Building cooperative learning to address alcohol and other drug abuse in Mpumalanga, South Africa: a participatory action research process
| العنوان: | Building cooperative learning to address alcohol and other drug abuse in Mpumalanga, South Africa: a participatory action research process |
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| المؤلفون: | Peter Byass, Jennifer Hove, Lucia D'Ambruoso, Maria van der Merwe, Kathleen Kahn, Sophie Witter, Oladapo Oladeinde, Denny Mabetha, Rhian Twine |
| المصدر: | Global Health Action Global Health Action, Vol 13, Iss 1 (2020) |
| بيانات النشر: | Taylor & Francis, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Cooperative learning, Adult, Male, Rural Population, Economic growth, medicine.medical_specialty, Community-Based Participatory Research, Process (engineering), Substance-Related Disorders, Community participation, Primary health care, Participatory action research, Health Promotion, alcohol and drug abuse, 03 medical and health sciences, South Africa, 0302 clinical medicine, medicine, Humans, 030212 general & internal medicine, Sociology, Health policy, Aged, Aged, 80 and over, 030503 health policy & services, Health Policy, Public health, fungi, 1. No poverty, Public Health, Environmental and Occupational Health, food and beverages, Public Health, Global Health, Social Medicine and Epidemiology, Middle Aged, medicine.disease, Substance abuse, primary health care, Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi, Alcoholism, Original Article, Female, rural, Public Health, Public aspects of medicine, RA1-1270, community participation, 0305 other medical science, health systems |
| الوصف: | Background: Alcohol and other drug (AOD) abuse is a major public health challenge disproportionately affecting marginalised communities. Involving communities in the development of responses can contribute to acceptable solutions. Objectives: To: (1) document forms, processes, and contexts of engaging communities to nominate health concerns and generate new knowledge for action; (2) further build participation in the local health system by reflecting on and adapting the process. Methods: PAR was progressed with 48 community stakeholders across three rural villages in the MRC/Wits Agincourt Health and Socio Demographic Surveillance System (HDSS) in Mpumalanga, South Africa. A series of workshops explored community-nominated topics, systematised lived experience into shared accounts and considered actions to address problems identified. Photovoice was also used to generate visual evidence. Narrative and visual data were thematically analysed, situated within practice frameworks, and learning and adaption elicited. Results: AOD abuse was identified as a topic of high priority. It was understood as an entrenched social problem with destructive effects. Biopsychosocial impacts were mapped and related to unemployment, poverty, stress, peer pressure, criminal activity, corruption, and a proliferating number of taverns. Integrated action agendas were developed focussed on demand, supply, and harm reduction underpinned by shared responsibility among community, state, and non-state actors. Community stakeholders appreciated systematising and sharing knowledge, taking active roles, developing new skills in planning and public speaking, and progressing shared accountability processes. Expectations required sensitive management, however. Conclusion: There is significant willingness and capacity among community stakeholders to work in partnership with authorities to address priority health concerns. As a process, participation can help to raise and frame issues, which may help to better inform action and encourage shared responsibility. Broader understandings of participation require reference to, and ultimately transfer of power towards, those most directly affected, developing community voice as continuous processes within social and political environments. |
| وصف الملف: | application/pdf |
| اللغة: | English |
| تدمد: | 1654-9880 1654-9716 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::d7c84ca6e1e216f22b7a79dc4241c1bbTest http://europepmc.org/articles/PMC7067166Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....d7c84ca6e1e216f22b7a79dc4241c1bb |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 16549880 16549716 |
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