Western research and education draw heavily on evidence-based approaches underpinned by positivism. Reliance on this scientific approach informs what is to be counted, measured, and tested—what can be “known.” In our experience, evidence generated using this approach does not always bring the most useful outcomes in our diverse, naturalistic settings. In fact, often the proffered solution can distance and dehumanize the very people expected to be beneficiaries. In this article, we, as researchers and educators from different cultural and professional backgrounds in the “post-colonial” South Pacific, pose an alternative to this Western approach. We engage in a story saturated process akin to collaborative auto-ethnography. We first undertake a process of owning our stories, critically reflecting upon ourselves and how we approach evidence. In the context of values-driven, dialogical relationships, we experiment with intersectionality, interdisciplinarity, and experiences of time and space to critically explore our practice and experience of decoloniality and transformation. Then, through sharing our stories, we critically reflect upon creative, culturally relevant practices. These stories include using poetry in social work education and health research, cake art, and social work storytelling. We acknowledge cultural story forms, collaboration, and performance in a higher education setting. These experiences lead to creating new stories. We share examples of change; we “talk up” to and challenge rationalist, evidence-based approaches in our respective professional spaces. We examine relationality and Indigenous epistemology underpinning our use of story. We present the power of story as a process of transformation toward decoloniality of theory and practice.
Background Women who are spouses of students at a faith-based university in Papua New Guinea (PNG) are afforded proximal power. These women are perceived as leaders and regularly approached by members in their communities to provide advice on sexual and reproductive health matters. Women leaders therefore need access to sexual health information and training to provide appropriate advice. Objective The aim of this paper is to review the characteristics of community-based sexual health training in Pacific Island Countries and Territories (PICTs), as reported in published literature. This is evidence to inform the development of sexual health training programs for women in PNG. Methods A systematic search of databases, repositories and websites identified peer-reviewed studies. Grey literature was also sourced from government and non-government organisations and PNG health professionals. Six published papers, one report, one health worker practice manual and one health worker training package were identified for inclusion. Selected papers were assessed against the Canadian Hierarchy of Evidence to determine quality of evidence for practice. Themes were identified using a thematic analysis approach. Results Three themes became apparent from the literature synthesis: i) program development ; ii) mode of delivery , and iii) evaluation . Social and cultural context influenced all elements of sexual health training in PICTs. Few studies reported evidence of comprehensive evaluation. Conclusions Successful sexual health training programs in PICT communities are designed and delivered accounting for local contexts. Programs that engage participants with diverse abilities inspire change to achieve desired outcomes. Key findings from this study can be used to assist women leaders to contextualise and operationalise sexual health training to promote the wellbeing of members in their communities.
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