Academic Journal
An Analysis of Power Dynamics Affecting Handwashing Interventions in Sierra Leone: Findings From a Qualitative Participatory Study
| العنوان: | An Analysis of Power Dynamics Affecting Handwashing Interventions in Sierra Leone: Findings From a Qualitative Participatory Study |
|---|---|
| المؤلفون: | Lütke Lanfer, Hanna, Brew-Sam, Nicola, Rossmann, Constanze |
| بيانات النشر: | JMIR Publications |
| سنة النشر: | 2023 |
| المجموعة: | PUB - Publications at Bielefeld University |
| مصطلحات موضوعية: | participatory approaches, health promotion, handwashing, power dynamics, Sierra Leone, ddc:610 |
| الوصف: | Lütke Lanfer H, Brew-Sam N, Rossmann C. An Analysis of Power Dynamics Affecting Handwashing Interventions in Sierra Leone: Findings From a Qualitative Participatory Study. JMIR formative research : electronic, mobile, digital health approaches in cardiology and for cardiovascular health . 2023;7: e39226. ; BACKGROUND: Handwashing is an effective and cost-efficient health behavior for preventing infectious diseases; however, its practice is shaped by multiple contextual factors and inequalities between different social groups in Sierra Leone. To address these inequalities, participatory approaches that allow a more equitable distribution of resources and the development of locally tailored interventions are increasingly used. However, social power dynamics have not been well integrated into the concept of participation, despite their known impact.; OBJECTIVE: We sought to investigate the role of power dynamics in participatory approaches to handwashing in Sierra Leone.; METHODS: From a socio-ecological perspective, this qualitative, formative interview study aimed to identify relevant actors and their power relationships before designing a participatory handwashing project in rural Sierra Leone. A field experiment with focus groups and a research diary compared the development of power dynamics in a participatory, community-driven approach with that in a nonparticipatory top-down approach.; RESULTS: According to our formative study, in community-based projects, multiple groups and actors interact directly or indirectly with each other, located within a macro level (eg, political institutions), meso level (eg, community leaders and groups), and micro level (eg, families) of a socio-ecological model. Although distinct leadership structures were noticeable and affected intervention attendance and processes of change in nonparticipatory approaches, community-led activities and handwashing increased in the participatory approach, irrespective of the leadership structure. Despite their ambivalence, the strategic ... |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| Relation: | info:eu-repo/semantics/altIdentifier/issn/2561-326X; info:eu-repo/semantics/altIdentifier/wos/000998490100047; info:eu-repo/semantics/altIdentifier/pmid/36705952; https://nbn-resolving.org/urn:nbn:de:0070-pub-29686615; https://pub.uni-bielefeld.de/record/2968661; https://pub.uni-bielefeld.de/download/2968661/2990515 |
| الاتاحة: | https://nbn-resolving.org/urn:nbn:de:0070-pub-29686615 https://pub.uni-bielefeld.de/record/2968661 https://pub.uni-bielefeld.de/download/2968661/2990515 |
| Rights: | https://creativecommons.org/licenses/by/4.0/ ; info:eu-repo/semantics/openAccess |
| رقم الانضمام: | edsbas.2F664E33 |
| قاعدة البيانات: | BASE |
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