{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T11:11:31Z","timestamp":1785409891653,"version":"3.56.0"},"reference-count":54,"publisher":"AOSIS","issue":"1","license":[{"start":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T00:00:00Z","timestamp":1784678400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Background:\u00a0Non-communicable diseases (NCDs) disproportionately affect low- and middle-income countries, including Ethiopia. However, community health workers\u2019 (CHWs\u2019) capacity in NCD health promotion is sometimes limited.\nAim:\u00a0This study aimed to co-design a contextually appropriate intervention with and for CHWs to support their NCD health promotion services.\nSetting:\u00a0This co-design study was conducted in Gondar City, northwest Ethiopia. The workshops were held in the meeting hall at the University of Gondar.\nMethods:\u00a0A qualitative participatory action research design, guided by the PRODUCES (Problem, Objective, Design, User, Co-creators, Evaluation, and Scalability) framework, was employed. Sixteen participants, including CHWs (n\u00a0= 6), community-dwelling adults with (n\u00a0= 3) and without NCD diagnoses (n\u00a0= 3), and health system managers (n\u00a0= 4) were recruited using convenience and purposive sampling. Participants attended three workshops. In workshop 1, participants discussed the roles of CHWs in health promotion and areas for improvement. Workshop 2 focused on intervention components and delivery approaches. A draft of the intervention was reviewed during workshop 3. Discussion notes and artefacts were thematically analysed in NVivo.\nResults:\u00a0A 6-week, multicomponent intervention, \u2018Empower Community Health\u2019, was co-designed. Key themes included: (1) knowledge capacity building, (2) personal behaviour change, and (3) community-outreach initiatives. Proposed intervention topics included: (1) learning about NCDs; (2) skill motivational interviewing; and (3) behaviour change for diet and physical activity.\nConclusion:\u00a0The involvement of intervention users and stakeholders allowed for the sharing of experiences and fostered ownership in the \u2018Empower Community Health\u2019 programme.\nContribution:\u00a0The meaningful engagement of stakeholders ensures that the intervention is tailored to their needs, fosters ownership and enhances intervention buy-in. This study provides practical guidance for future co-designed health promotion programmes.<\/jats:p>","DOI":"10.4102\/phcfm.v18i1.5326","type":"journal-article","created":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T06:47:39Z","timestamp":1784702859000},"update-policy":"https:\/\/doi.org\/10.4102\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Co-designing the \u2018Empower Community Health\u2019 programme: A capacity-building initiative to support community health workers\u2019 non-communicable disease health promotion in Ethiopia"],"prefix":"10.4102","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8982-2814","authenticated-orcid":false,"given":"Melaku K.","family":"Yenit","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/04sjbnx57","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Southern Queensland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0975-5576","authenticated-orcid":false,"given":"Prajwal","family":"Gyawali","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/04sjbnx57","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Southern Queensland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5025-3204","authenticated-orcid":false,"given":"Tracy