Using the Ophelia (Optimising Health Literacy and Access to Health Services) process as a practical tool for health promotion program delivery in various Philippine communities

Author:

Tan Abigail Lim1ORCID,Co Stephanie Anne L.1ORCID,Modina Cheyenne Ariana Erika M.1ORCID,Espinosa Christine Ingrid M.1ORCID,Fowler Krizelle Cleo1ORCID,Wong John Q.1ORCID

Affiliation:

1. EpiMetrics Inc. Parañaque City Philippines

Abstract

AbstractIssue AddressedThe Ophelia (Optimising Health Literacy and Access to Health Services) process can be used as a practical tool for effective health promotion program delivery because of its multi‐sector and pragmatic approach to designing health interventions. An initial case study showed how its first phase was successfully adapted in a pilot community in Leyte, Philippines. In this study, the three phases of the Ophelia process were implemented in Leyte, along with additional communities in Mindoro and Surigao.MethodsAfter conducting needs assessment and community profiling in phase 1, the results were transformed into vignettes, hypothetical personas representing the health needs of the community. These were used in phase 2, which involved focus group discussions and workshops to cocreate intervention ideas with government organisations, practitioners, and community representatives. A rapid realist review was conducted in phase 3 to check for the feasibility of interventions.ResultsThrough this, the top evidence‐based health interventions for each life stage were listed and presented for prioritisation. Program implementation and impact evaluation plans were created for the top health intervention prior to implementation.ConclusionsThe Ophelia process ensured that health promotion interventions addressed community needs and were designed using community resources and the wisdom of health practitioners that have been immersed in the local health system.So What?The study demonstrated the usefulness of vignettes in presenting data to lay people and how the rapid realist review approach is a practical tool for policy‐makers to ensure that program plans designed by the communities and health practitioners are evidence‐based without sacrificing the timeliness of implementation.

Publisher

Wiley

Subject

Public Health, Environmental and Occupational Health,Community and Home Care

Reference28 articles.

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2. BeauchampA DodsonS BatterhamR OsborneR.Ophelia templates and additional resources—templates and resources to support application of the Ophelia manual. Deakin University;2017; p. 10 [Internet; cited September 1 2022]. Available at:www.ophelia.net.au

3. Deakin University.The Ophelia approach;2017[Internet; cited July 25 2017]. Available from:https://www.ophelia.net.au/

4. Exploring the design and introduction of the Ophelia (Optimising Health Literacy and Access) process in the Philippines: A qualitative case study

5. Health Literacy Co-Design in a Low Resource Setting: Harnessing Local Wisdom to Inform Interventions across Fishing Villages in Egypt to Improve Health and Equity

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