Reflexivity, positionality and power in cross-cultural participatory action research with research assistants in rural Cambodia

Ozano, Kim; Khatri, Rose

doi:10.1080/09650792.2017.1331860

Cited by 34 publications

(28 citation statements)

References 22 publications

(33 reference statements)

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“…Regular audio and written reflexivity through text chat, Skype and in person took place to jointly decide how to manage the facilitation role, ensuring quality of research findings whilst maintaining equitable partnerships with stakeholders and co-researchers. The time and commitment to reflexivity is vital to manage the complexity of PAR approaches for HSS as found in other co-production projects for health policy and systems research ( Gilson et al , 2011 ; Lehmann and Gilson, 2015 ; Ozano and Khatri, 2018 ).…”

Section: Resultsmentioning

confidence: 99%

“…Understanding of the core principles together with clear documentation of the process is vital for ensuring quality and ethical standards within the implementation of PAR. This is only possible through extensive reflexivity which takes time, resources and commitment ( Finlay and Gough, 2008 ; Forman, 2015 ; Ozano and Khatri, 2018 ). Through reflection on and application of existing PAR principles and the identification of five additional principles we have facilitated a means of exploring; HS relational dynamics, the processes that support systems and policy change, and some of the barriers and enablers that facilitate ethical democratic HSS overall.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Guiding principles for quality, ethical standards and ongoing learning in implementation research: multicountry learnings from participatory action research to strengthen health systems

Ozano

Dean

Adekeye³

et al. 2020

Health Policy and Planning

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Global health gains can be achieved through strengthening health systems to identify and address implementation challenges in low- and middle-income countries. Participatory research, that promotes joint problem and solution finding between communities and different health systems actors, supports policy implementation analysis at all levels. Within the neglected tropical disease programmes in Liberia and Nigeria, we applied participatory action research (PAR) to address programmatic and health system bottlenecks with health systems strengthening embedded. This paper shares learning from 20 interviews with co-researchers, from national and sub-national levels and academic researchers who worked collaboratively to understand challenges, co-create solutions and advocate for policy change. Through analysis and reflections of existing PAR principles, we inductively identified five additional guiding principles for quality, ethical standards and ongoing learning within PAR projects that aim to strengthen health systems. (1) Recognize communities as units of identity and define stakeholder participation to ensure equitable engagement of all actors; (2) enable flexible action planning that builds on existing structures whilst providing opportunities for embedding change; (3) address health systems and research power differentials that can impede co-production of knowledge and solution development; (4) embed relational practices that lead to new political forms of participation and inquiry within health systems and (5) develop structures for ongoing learning at multiple levels of the health system. PAR can strengthen health systems by connecting and co-creating potentially sustainable solutions to implementation challenges. Additional research to explore how these five additional principles can support the attainment of quality and ethical standards within implementation research using a PAR framework for health systems strengthening is needed.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Guiding principles for quality, ethical standards and ongoing learning in implementation research: multicountry learnings from participatory action research to strengthen health systems

Ozano

Dean

Adekeye³

et al. 2020

Health Policy and Planning

Self Cite

View full text Add to dashboard Cite

show abstract

“…When doing similar research, qualitative doctoral researchers should, therefore, not ignore their vulnerabilities; rather they should accept these as a part of the research experience (Howard & Hammond, 2019). The findings of this study also highlighted that when doing similar doctoral research it is also very important to gain a wider cultural understanding of the research context and its people (Ozano & Khatri, 2018). Cultural sensitivity is an important aspect of researching with people from different cultures (Liamputtong, 2008).…”

Section: Concluding Thoughtsmentioning

confidence: 90%

My Doctoral Journey: An Autoethnography of Doing Sensitive Research in a Different Cultural Context

