Abstract

BackgroundCommunity perception in biomedical research remains critical in Africa with many participants being driven by different motives. The objective of this study was to explore the perceived motives for women or females guardians to volunteer for their children to participate in biomedical research and to explore experiences and challenges faced by Community Owned Resource Persons (CORPs) when mobilizing community members to participate in biomedical research.MethodsThis cross sectional study was conducted in Korogwe district, in north-eastern Tanzania. Qualitative methods combining random and purposive sampling techniques were used for data collection. A randomly selected sample using random table method from the existing list of households in the ward office was used to select participants for Focus Group Discussions (FGDs). A purposive sampling technique was used for In-Depth Interviews (IDIs) with CORPs. Thematic framework analysis was used to analyze the data.ResultsNeed for better health services, availability of qualified clinicians, and better access to services provided at the research points were reported as main motives for community members to participate in biomedical research. With regard to experience and challenges faced by CORPs, the main reasons for mothers and guardians not participating in biomedical research were linked to misconception of the malariometric surveys, negative perception of the validity and sensitivity of rapid diagnostic tests, fear of knowing Human Immunodeficiency Virus Infection (HIV)/Acquired Immune Deficiency Syndrome (HIV/AIDS) sero status, and lack of trust for the medical information provided by the CORPs. Challenges reported by CORPs included lack ofawareness of malariometric surveys among participants, time consumption in mobilization of the community, difficulties in identifying individual results, and family responsibilities.ConclusionThis study has shown that majority of community members had positive perceptions of the about malariometric surveys services provided. The availability of free health services was the major determining factor for community members’ participation in malariometric surveys. CORPs are instrumental in mobilizing community members participation during malariometric surveys, despite their experiences and the challenges they face.

Highlights

  • Community perception in biomedical research remains critical in Africa with many participants being driven by different motives

  • Demographic characteristics of study participants A total of 70 women participated in this study, of which 66 participated in Focus Group Discussions (FGDs) and four participated in In-Depth Interviews (IDIs); most participants were residing in rural areas

  • Misconception on malariometric surveys When we explored the hindering factors for women or female guardians to allow their children to participate in biomedical research we found out that there were some misconceptions on malariometric surveys, such as fear of Human Immunodeficiency Virus Infection (HIV) testing and rapid malaria diagnostic test (RDT) sensitivity

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Summary

Introduction

Community perception in biomedical research remains critical in Africa with many participants being driven by different motives. Participation in biomedical research requires informed consent from potential study participants [1,2]. Recruitment of study participants is the most challenging exercise in biomedical research due to ethical requirements and other logistical issues [3]. Several studies have been conducted to identify factors that may or will motivate parents to consent for their children to participate in biomedical research. A recent study in Australia showed that parents were able to balance risks and benefits when deciding whether their children should participate in biomedical research [5]. One of the most important factors for biomedical research to succeed in recruiting community members including children is for potential participants to be willing to enroll [4,7]. Apart from individual gains some people may volunteer to participate in biomedical in order to contribute to science or improve health of others or having interest in goals of the study, meeting other people or just out of curiosity [8]

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