L.","family":"Kolbe-Alexander","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/04sjbnx57","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Southern Queensland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2580","published-online":{"date-parts":[[2026,7,22]]},"reference":[{"key":"ref0","doi-asserted-by":"crossref","unstructured":"Li J, Pandian V, Davidson PM, Song Y, Chen N, Fong DYT. Burden and attributable risk factors of non-communicable diseases and subtypes in 204 countries and territories, 1990\u20132021: A systematic analysis for the global burden of disease study 2021. Int J Surg. 2025;111(3):2385\u20132397. https:\/\/doi.org\/10.1097\/JS9.0000000000002260","DOI":"10.1097\/JS9.0000000000002260"},{"key":"ref1","unstructured":"WHO. Key facts: Noncommunicable diseases [homepage on the Internet]. 2025 [cited 2026 Apr 27]. Available from: https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/noncommunicable-diseases"},{"key":"ref2","doi-asserted-by":"crossref","unstructured":"Allen LN, Wigley S, Holmer H. Implementation of non-communicable disease policies from 2015 to 2020: A geopolitical analysis of 194 countries. Lancet Glob Health. 2021;9(11):e1528\u2013e1538. https:\/\/doi.org\/10.1016\/S2214-109X(21)00359-4","DOI":"10.1016\/S2214-109X(21)00359-4"},{"key":"ref3","unstructured":"Roth GA, Abate D, Abate KH, et al. Global, regional, and national age-sex-specific mortality for 282 causes of death in 195 countries and territories, 1980\u20132017: A systematic analysis for the Global Burden of Disease Study 2017. The Lancet [serial online]. 2018 [cited 2025 Mar 13];392(10159):1736\u20131788. Available from: https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC6227606\/"},{"key":"ref4","doi-asserted-by":"crossref","unstructured":"Barry A, Impouma B, Wolfe CM, et al. Non-communicable diseases in the WHO African region: Analysis of risk factors, mortality, and responses based on WHO data. Sci Rep. 2025;15(1):12288. https:\/\/doi.org\/10.1038\/s41598-025-97180-3","DOI":"10.1038\/s41598-025-97180-3"},{"key":"ref5","doi-asserted-by":"crossref","unstructured":"Gelaw YA, Koye DN, Alene KA, et al. Socio-demographic correlates of unhealthy lifestyle in Ethiopia: A secondary analysis of a national survey. BMC Public Health. 2023;23(1):1528. https:\/\/doi.org\/10.1186\/s12889-023-16436-7","DOI":"10.1186\/s12889-023-16436-7"},{"key":"ref6","doi-asserted-by":"crossref","unstructured":"Kassa M, Grace J. The global burden and perspectives on non-communicable diseases (NCDs) and the prevention, data availability and systems approach of NCDs in low-resource countries. In: Anugwom EE, Awofeso N, editors. Public health in developing countries: Challenges and opportunities. London: IntechOpen; 2019.","DOI":"10.5772\/intechopen.89516"},{"key":"ref7","doi-asserted-by":"crossref","unstructured":"Tessema ZT, Worku MG, Tesema GA, et al. Determinants of accessing healthcare in sub-Saharan Africa: A mixed-effect analysis of recent Demographic and Health Surveys from 36 countries. BMJ Open. 2022;12(1):e054397. https:\/\/doi.org\/10.1136\/bmjopen-2021-054397","DOI":"10.1136\/bmjopen-2021-054397"},{"key":"ref8","doi-asserted-by":"crossref","unstructured":"Hilo AA, McPeak J. Addressing concerns of access and distribution of health workforce: A discrete choice experiment to develop rural attraction and retention strategies in southwestern Ethiopia. BMC Health Serv Res. 2024;24(1):1603. https:\/\/doi.org\/10.1186\/s12913-024-11971-4","DOI":"10.1186\/s12913-024-11971-4"},{"key":"ref9","doi-asserted-by":"crossref","unstructured":"Tesema AG, Ajisegiri WS, Abimbola S, et al. How well are non-communicable disease services being integrated into primary health care in Africa: A review of progress against World Health Organization\u2019s African regional targets. PLoS One. 2020;15(10):e0240984. https:\/\/doi.org\/10.1371\/journal.pone.0240984","DOI":"10.1371\/journal.pone.0240984"},{"key":"ref10","doi-asserted-by":"crossref","unstructured":"Allen L, Williams J, Townsend N, et al. Socioeconomic status and non-communicable disease behavioural risk factors in low-income and lower-middle-income countries: A systematic review. Lancet Glob Health. 