Injured bodies, damaged lives: experiences and narratives of Kenyan women with obstetric fistula and Female Genital Mutilation/Cutting

Mwanri, Lillian; Gatwiri, Kathomi

doi:10.1186/s12978-017-0300-y

“…The findings were interpreted from a range of theoretical and conceptual perspectives, especially the Health Belief Model and Realist Evaluation Framework for a broader understanding of the findings. Also, the prior exposure of the primary researcher to the study setting and his participation in IRS implementation provided a positive 'insider effect' [44], enhancing the researcher's understanding of the findings relating to the influence of contextual factors on the acceptance and implementation of IRS. The perspectives of all the authors, and the consensus reached during data analysis added rigour to the interpretation of findings [45].…”

Section: Data Management and Analysismentioning

confidence: 99%

An exploratory study of the acceptability of indoor residual spraying for malaria control in upper western Ghana

Suuron

¹

,

Mwanri

²

,

Tsourtos

³

et al. 2020

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Background: Despite the implementation of the World Health Organisation's recommended indoor residual spraying (IRS) intervention in the upper west region of Ghana to reduce malaria morbidity and mortality, the uptake of this intervention remains low. This study explores the facilitators and barriers to the acceptability and community uptake of indoor residual spraying in a highly endemic region of Ghana. Methods: The health belief model (HBM) and realist evaluation framework were used to inform the study. A qualitative enquiry was conducted between April to October 2016. Data were collected through focus group discussions and semi-structured interviews with program stakeholders including community members, AngloGold Ashanti malaria control (AGA Mal) spray operators, and AGA Mal officials. Results: A total of 101 people participated in the study. Considerable barriers to community acceptance of indoor residual spraying (IRS) were found, including, dislike of spray insecticides, inadequate information, religious and cultural beliefs, perceived low efficacy of IRS, difficulties with packing, unprofessional conduct of IRS spray operators, and other operational barriers to spraying. Facilitators of IRS uptake included a perceived effectiveness of IRS in preventing malaria and reducing mosquito bites, incidental benefits, respect for authority, training and capacity building, and sensitization activities. Conclusion: The numerous barriers to indoor residual spraying acceptance and implications show that acceptance levels could be improved. However, measures are required to address householders' concerns and streamline operational barriers to increase community uptake of indoor residual spraying.

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“…Also, the prior exposure of the primary researcher to the study setting and his participation in IRS implementation provided a positive 'insider effect' [44], enhancing the researcher's understanding of the findings relating to the influence of contextual factors on the acceptance and implementation of IRS. The perspectives of all the authors, and the consensus reached during data analysis added rigour to the interpretation of findings [45].…”

Section: Data Management and Analysismentioning

confidence: 98%

An exploratory study of the acceptability of indoor residual spraying for malaria control in upper western Ghana

Suuron

¹

,

Mwanri

²

,

Tsourtos

³

et al. 2020

Preprint

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0

View full text Add to dashboard Cite

Background: Despite the implementation of the World Health Organisation's recommended indoor residual spraying (IRS) intervention in the upper west region of Ghana to reduce malaria morbidity and mortality, the uptake of this intervention remains low. This study explores the facilitators and barriers to the acceptability and community uptake of indoor residual spraying in a highly endemic region of Ghana. Methods:The health belief model (HBM) and realist evaluation framework were used to inform the study. A qualitative enquiry was conducted between April to October 2016. Data were collected through focus group discussions and semi-structured interviews with program stakeholders including community members, AngloGold Ashanti malaria control (AGA Mal) spray operators, and AGA Mal officials.Results: A total of 101 people participated in the study. Considerable barriers to community acceptance of indoor residual spraying (IRS) were found, including, dislike of spray insecticides, inadequate information, religious and cultural beliefs, perceived low efficacy of IRS, difficulties with packing, unprofessional conduct of IRS spray operators, and other operational barriers to spraying.Facilitators of IRS uptake included a perceived effectiveness of IRS in preventing malaria and reducing mosquito bites, incidental benefits, respect for authority, training and capacity building, and sensitization activities. Conclusion:The numerous barriers to indoor residual spraying acceptance and implications show that acceptance levels could be improved. However, measures are required to address householders' concerns and streamline operational barriers to increase community uptake of indoor residual spraying. BackgroundMalaria is a disease that is endemic in tropical countries, particularly, in Sub-Saharan Africa. The disease exacts a monumental toll on mankind [1]. In 2015, an estimated 212 million infections were recorded worldwide, with Africa disproportionately accounting for over 90% malaria cases and 394,000 malaria deaths [2]. Ghana is one of the African countries where malaria is endemic, and the 3 entire population is at risk of infection [3]. Despite seasonal variations, malaria is more endemic in the northern part of Ghana, particularly, in the upper western part of the country where a prevalence of 51% was recorded among children of ages 6-59 months [4]. The effects of malaria go beyond health consequences to encompass a reduction in productivity and income loss, which significantly contributes to the slow rate of socio-economic progress in Africa [5]. For this reason, several interventions are being implemented to combat malaria in Sub-Saharan Africa. In Ghana, the interventions being implemented include: targeted indoor residual spraying (IRS), insecticides treated nets (ITNs), intermittent preventive treatment for pregnant women (IPTp), malaria surveillance, and malaria chemotherapy among others. IRS involves the application of insecticides on the inner walls and roofs of houses and domestic animal shelters [6]. The inte...

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“…Type 4 FGC typically involves surface cuts or scratches to a girl's genitals. Although all forms of FGC can result in negative health consequences (Mwanri & Gatwiri, ; WHO, ), Type 3 FGC is associated with the worst health outcomes (WHO, ). In the world today, approximately 200 million girls and women are cut (UNICEF, ), but there is evidence that the practice is being abandoned by some families.…”

Section: Fgcmentioning

confidence: 99%

Intergenerational Transmission of Female Genital Cutting: Community and Marriage Dynamics

Boyle

¹

,

Svec

²

2019

J of Marriage and Family

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Objective: This study examined how characteristics of households and communities are implicated in the intergenerational transmission of gender inequality and particularly female genital cutting (FGC). Background: Human capital perspectives suggest that socioeconomic inequality predicts FGC continuation. This study contributes to discussions of institutional change by examining the association of decisions to forego FGC with household decision making patterns and community gender norms. Method:Multilevel logistic regression was deployed to analyze a pooled sample (N = 12,144) of six demographic and health surveys from Burkina Faso, Egypt, Guinea, Kenya, Mali, and Nigeria. A series of models examined how decision making styles, both at the household and community levels (2,524 demographic and health survey cluster aggregations), and community levels of FGC correspond with the risk of having a daughter cut. Results: The results show that daughters are less likely to be cut when parents make key household decisions jointly.

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Injured bodies, damaged lives: experiences and narratives of Kenyan women with obstetric fistula and Female Genital Mutilation/Cutting

Cited by 17 publications

References 28 publications

An exploratory study of the acceptability of indoor residual spraying for malaria control in upper western Ghana

An exploratory study of the acceptability of indoor residual spraying for malaria control in upper western Ghana

An exploratory study of the acceptability of indoor residual spraying for malaria control in upper western Ghana

Intergenerational Transmission of Female Genital Cutting: Community and Marriage Dynamics

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