Orphan competent communities: A framework for community analysis and action

Skovdal, Morten; Campbell, Catherine

doi:10.1080/17450120903281173

Cited by 40 publications

(20 citation statements)

References 53 publications

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“…These findings support studies that have identified the importance of addressing community norms, including involvement of faith-based and lay leaders, to address negative community attitudes and norms regarding critical MNCH behaviours (Campbell et al 2013;Crissman et al 2013;Pell et al 2013;Pharr et al 2016;Skovdal and Campbell 2010;Yargawa and Leonardi-Bee 2015). In particular, in Ghana's Northern region, Moyer et al (2014) concluded that community-based solutions, including working with community leaders, were needed in order to address challenges facing maternal and child health.…”

Section: Comparison Areasupporting

confidence: 60%

Mobilising faith-based and lay leaders to address antenatal care outcomes in northern Ghana

Hembling

McEwan²,

Ali

et al. 2017

Development in Practice

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Despite the benefits of antenatal care, evidence from sub-Saharan Africa suggests that women often initiate these services after the first trimester of pregnancy and do not complete the recommended number of visits. This study examines the impact of mobilising faith-based and lay leaders to address the socio-cultural barriers to antenatal care uptake in northern Ghana in the context of a broader child survival project. A quasi-experimental design was used, and data were analysed using a difference-in-differences approach. The results presented in this article indicate the potential for faith-based and lay leaders to promote uptake of maternal and child health behaviours.Des informations provenant d'Afrique subsaharienne indiquent que malgré les avantages offerts par les soins prénataux, il est fréquent que les femmes n'aient recours à ces services qu'après le premier trimestre de grossesse et n'aillent pas au terme du calendrier de visites recommandé. Cette étude examine l'impact de la mobilisation des leaders confessionnels et laïcs pour faire face aux obstacles socioculturels au recours aux soins prénataux dans le nord du Ghana, au sein d'un plus large projet sur la survie de l'enfant. Le concept de l'étude était quasiment expérimental et les données ont été analysées selon la méthode de l'observation de l'écart dans les différences. Présentés dans cet article, les résultats mettent l'accent sur la possibilité pour les leaders confessionnels et laïcs de promouvoir l'adoption de comportements de santé de la mère et de l'enfant.A pesar de los beneficios comprobados que conlleva el cuidado prenatal, la evidencia disponible correspondiente al África subsahariana sugiere que a menudo las mujeres comienzan a atenderse después del primer trimestre de embarazo y que, además, no realizan la cantidad de visitas sugerida. En el contexto de un proyecto integral destinado a elevar la supervivencia de los niños, el presente estudio examina el impacto logrado por la movilización de líderes religiosos y laicos para hacer frente a los obstáculos socioculturales que impiden una mayor aceptación del cuidado prenatal en el norte de Ghana. Con este fin, se utilizó un diseño cuasiexperimental en el que los datos fueron analizados empleando un enfoque de diferencia en diferencias. Los resultados al respecto, presentados en este artículo, sugieren la posibilidad de que los líderes religiosos y laicos puedan promover una mayor aceptación de aquellas conductas encaminadas a mejorar la salud maternoinfantil. Recently, WHO increased this recommendation to at least eight visits and continued to emphasise the importance of initiation of ANC within the first trimester of pregnancy (WHO 2016). Initiation of ANC in the first trimester allows for early identification of potential underlying conditions that could increase maternal and child morbidity and mortality (e.g. control of anaemia, prevention of malaria complications, and identification and treatment of sexually transmitted infections -see Asundep et al. 2013;Campbell and Graham...

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Section: Comparison Areasupporting

confidence: 60%

Mobilising faith-based and lay leaders to address antenatal care outcomes in northern Ghana

Hembling

McEwan²,

Ali

et al. 2017

Development in Practice

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“…On the other hand, by seeing children as social actors and learning from their life worlds and coping strategies, we will be able to develop an understanding of the pathways through which local contexts can facilitate their resilience and well-beingan understanding that is needed to develop meaningful support (Skovdal & Campbell, 2010). In light of this, both the studies upon which this paper draw view children as subjects and agents in their own right, who, despite their difficulties, manage to make sense of their social and material worlds and, through a negotiation with those around them, play an active role in coping with their circumstances.…”

Section: Deciding On a Projectmentioning

confidence: 98%

Reflexivity and Dialogue: Methodological and Socio-Ethical Dilemmas in ResearchwithHIV-Affected Children in East Africa

Skovdal

Abebe

2012

Ethics, Policy & Environment

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This paper presents an integrated discussion of methods and ethics by drawing on participatory research with children in Ethiopia and Kenya. It examines the complex social, ethical, practical and methodological dilemmas of research with HIV-affected children, and explores how we confronted some of these dilemmas before, during and after fieldwork. The paper interrogates the role and limitations of 'global' ethical standards in childhood research, and the ways in which the researchers' gender, ethnicity/race, material power, knowledge and insideroutsider position all intersect to affect: (a) the level of children's involvement in the research process; (b) the generation of knowledge about the field; and (c) the negotiation of ethics in collaborative ways. We argue that doing ethical research with HIV-affected children should not be based solely on dominant and de-contextualised understandings of ethics, knowledge and social relations, but should be negotiated reflexively and through dialogue with participants, including the children, their guardians and 'local' community members-all with the aim of doing good and avoiding harm in the research process.

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“…While we are unsure why there was improvement in the non--targeted orphans, our conjecture is that the programme sparked an interest in the welfare of all orphaned and vulnerable children in the community, which in turn stimulated change in the support they received for going to school (Skovdal & Campbell, 2010;Skovdal, et al, 2011).…”

Section: Lessons Learnedmentioning

confidence: 99%

The impact of community-based capital cash transfers on orphan schooling in Kenya

Skovdal¹,

Webale²,

Mwasiaji³

et al. 2013

Development in Practice

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We report on a community--based capital cash transfer initiative (CCCT) in Kenya that sought to mobilise and enable HIV--affected communities to respond to the needs of orphaned and vulnerable children. With bilateral funding, the Social Services Department in Kenya provided 80 communities across 10 Districts with advice and resources to set up social enterprises for the support of vulnerable children. A wide range of food and income generating activities were initiated by the communities, whose produce or profits resulted in improved school attendance and performance, particularly amongst girls. We conclude that CCCT is a viable strategy for improving orphan schooling in sub--Saharan Africa.

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Orphan competent communities: A framework for community analysis and action

Cited by 40 publications

References 53 publications

Mobilising faith-based and lay leaders to address antenatal care outcomes in northern Ghana

Mobilising faith-based and lay leaders to address antenatal care outcomes in northern Ghana

Reflexivity and Dialogue: Methodological and Socio-Ethical Dilemmas in ResearchwithHIV-Affected Children in East Africa

The impact of community-based capital cash transfers on orphan schooling in Kenya

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