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Using arts-based workshops to share knowledge on reproductive and sexual health with rural communities in Nyanza, western Kenya.

利用基于艺术的讲习班与肯尼亚西部尼安萨的农村社区分享生殖和性健康知识。

基本信息

批准号：
AH/V008544/1
负责人：
Jane Plastow
金额：
$ 10.42万
依托单位：
University of Leeds
依托单位国家：
英国
项目类别：
Research Grant
财政年份：
2021
资助国家：
英国
起止时间：
2021 至无数据
项目状态：
已结题

来源：
https://gtr.ukri.org/projects?ref=AH%2FV008544%2F1
关键词：
Using arts based workshops share

项目摘要

SummaryRecent work by Plastow (AHRC/MRC grant 'Maternal Mortality in East Africa; AHRC/MRC grant 'Promoting sexual and reproductive health education among adolescents through creative and youth-led practice in India, Malawi and Uganda; British Academy grant 'Engendering equality: working holistically in a Ugandan slum neighbourhood to challenge gendered inequalities, sexual ignorance and abusive sexual behaviours'; AHRC/MRC grant 'Family Planning: Fact or Fiction?') has demonstrated that poor, and especially rural, communities in East Africa suffer from an acute lack of accurate knowledge in relation to sexual and reproductive health, and that widespread myths and misinformation are stopping people being able to make good choices for themselves and their families on a range of issues in relation to these topics. We also found a great hunger for good information, which when delivered in a relevant manner, allowing time for questions and discussion, can quickly lead to significant behaviour change. Although health authorities and schools are meant to disseminate this information we have found a mixture of ignorance, embarrassment, lack of cultural sensitivity and lack of time means that people from poor rural communities have an almost universal lack of sources of reliable information. Although Kenya has excellent policies in relation to sexual and reproductive services our research found that there is a huge gulf between policy and implementation which was notably lacking in terms of both education and delivery of services in all health facilities. Numerous ills flow from this poverty of information. Maternal mortality rates are some of the highest in the world across East Africa; unwanted and teenage pregnancy is exceptionally high; many girls are missing school due to issues related to menstruation and there is a great danger of sexual exploitation due to a lack of the most basic knowledge about reproductive facts.We have found that using a practical, embodied approach, employing local cultural vernaculars, enables communities to feel at ease and to readily take part in arts-based activities exploring their knowledge and questions about reproductive and sexual matters. When married to good clear information from public health experts; notably allowing plenty of time for debate and questions, without a preconceived moral or message-based agenda, and communicating as co-community members rather than as a health elite, a wide range of community members, from across age and gender boundaries are eager to engage and wish for knowledge that often leads to behaviour change. This creative engagement strategy facilitates strong public engagement and dissemination of relevant, accurate health education. Unexpected learning from the projects listed above was how open older members and men were to taking on board new information and changing their thinking when they could clearly see how this would benefit their wider families. We also found that, contrary to many projects which focus on a particular constituency; i.e. most commonly girls, a far more profound impact is made when the wider community is included in engagement, discussion and learning.We also found, unexpectedly, that Traditional Birth Attendants (TBAs) and Voluntary Community Health (VCH) workers freely acknowledge that they lack good information about reproductive and sexual health. Since in rural communities these are the first line of advice for many people it is imperative that they are confident that they have good basic knowledge and know where to refer clients on. During evaluation, numerous members of these groups spoke of their desire for better education and training.Finally, we wish to train a core group of Kenyan arts facilitators in a replicable methodology for researching and then delivering the information needed in poor communities in relation to sexual and reproductive health so that our work can be multiplied in similar settings nationwide

普拉托最近的工作（AHRC/MRC资助“东非的孕产妇死亡率”；AHRC/MRC资助“在印度、马拉维和乌干达通过创造性和青年主导的实践促进青少年的性健康和生殖健康教育；英国科学院资助“促进性别平等：在乌干达贫民窟社区全面工作，挑战性别不平等、性无知和虐待性行为”；AHRC/MRC资助“计划生育：事实还是虚构？”）)表明，东非贫穷社区，特别是农村社区，严重缺乏与性健康和生殖健康有关的准确知识，普遍存在的神话和错误信息使人们无法在与这些主题有关的一系列问题上为自己和家人做出正确的选择。我们还发现，人们非常渴望获得好的信息，如果以相关的方式提供这些信息，给提问和讨论留出时间，就能迅速导致重大的行为改变。尽管卫生当局和学校的目的是传播这方面的信息，但我们发现，无知、尴尬、缺乏文化敏感性和缺乏时间等因素混合在一起，意味着贫困农村社区的人们几乎普遍缺乏可靠信息的来源。尽管肯尼亚在性和生殖服务方面有出色的政策，但我们的研究发现，政策与执行之间存在巨大差距，在所有卫生设施的教育和服务提供方面都明显缺乏。由于缺乏信息，产生了许多弊病。东非的产妇死亡率是世界上最高的；意外怀孕和青少年怀孕异常高；许多女孩由于与月经有关的问题而失学，由于缺乏关于生殖事实的最基本知识，存在被性剥削的极大危险。我们发现，采用一种实际的、具体的方法，采用当地的文化方言，使社区感到轻松，并乐于参与以艺术为基础的活动，探索他们对生殖和性问题的知识和问题。当与公共卫生专家提供的良好明确信息结合时；值得注意的是，允许有充足的时间进行辩论和提问，没有先入为主的道德或基于信息的议程，并作为共同社区成员而不是作为卫生精英进行交流，来自不同年龄和性别界限的广泛社区成员渴望参与并希望获得往往导致行为改变的知识。这一创造性的参与战略促进了公众的强烈参与和相关、准确的健康教育的传播。从上面列出的项目中，我们意外地发现，当年长的成员和男性清楚地看到这将如何使他们的大家庭受益时，他们会多么开放地接受新信息并改变他们的想法。我们还发现，与许多专注于特定群体的项目相反；也就是说，最常见的是女孩，当更广泛的社区被纳入参与、讨论和学习时，产生的影响要深远得多。我们还意外地发现，传统助产士（tba）和志愿社区卫生（VCH）工作者坦率地承认，他们缺乏有关生殖和性健康的良好信息。由于在农村社区，这些是许多人的第一线建议，因此他们必须确信自己拥有良好的基础知识并知道向何处推荐客户。在评价期间，这些团体的许多成员谈到他们希望得到更好的教育和培训。最后，我们希望培训肯尼亚艺术促进者核心小组，使其掌握一种可复制的方法，用于研究和提供贫困社区在性健康和生殖健康方面所需的信息，以便我们的工作能够在全国类似的环境中得到推广