Re-imaging malaria in the Philippines: how photovoice can help to re-imagine malaria.

Re-imaging malaria in the Philippines: how photovoice can help to re-imagine malaria.
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DOI:
10.1186/s12936-015-0770-8
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发表时间:
2015-06-24
期刊:
影响因子:
3
通讯作者:
Iskander D
Iskander D
中科院分区:
医学3区
文献类型:
--
作者:
Iskander D

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这篇论文回应了最近关于重新想象疟疾的呼吁,它解释了为什么需要重新想象疟疾;提供一种可行的方法;并描述了疟疾控制的一些好处。这项研究包括对菲律宾巴塔拉扎市44名主要是巴拉望族的学龄儿童进行为期15周的光声项目。这项研究的主要目的是批判性地研究如何帮助儿童拍摄自己的疟疾照片,从而改变他们对疟疾的理解,以及他们随后参与预防和治疗疟疾的做法。在photovoice过程中,参与者回答了一个问题,“疟疾对你意味着什么?”通过拍摄不同版本的疟疾。其中一些版本与生物医学概念一致,并反映了其来源(例如蚊子)的常见图像;症状(如发烧);预防措施(如使用蚊帐);诊断做法(如使用快速诊断测试)和治疗做法(如使用抗疟疾药物)。然而,除了这些描述之外,参与者还拍摄了疟疾图像,这些图像符合当地对身体、健康和福祉的更多理解,而这些往往被卫生从业人员所忽视。在巴拉望岛的情况下,这些版本的疟疾是围绕平衡的中心原则构建的。因此,参与者拍摄了他们自己以及他们的家庭和社区成员从事一些旨在恢复和维持平衡的做法的照片。除了作为一种有效的手段来阐明多种疟疾及其周围的做法外,photovoice还使参与者能够学习新事物,更重要的是,通过他们的图像向他人传授这些东西。光声是一种有效的疟疾再成像方法。它允许参与者描述和描述疟疾的多种版本以及他们在背景下从事的实践。Photovoice也有潜在的变革性影响。它作为参与者和研究人员的一种手段:直观地描绘日常实践;共同获得对这一行为的更深刻理解;然后寻找方法来做出符合这种共同理解的改变。
This paper responds to a recent call for malaria to be re-imagined by: explaining why it needs to be re-imagined; offering one possible way in which this can be done; and describing some of benefits for malaria control when it is. This study involved conducting a 15-week photovoice project with 44 predominantly ethnically Palawan school-going children in the municipality of Bataraza in the Philippines. The primary aim was to critically examine how facilitating children to take their own pictures of malaria could alter their understanding of it as well as the practices that they then engaged into prevent and treat it. During the photovoice process, participants responded to the question, ‘what does malaria mean to you?’ by photographing multiple versions of malaria. Some of these versions align with biomedical conceptions and mirror common images of: its sources (e.g. mosquitoes); symptoms (e.g. fever); prevention practices (e.g. use of mosquito nets); diagnostic practices (e.g. use Rapid Diagnostic Tests) and treatment practices (e.g. use of anti-malarial drugs). However, in addition to these depictions, participants also took images of malaria that aligned with more local understanding of the body, health and well-being, which are often neglected by health practitioners. In the case of the Palawan, these versions of malaria are structured around the central tenet of balance. Participants therefore photographed themselves and members of their family and community engaging in a number of practices, which are orientated towards restoring and maintaining balance. As well being an effective means to illuminate multiple malarias and the practices that surround them, photovoice also enabled participants to learn new things and significantly, teach these things to others using their images. Photovoice is an effective method for re-imaging malaria. It allowed participants to depict and describe multiple versions of malaria and the practices that they engage in in context. Photovoice also had a potentially transformative effect. It acted as a means for participants and researchers to: visually depict everyday practices; collectively gain a deeper understanding of this doing; and then seek ways in which to make changes in line with this joint understanding.
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