity | 2022 |
URL | https://ce4amr.leeds.ac.uk/how-we-used-lessons-learnt-to-optimize-the-costar-amr-trainings-in-bangla... |
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 | Joint LSSI and RIS Impact Acceleration Account Showcase: University of Leeds |
Form Of Engagement Activity | A talk or presentation |
Part Of Official Scheme? | No |
Geographic Reach | Regional |
Primary Audience | Professional Practitioners |
Results and Impact | Presented the findings and ongoing impact of this funding and it's follow on awards to an audience of academics, thrid sector, students and industry stakeholders. |
Year(s) Of Engagement Activity | 2024 |
URL | https://lssi.leeds.ac.uk/news/joint-lssi-and-ris-impact-acceleration-account-showcase/ |
Description | News paper article: Nepali times |
Form Of Engagement Activity | A magazine, newsletter or online publication |
Part Of Official Scheme? | No |
Geographic Reach | National |
Primary Audience | Professional Practitioners |
Results and Impact | The educational tools developed as part of this grant were used to orientate the NEpali conservation sector on the topic of AMR in 2023. From this engagement a strong collaboration has emerged between the PI and Nepal's conservation organisation Greenhood. A Masters student from Greenhood worked with the PI Dr Mitchell to create a newspaper article about the risks of AMR in wildlife in Feb 2024 |
Year(s) Of Engagement Activity | 2024 |
URL | https://nepalitimes.com/opinion/comment/nepal-s-wildlife-at-risk-from-drug-resistance |
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 | Planning WAAW event in Nepali Schools |
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 | HERD and UoL team discussed how to align the current outputs of this project with the upcoming world antimicrobial awareness week activities. The Ministry of Health and population in Nepal are very supporting of events during WAAW and it seemed a good opportunity to showcase the draft of our current AMR education pack It was decided that HERD would engage with a school to test the pack using the teachers who have co-developed it so far. Ministry officials would also be contacted |
Year(s) Of Engagement Activity | 2021 |
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 | Teacher 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 | In Aug 18th the HERD international Team hosted an online zoom workshop with 4 teachers to discuss appropriate modalities with which to share AMR information with students. Teachers both highlighted the desire to use alternative teaching methods which are as participatory as possible including co-design phases such as Street Drama |
Year(s) Of Engagement Activity | 2021 |
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 | WAAW meeting with teachers |
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 | HERD team coordinated with school teachers on how to deliver a face-to-face testing of the facilitation pack in school during world antimicrobial awareness week This included a risk assesment and discussion of technological support needed to run the session Teachers also gave final feedback on the facilitation pack |
Year(s) Of Engagement Activity | 2021 |
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 | 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 |