2017;5(3):e277\u2013e289. https:\/\/doi.org\/10.1016\/S2214-109X(17)30058-X","DOI":"10.1016\/S2214-109X(17)30058-X"},{"key":"ref11","doi-asserted-by":"crossref","unstructured":"Misganaw A, Naghavi M, Walker A, et al. Progress in health among regions of Ethiopia, 1990\u20132019: A subnational country analysis for the Global Burden of Disease Study 2019. The Lancet. 2022;399(10332):1322\u20131335. https:\/\/doi.org\/10.1016\/S0140-6736(21)02868-3","DOI":"10.1016\/S0140-6736(21)02868-3"},{"key":"ref12","doi-asserted-by":"crossref","unstructured":"Joshi R, Peiris D. Task-sharing for the prevention and control of non-communicable diseases. Lancet Glob Health. 2019;7(6):e686\u2013e687. https:\/\/doi.org\/10.1016\/S2214-109X(19)30161-5","DOI":"10.1016\/S2214-109X(19)30161-5"},{"key":"ref13","doi-asserted-by":"crossref","unstructured":"Assefa Y, Gelaw YA, Hill PS, Taye BW, Van Damme W. Community health extension program of Ethiopia, 2003\u20132018: Successes and challenges toward universal coverage for primary healthcare services. Glob Health. 2019;15:1\u201311. https:\/\/doi.org\/10.1186\/s12992-019-0470-1","DOI":"10.1186\/s12992-019-0470-1"},{"key":"ref14","doi-asserted-by":"crossref","unstructured":"Fetene N, Linnander E, Fekadu B, et al. The Ethiopian health extension program and variation in health systems performance: What matters? PLoS One. 2016;11(5):e0156438. https:\/\/doi.org\/10.1371\/journal.pone.0156438","DOI":"10.1371\/journal.pone.0156438"},{"key":"ref15","doi-asserted-by":"crossref","unstructured":"Hartzler AL, Tuzzio L, Hsu C, and Wagner EH. Roles and functions of community health workers in primary care. Ann Fam Med. 2018;16(3):240\u2013245. https:\/\/doi.org\/10.1370\/afm.2208","DOI":"10.1370\/afm.2208"},{"key":"ref16","doi-asserted-by":"crossref","unstructured":"Yenit MK, Kolbe-Alexander TL, Gelaye KA, et al. An evaluation of community health workers\u2019 knowledge, attitude and personal lifestyle behaviour in non-communicable disease health promotion and their association with self-efficacy and NCD-risk perception. Int J Environ Res Public Health. 2023;20(9):5642. https:\/\/doi.org\/10.3390\/ijerph20095642","DOI":"10.3390\/ijerph20095642"},{"key":"ref17","doi-asserted-by":"crossref","unstructured":"Tesema AG, Peiris D, Abimbola S, et al. Community health extension workers\u2019 training and supervision in Ethiopia: Exploring impact and implementation challenges for non-communicable disease service delivery. PLOS Glob Public Health. 2022;2(11):e0001160. https:\/\/doi.org\/10.1371\/journal.pgph.0001160","DOI":"10.1371\/journal.pgph.0001160"},{"key":"ref18","doi-asserted-by":"crossref","unstructured":"Silverman J, Krieger J, Sayre G, Nelson K. The value of community health workers in diabetes management in low-income populations: A qualitative study. J Community Health. 2018;43:842\u2013847. https:\/\/doi.org\/10.1007\/s10900-018-0491-3","DOI":"10.1007\/s10900-018-0491-3"},{"key":"ref19","doi-asserted-by":"crossref","unstructured":"Imamatsu Y, Iwata Y, Yokoyama A, Tanaka Y, Tadaka E. Empowering community health workers in Japan: Determinants of non-communicable disease prevention competency. Healthcare. 