Exploring conflict and trust within community engagement activities as part of a community-based HIV/TB intervention trial in urban Blantyre, Malawi. (360G-Wellcome-104815_Z_14_Z)

SPECIFIC OBJECTIVES 1. To map out the roles of community representatives as Key Informants and Cluste2. To explore perceptions of cluster representatives from the perspective of comm3. To critically examine concepts around trust within the context of the interven4. To document specific case studies where trust or distrust has impacted on rela5. To provide recommendations for future community-based intervention trials on oMETHODOLOGY This will be a small qualitative research study in urban Blantyre, Malawi. Recruiting cluster representatives, study team members and communities we willcombine Focus Group Discussions with individual semi-structured interviews. Participants will be purposively selected and data analysed iteratively to build understanding through targeted interviewing in pursuit of the research objectives. DATA COLLECTION We will begin data collection with community level meetings in each of the three study wards to minimize potential concerns about the study amongst communities and cluster representatives. The Senior Community Liaison Officerwho established the system for the HIV/TB intervention will conduct the research. A total of 6 focus group discussions (FGD) will be conducted, two with each of the three groups of interest: cluster representatives, study teams and communities. Three at the start of the fieldwork with a defined setof deductively generated themes and three at the end to respond to and clarifyfindings from the individual semi-structured interviews. We expect a total ofapproximately 15 semi-structured interviews, five with each participant group,selected purposively following the initial FGDs. Themes for these interviews will be generated inductively from preliminary analysis of the initial FGDs and iteratively as understanding is developed.