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August 22, 2026International Journal for Equity in HealthOpen Access

A critical reflection on community engagement in health equity research: translating principles into practice, navigating barriers, and compiling transferable lessons

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Authors

HDHridaya Raj DevkotaKSKul ShresthaSRSangita K. Ram

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Overview

Qualitative reflection study demonstrates how institutional constraints shape community engagement in maternal health equity research, highlighting the need for reflexive governance systems.

Key Points

  • To examine how principles of inclusivity, reciprocity, social justice, and reflexivity were operationalized within a community-engaged maternal health equity study in Nepal.
  • Conducted a qualitative, theory-informed reflection study embedded within a maternal health equity project in Madhesh Province, Nepal.
  • Synthesized data from community engagement sessions, structured researcher debriefs, and a facilitated reflexivity workshop using iterative thematic analysis.
  • Iterative interaction and local facilitation fostered trust and improved the contextual validity of findings by integrating community lived experiences.
  • Reflexive practice enabled adaptive study implementation but was constrained by rigid timelines, resource limits, and sociocultural hierarchies.
  • Engagement facilitated a partial redistribution of epistemic authority, though participation remained structurally bounded by existing institutional conditions.

Cite This Study

Devkota et al. (2026) studied this question.

synapsesocial.com/papers/6a895f62ca7ade938187dfeehttps://doi.org/10.1186/s12939-026-02979-9
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