2024;12(3):297. https:\/\/doi.org\/10.3390\/healthcare12030297","DOI":"10.3390\/healthcare12030297"},{"key":"ref20","doi-asserted-by":"crossref","unstructured":"Vedanthan R, Kamano JH, DeLong AK, et al. Community health workers improve linkage to hypertension care in Western Kenya. J Am Coll Cardiol. 2019;74(15):1897\u20131906. https:\/\/doi.org\/10.1016\/j.jacc.2019.08.003","DOI":"10.1016\/j.jacc.2019.08.003"},{"key":"ref21","doi-asserted-by":"crossref","unstructured":"Klingberg S, Adhikari B, Draper CE, et al. Engaging communities in non-communicable disease research and interventions in low-and middle-income countries: A realist review protocol. BMJ Open. 2021;11(7):e050632. https:\/\/doi.org\/10.1136\/bmjopen-2021-050632","DOI":"10.1136\/bmjopen-2021-050632"},{"key":"ref22","doi-asserted-by":"crossref","unstructured":"Vargas C, Whelan J, Brimblecombe J, Allendera S. Co-creation, co-design and co-production for public health: A perspective on definitions and distinctions. Public Health Res Pract. 2022;32(2):e3222211. https:\/\/doi.org\/10.17061\/phrp3222211","DOI":"10.17061\/phrp3222211"},{"key":"ref23","unstructured":"Fetterman DM, Rodr\u00edguez-Campos L, Zukoski AP. Collaborative, participatory, and empowerment evaluation: Stakeholder involvement approaches. New York: Guilford Publications; 2017."},{"key":"ref24","doi-asserted-by":"crossref","unstructured":"Majid U, Kim C, Cako A, Gagliardi AR. Engaging stakeholders in the co-development of programs or interventions using intervention mapping: A scoping review. PLoS One. 2018;13(12):e0209826. https:\/\/doi.org\/10.1371\/journal.pone.0209826","DOI":"10.1371\/journal.pone.0209826"},{"key":"ref25","doi-asserted-by":"crossref","unstructured":"Jardim PTC, Dias JM, Grande AJ, et al. Co-developing a health promotion programme for indigenous youths in Brazil: A concept mapping report. PLos One. 2023;18(2):e0269653. https:\/\/doi.org\/10.1371\/journal.pone.0269653","DOI":"10.1371\/journal.pone.0269653"},{"key":"ref26","doi-asserted-by":"crossref","unstructured":"Agnello DM, Balaskas G, Steiner A, Chastin S. Methods used in co-creation within the health CASCADE co-creation database and gray literature: Systematic methods overview. Interact J Med Res. 2024;13:e59772. https:\/\/doi.org\/10.2196\/59772","DOI":"10.2196\/59772"},{"key":"ref27","doi-asserted-by":"crossref","unstructured":"Tarekegn SM, Tadesse D, Argaw MD, et al. Capacity and performance of primary health care in Ethiopia: A novel mixed methods measurement in low-income country. BMC Prim Care. 2025;26(1):299. https:\/\/doi.org\/10.1186\/s12875-025-02988-7","DOI":"10.1186\/s12875-025-02988-7"},{"key":"ref28","doi-asserted-by":"crossref","unstructured":"Alene ET. Determinant factors for the expansion of informal settlement in Gondar city, Northwest Ethiopia. J Urban Manag. 2022;11(3):321\u2013337. https:\/\/doi.org\/10.1016\/j.jum.2022.04.005","DOI":"10.1016\/j.jum.2022.04.005"},{"key":"ref29","doi-asserted-by":"crossref","unstructured":"Leask CF, Sandlund M, Skelton DA, et al. Framework, principles and recommendations for utilising participatory methodologies in the co-creation and evaluation of public health interventions. Res Involv Engagem. 