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. 2018 Mar 27;12(3):e0006238. doi: 10.1371/journal.pntd.0006238

Table 2. Three phases of COP research following seven stage model of formative research.

Research phase Formative research stage Year Core activities Role of social scientist
Phase one
  • Baseline data collected prior to intervention

  • Identify problems

  • Generate and weigh intervention options,

  • Work out details of intervention strategies

Formative research stages 1–4 2010–2011 Three social scientists conduct focused ethnographies related to BU
  • Former BU patients and community members

  • Health system and staff

  • Community health workers

  • Traditional Healers

  • Ethnography

  • Health service

  • Research

  • Action research to identify potential intervention strategies

Phase two (two parts)
  • Proof of concept study (POC)
    • Intervention implementation and refinement
  • Pilot study (PS)
    • Intervention implementation, monitoring, problem solving
Formative research Stage 5–6 * POC
2011–2012
* PS
2013–2015
POC:
  • Implementation of intervention in early stages

  • Monitor and make suggestions for mid- course correction


PS
  • Year one: social scientists facilitate implementation

  • Year two: Hospital and clinic staff take over implementation

POC:
Implementation research; social scientists as facilitators
PS
  • Year one: social scientists facilitate

  • Year two: Social scientists monitor only

Phase three
Evaluation
Formative research stage 7 2016
  • Outcome evaluation

  • Process evaluation: shifts in social relations, partnerships, task shifting and task sharing, role identity, new norms and practices

  • Impact evaluation: impact on stakeholder relations and health care seeking beyond BU

Ethnography:
  • Interviews, case studies, observations of stakeholder meetings, focus groups

  • Data triangulation

  • from mixed methods

  • Evaluation (Qualitative and quantitative data)