Ramanayake

2020

IJDS

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Aim/Purpose: This paper aims to provide important learning insights for doctoral students, researchers and practitioners who wish to research on sensitive topics with research participants from a significantly different culture from their own. Background: Embarking on doctoral research in different cultural contexts presents challenges for doctoral students, especially when researching a sensitive topic. Methodology: This paper uses an autoethnography as its research methodology. Contribution: This paper extends the literature on doctoral researchers’ experiences of exploring the lived experiences of senior travellers who have faced major life events. Little of the previous literature on the experiences of PhD students has explored the experiences they had while researching on a sensitive topic in a different cultural context to their own. To fill this knowledge gap, this paper presents an autoethnography of my experiences. Findings: This paper presents some critical insights into undertaking research in another culture. Its findings are outlined under the following four themes: (a) Feeling vulnerable, (b) Building rapport, (c) Preparing for the unexpected, and (d) Exploring lived experiences. Recommendations for Practitioners: When conducting sensitive cross-cultural research, understanding researchers’ vulnerabilities, rapport-building and preparing for the unexpected are very important. The use of a visual element is beneficial for the participants in their idea generation process. Visual methods have the potential to capture the lived experiences of participants and enable them to reflect on those. Recommendation for Researchers: Doing cross-cultural sensitive doctoral research poses a number of methodological and practical challenges. It was very important to gain a wider cultural understanding of the country and its people in my cross-cultural doctoral research. To this end, this paper suggests that future doctoral researchers consider volunteering with the community as a way to gain understanding of the research context when preparing to undertake cross-cultural research. Impact on Society: The findings support the importance of cultural sensitivity when doing cross-cultural research. Future Research: Future research could be conducted in a different cultural setting to reveal whether the key themes identified here are universal.

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“…The co-authors bring clinical and bio-medical expertise from Australia (Maria E Craig), Vietnam (Vu Chi Dung), the Philippines (Sioksoan Chan-Cua), Indonesia (Aman Pulungan, Agustini Utari) and Pakistan (Jamal Raza, Mohsina Ibrahim, Hassana Nadeem); as well as CAH Community (Joseph Hansen and Alain Benedict Yap), organisational (Catherine Cole), public health and sociological insights (Paul Ward). The positionality [ 18 , 19 ] of each co-author differs necessarily: as CAH community insiders and outsiders, medical and public health insiders, CLAN insiders, cultural insiders and outsiders, each brings unique power, knowledge and expertise to this analysis, and we acknowledge the many others who have contributed equally generously to collective efforts for CAH communities in the Asia Pacific region to date (please see Acknowledgements section of this paper).…”

Section: Methodsmentioning

confidence: 99%

We All Have a Role to Play: Redressing Inequities for Children Living with CAH and Other Chronic Health Conditions of Childhood in Resource-Poor Settings

Armstrong

Yap²,

Chan-Cua

et al. 2020

IJNS

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CLAN (Caring and Living as Neighbours) is an Australian-based non-governmental organisation (NGO) committed to equity for children living with chronic health conditions in resource-poor settings. Since 2004, CLAN has collaborated with a broad range of partners across the Asia Pacific region to improve quality of life for children living with congenital adrenal hyperplasia (CAH). This exploratory case study uses the Knowledge to Action (KTA) framework to analyse CLAN’s activities for children living with CAH in the Asia Pacific. The seven stages of the KTA action cycle inform a systematic examination of comprehensive, collaborative, sustained actions to address a complex health challenge. The KTA framework demonstrates the “how” of CLAN’s approach to knowledge creation and exchange, and the centrality of community development to multisectoral collaborative action across a range of conditions, cultures and countries to redressing child health inequities. This includes a commitment to: affordable access to essential medicines and equipment; education, research and advocacy; optimisation of medical management; encouragement of family support groups; efforts to reduce financial burdens; and ethical, transparent program management as critical components of success. Improvements in quality of life and health outcomes are achievable for children living with CAH and other chronic health conditions in resource-poor settings. CLAN’s strategic framework for action offers a model for those committed to #LeaveNoChildBehind.

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Reflexivity, positionality and power in cross-cultural participatory action research with research assistants in rural Cambodia

Abstract: The version presented here may differ from the published version or from the version of the record. Please see the repository URL above for details on accessing the published version and note that access may require a subscription.

Cited by 34 publications

References 22 publications

Guiding principles for quality, ethical standards and ongoing learning in implementation research: multicountry learnings from participatory action research to strengthen health systems

Guiding principles for quality, ethical standards and ongoing learning in implementation research: multicountry learnings from participatory action research to strengthen health systems

My Doctoral Journey: An Autoethnography of Doing Sensitive Research in a Different Cultural Context

We All Have a Role to Play: Redressing Inequities for Children Living with CAH and Other Chronic Health Conditions of Childhood in Resource-Poor Settings

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