2019;5:1\u201316. https:\/\/doi.org\/10.1177\/0017896917707785","DOI":"10.1186\/s40900-018-0136-9"},{"key":"ref30","unstructured":"Agnello D, Longworth D. A draft evidence-based co-creation guideline: PRODUCES+(Version 1) [homepage on the Internet]. Zenodo; 2022 [cited 2025 May 20]. Available from: https:\/\/zenodo.org\/records\/8379784"},{"key":"ref31","doi-asserted-by":"crossref","unstructured":"Ravneberg BE. Co-creating and co-producing learning environments in adult education through the World Caf\u00e9 method. Front Educ. 2024;9:1335747. https:\/\/doi.org\/10.3389\/feduc.2024.1335747","DOI":"10.3389\/feduc.2024.1335747"},{"key":"ref32","unstructured":"Vandael K, Dewaele A, Buysse A, Westerduin S. Guide to co-creation [homepage on the Internet]. Ghent: Ghent University & Ministry of Makers; 2018 [cited 2025 Mar 24]. Available from: http:\/\/hdl.handle.net\/1854\/LU-8653735"},{"key":"ref33","doi-asserted-by":"crossref","unstructured":"Leask CF, Sandlund M, Skelton DA, Chastin SF. Co-creating a tailored public health intervention to reduce older adults\u2019 sedentary behaviour. Health Educ J. 2017;76(5):595\u2013608. https:\/\/doi.org\/10.1177\/0017896917707785","DOI":"10.1177\/0017896917707785"},{"key":"ref34","doi-asserted-by":"crossref","unstructured":"Kennedy S, Fitzgerald R, Melia R. Engaging stakeholders in the development of a national digital mental health strategy: Reflexive thematic analysis. J Med Internet Res. 2025;27:e71601. https:\/\/doi.org\/10.2196\/71601","DOI":"10.2196\/71601"},{"key":"ref35","doi-asserted-by":"crossref","unstructured":"Ward ME, Br\u00fan AD, Beirne D, et al. Using co-design to develop a collective leadership intervention for healthcare teams to improve safety culture. Int J Environ Res Public Health. 2018;15(6):1182. https:\/\/doi.org\/10.3390\/ijerph15061182","DOI":"10.3390\/ijerph15061182"},{"key":"ref36","doi-asserted-by":"crossref","unstructured":"Blake HT, Davis A, Mellow ML, et al. Co-design of a digital 24-hour time-use intervention with older adults and allied health professionals. Front Digit Health. 2025;7:1544489. https:\/\/doi.org\/10.3389\/fdgth.2025.1544489","DOI":"10.3389\/fdgth.2025.1544489"},{"key":"ref37","doi-asserted-by":"crossref","unstructured":"Laugaland KA, Akerjordet K, Fr\u00f8iland CT, Aase I. Co-creating digital educational resources to enhance quality in student nurses\u2019 clinical education in nursing homes: Report of a co-creative process. J Adv Nurs. 2023;79(10):3899\u20133912. https:\/\/doi.org\/10.1111\/jan.15800","DOI":"10.1111\/jan.15800"},{"key":"ref38","doi-asserted-by":"crossref","unstructured":"Singleton A, Raeside R, Partridge SR, et al. Co-designing a lifestyle-focused text message intervention for women after breast cancer treatment: Mixed methods study. J Med Internet Res. 2021;23(6):e27076. https:\/\/doi.org\/10.2196\/27076","DOI":"10.2196\/27076"},{"key":"ref39","unstructured":"WHO. Health system capacity for noncommunicable diseases management a global snapshot 2020 [homepage on the Internet]. 2020 [cited 2025 July 15]. Available from: https:\/\/www.who.int\/publications\/i\/item\/health-system-capacity-for-noncommunicable-diseases-management"},{"key":"ref40","doi-asserted-by":"crossref","unstructured":"Teshome DF, Alemu S, Ayele TA, Atnafu A. Effect of health extension workers-led home-based multicomponent intervention on blood pressure reduction among hypertensive patients in rural districts of northwest Ethiopia: A cluster-randomised controlled trial. BMJ Open; 2024;14(8):e084029. https:\/\/doi.org\/10.1136\/bmjopen-2024-084029","DOI":"10.1136\/bmjopen-2024-084029"},{"key":"ref41","doi-asserted-by":"crossref","unstructured":"Sankaran S, Ravi PS, Wu YE, et al. An NGO-implemented community-clinic health worker approach to providing long-term care for hypertension in a remote region of Southern India. Glob Health Sci Prac. 2017;5(4):668\u2013677. https:\/\/doi.org\/10.9745\/GHSP-D-17-00192","DOI":"10.9745\/GHSP-D-17-00192"},{"key":"ref42","doi-asserted-by":"crossref","unstructured":"Banatvala N, Akselrod S, Bovet P, Mendis S. The