Research on the move: exploring WhatsApp as a tool for understanding the intersections between migration, mobility, health and gender in South Africa.

Research on the move: exploring WhatsApp as a tool for understanding the intersections between migration, mobility, health and gender in South Africa.
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DOI:
10.1186/s12992-021-00727-y
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发表时间:
2021-07-01
影响因子:
10.8
通讯作者:
Hanefeld J
Hanefeld J
中科院分区:
医学2区
文献类型:
--
作者:
de Gruchy T;Vearey J;Opiti C;Mlotshwa L;Manji K;Hanefeld J

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反映全球规范,南非是与高水平的跨境和内部人口流动,但缺乏移徙意识的卫生系统的反应。现有文献强调了三个方法上的挑战,这些挑战限制了对移徙和健康问题做出循证知情的反应:(1)缺乏对移徙过程的参与;(2)排斥国内移徙者;(3)缺乏能够获取有关时间和地点的健康需求和医疗保健寻求经验的"实时"数据的方法。在本文中,我们反映了一个为期四个月的试点项目,探讨了使用WhatsApp信使-一个流行的移动的手机应用程序广泛使用在撒哈拉以南非洲-并评估其可行性作为一个研究工具与移民和移动的人口,以通知一个更大的研究,将解决这些挑战。在2019年10月至2020年1月期间进行了为期四个月的试点,有11名参与者。使用Survey Node,一个允许通过WhatsApp自动管理调查的在线平台,每月进行调查。还获得了与会者的GPS坐标。参与者是通过豪登的民间社会合作伙伴招募的,年龄在18岁以上,能熟练地使用英语,拥有兼容WhatsApp的手机。参与者包括研究方案中的管理调查和培训参与者。参与者的差旅费和每月手机数据得到报销。在可能的88个调查和位置响应中,收到了61个。一般而言,参与者对每月调查的答复一致,并在提示时分享他们的位置。事实证明,Survey Node是一种通过WhatsApp管理调查的高效方式。事实证明,通过WhatsApp共享位置很麻烦,并导致开发了一个安全平台,参与者可以通过该平台共享他们的位置。讨论了关于WhatsApp数据共享的伦理问题。该试点的成功表明,WhatsApp可用作收集移民和移动的人口数据的工具,并为完成主要研究提供了信息。主要经验包括研究设计和参与者注册流程的重要性,以及确保与WhatsApp相关的伦理问题得到解决。
Reflecting global norms, South Africa is associated with high levels of cross-border and internal population mobility, yet migration-aware health system responses are lacking. Existing literature highlights three methodological challenges limiting the development of evidence-informed responses to migration and health: (1) lack of engagement with the process of migration; (2) exclusion of internal migrants; and (3) lack of methodologies that are able to capture ‘real-time’ data about health needs and healthcare seeking experiences over both time and place. In this paper, we reflect on a four-month pilot project which explored the use of WhatsApp Messenger - a popular mobile phone application used widely in sub-Saharan Africa – and assessed its feasibility as a research tool with migrant and mobile populations in order to inform a larger study that would address these challenges. A four-month pilot was undertaken with eleven participants between October 2019 and January 2020. Using Survey Node, an online platform that allows for the automatic administration of surveys through WhatsApp, monthly surveys were administered. The GPS coordinates of participants were also obtained. Recruited through civil society partners in Gauteng, participants were over the age of 18, comfortable engaging in English, and owned WhatsApp compatible cell phones. Enrolment involved an administered survey and training participants in the study protocol. Participants received reimbursement for their travel costs and monthly cell phone data. Out of a possible eighty eight survey and location responses, sixty one were received. In general, participants responded consistently to the monthly surveys and shared their location when prompted. Survey Node proved an efficient and effective way to administer surveys through WhatsApp. Location sharing via WhatsApp proved cumbersome and led to the development of a secure platform through which participants could share their location. Ethical concerns about data sharing over WhatsApp were addressed. The success of the pilot indicates that WhatsApp can be used as a tool for data collection with migrant and mobile populations, and has informed the finalisation of the main study. Key lessons learnt included the importance of research design and processes for participant enrolment, and ensuring that the ethical concerns associated with WhatsApp are addressed.
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发表时间: 2021-06-01
影响因子: 3.2
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期刊: Lancet (London, England)
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