Figure 1.
The central concept is strategic engagement for social impact. Six surrounding stages form a continuous process. First, understand the service delivery context as a complex system. Use systems thinking to clarify the context and intended social impact of primary care programmes. Map the service delivery context to the service logic to reveal the service system. Align project goals with priority populations and system drivers. Next, identify stakeholders based on influence, authority and lived experience. Identify stakeholders with influence and lived experience. Value community trust and informal authority. Then, secure stakeholder participation. Enable meaningful participation through shared decision-making rather than consultation. Address power imbalances and create conditions for engagement. Next, co-create mutually beneficial and equitable outcomes. Co-create outcomes through shared decision-making. Align institutional objectives with community-defined value. Then, sustain stakeholder relationships, trust and collective capacity. Sustain engagement through reciprocity, accountability and shared ownership. Invest in long-term relationships and collective capacity. Support social capital beyond individual programmes. Finally, monitor and evaluate stakeholder impact. Evaluate engagement quality, equity and influence. Support learning, accountability and adaptation over time.Framework for strategic engagement for social impact