WHO global action plan for the prevention and control of NCDs 2013\u20132030. In: World Health Organization, editor. Noncommunicable diseases. Geneva: Routledge; 2023. p. 234\u2013239.","DOI":"10.4324\/9781003306689-36"},{"key":"ref43","doi-asserted-by":"crossref","unstructured":"Maurer M, Mangrum R, Hilliard-Boone T, et al. Understanding the influence and impact of stakeholder engagement in patient-centered outcomes research: A qualitative study. J Gen Intern Med. 2022;37(Suppl 1):6\u201313. https:\/\/doi.org\/10.1007\/s11606-021-07104-w","DOI":"10.1007\/s11606-021-07104-w"},{"key":"ref44","doi-asserted-by":"crossref","unstructured":"Ramanadhan S, Davis MM, Armstrong R, et al. Participatory implementation science to increase the impact of evidence-based cancer prevention and control. Cancer Causes Control. 2018;29(3):363\u2013369. https:\/\/doi.org\/10.1007\/s10552-018-1008-1","DOI":"10.1007\/s10552-018-1008-1"},{"key":"ref45","doi-asserted-by":"crossref","unstructured":"Mathieson A, Brunton L, Wilson PM. The use of patient and public involvement and engagement in the design and conduct of implementation research: A scoping review. Implement Sci Commun. 2025;6(1):42. https:\/\/doi.org\/10.1186\/s43058-025-00725-w","DOI":"10.1186\/s43058-025-00725-w"},{"key":"ref46","doi-asserted-by":"crossref","unstructured":"Ankomah SE, Fusheini A, Ballard C, Kumah E, Gurung G, Derrett S. Patient-public engagement strategies for health system improvement in sub-Saharan Africa: A systematic scoping review. BMC Health Serv Res. 2021;21(1):1047. https:\/\/doi.org\/10.1186\/s12913-021-07085-w","DOI":"10.1186\/s12913-021-07085-w"},{"key":"ref47","unstructured":"McKercher KA. Beyond sticky notes: Co-design for real: Mindsets, methods and movements. Australia: Beyond Sticky Notes 2020."},{"key":"ref48","doi-asserted-by":"crossref","unstructured":"Benz C, Scott-Jeffs W, McKercher KA, et al. Community-based participatory-research through co-design: Supporting collaboration from all sides of disability. Res Involv Engagem. 2024;10(1):47. https:\/\/doi.org\/10.1186\/s40900-024-00573-3","DOI":"10.1186\/s40900-024-00573-3"},{"key":"ref49","doi-asserted-by":"crossref","unstructured":"Beresford P. PPI or user involvement: Taking stock from a service user perspective in the twenty first century. Res Involv Engagem. 2020;6(1):36. https:\/\/doi.org\/10.1186\/s40900-020-00211-8","DOI":"10.1186\/s40900-020-00211-8"},{"key":"ref50","doi-asserted-by":"crossref","unstructured":"Mahajan SL, Ojwang L, Ahmadia GN. The good, the bad, and the ugly: Reflections on co-designing science for impact between the Global South and Global North. ICES J Mar Sci. 2023;80(2):390\u2013393. https:\/\/doi.org\/10.1093\/icesjms\/fsac115","DOI":"10.1093\/icesjms\/fsac115"},{"key":"ref51","doi-asserted-by":"crossref","unstructured":"Singh DR, Sah RK, Simkhada B, Darwin Z. Potentials and challenges of using co-design in health services research in low-and middle-income countries. Glob Health Res Policy. 2023;8(1):5. https:\/\/doi.org\/10.1186\/s41256-023-00290-6","DOI":"10.1186\/s41256-023-00290-6"},{"key":"ref52","doi-asserted-by":"crossref","unstructured":"Peet ER, Mulder S, Mulder I. Co-design for transitions: Developing genuine participatory approaches to involving lifeworld and system participants. CoDesign. 2025:1\u201319. https:\/\/doi.org\/10.1080\/15710882.2025.2504456","DOI":"10.1080\/15710882.2025.2504456"},{"key":"ref53","doi-asserted-by":"crossref","unstructured":"Pardoel ZE, Reijneveld SA, Postma MJ, et al. A guideline for contextual adaptation of community-based health interventions. 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