The Farmer Life School: experience from an innovative approach to HIV education among farmers in South Africa

Swaans, Kees; Broerse, Jacqueline E W; Salomon, Monique; Mudhara, Maxwell; Mweli, Makhosazana; Bunders, Joske

doi:10.1080/17290376.2008.9724902

Cited by 9 publications

(7 citation statements)

References 7 publications

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“…Qualitative data obtained from the included studies were collected through in-depth interviews, focus group discussions, and semi-structured interviews [27,[43][44][45][46][47]. The mixed-methods studies combined quantitative and qualitative data sources [48], while the conference abstract presented secondary data from an outreach programme [49].…”

Section: Resultsmentioning

confidence: 99%

Provision of HIV prevention and care services to farmworkers in sub‐Saharan African countries

Mlangeni,

Adetokunboh,

Lembani

et al. 2023

Tropical Med Int Health

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ObjectivesTo summarise data on human immunodeficiency virus (HIV) services available to farmworkers in sub‐Saharan Africa (SSA).MethodsWe conducted a systematic review to understand which HIV prevention and care services were accessed by farm workers in SSA. MEDLINE (PubMed), Embase, CINAHL (EBSCO Host), Cochrane library, African Index Medicus, Scopus, Google Scholar, Open Grey, and Web of Science Proceedings Citation Index were searched. Studies were eligible for inclusion if they measured or reported on the presence of HIV workplace policy frameworks, guidelines, or programmes for HIV prevention, treatment and care services, and other treatment modalities specifically targeting farmworkers.ResultsNine studies published between 2005 and 2019 were included in the review. Six themes emerged from included studies, which include HIV policy, HIV prevention (awareness, education, and condom supply), voluntary counselling and testing, antiretroviral therapy (ART), linkage to care, and mobile clinic. Though availability of an HIV policy was inadequate, a significant positive impact of the HIV policy in influencing behaviour change was reported. Most of the farm workers could access HIV education and condom supply in their places of work. Access to ART, treatment support, and linkage to care was inadequate, but community outreach programmes and mobile clinics showed success in reaching a high number of workers with HIV testing and treatment. A majority of farm workers faced barriers in accessing government health facilities.ConclusionsThe findings suggest that there is poor access to HIV services for farmworkers in SSA. There is a dire need to scale up HIV services and programmes, including mobile health facilities, in agricultural settings. Due to high labour migration patterns among farmworkers, we recommend cross‐country HIV programmes that allow continuity of care across borders.

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Section: Resultsmentioning

confidence: 99%

Provision of HIV prevention and care services to farmworkers in sub‐Saharan African countries

Mlangeni,

Adetokunboh,

Lembani

et al. 2023

Tropical Med Int Health

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“…They would then be involved in defining, implementing, monitoring, and evaluating health activities. Some examples of successful capacity-building interventions in local settings using participative approaches are provided by Swaans et al(2008) in South Africa [57], Björkman and Svensson (2009) in Uganda [53], Katahoire et al (2015) in Kenya [58], and Manandhar et al (2004) in Nepal [22]. …”

Section: Discussionmentioning

confidence: 99%

Understanding the local context and its possible influences on shaping, implementing and running social accountability initiatives for maternal health services in rural Democratic Republic of the Congo: a contextual factor analysis

Mafuta

Hogema

Mambu

et al. 2016

BMC Health Serv Res

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BackgroundSocial accountability has to be configured according to the context in which it operates. This paper aimed to identify local contextual factors in two health zones in the Democratic Republic of the Congo and discuss their possible influences on shaping, implementing and running social accountability initiatives.MethodsData on local socio-cultural characteristics, the governance context, and socio-economic conditions related to social accountability enabling factors were collected in the two health zones using semi-structured interviews and document reviews, and were analyzed using thematic analysis.ResultsThe contexts of the two health zones were similar and characterized by the existence of several community groups, similarly structured and using similar decision-making processes. They were not involved in the health sector’s activities and had no link with the health committee, even though they acknowledged its existence. They were not networked as they focused on their own activities and did not have enough capacity in terms of social mobilization or exerting pressure on public authorities or providers.Women were not perceived as marginalized as they often occupied other positions in the community besides carrying out domestic tasks and participated in community groups. However, they were still subject to the local male dominance culture, which restrains their involvement in decision-making, as they tend to be less educated, unemployed and suffer from a lack of resources or specific skills.The socio-economic context is characterized by subsistence activities and a low employment rate, which limits the community members’ incomes and increases their dependence on external support.The governance context was characterized by imperfect implementation of political decentralization. Community groups advocating community rights are identified as “political” and are not welcomed. The community groups seemed not to be interested in the health center’s information and had no access to media as it is non-existent.ConclusionsThe local contexts in the two health zones seemed not to be supportive of the operation of social accountability initiatives. However, they offer starting points for social accountability initiatives if better use is made of existing contextual factors, for instance by making community groups work together and improving their capacities in terms of knowledge and information.Electronic supplementary materialThe online version of this article (doi:10.1186/s12913-016-1895-3) contains supplementary material, which is available to authorized users.

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“…A group-based approach provides an opportunity for different actors to interact, build trust, and engage in joint learning, and can potentially provide an opportunity to transform underlying values and patterns of interaction that may hinder innovation. However, this may work better in homogeneous settings where people are free to express themselves, than in heterogeneous settings such as IPs (Swaans et al 2008). Under such circumstances, combining multiactor platforms with subgroups which can focus on the needs of specific actors should be considered.…”

Section: Discussionmentioning

confidence: 99%

Innovation for inclusive value-chain development: Successes and challenges

Devaux¹,

Donovan²,

Horton³

et al. 2016

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If you would like to write for this, or any other Emerald publication, then please use our Emerald for Authors service information about how to choose which publication to write for and submission guidelines are available for all. Please visit www.emeraldinsight.com/authors for more information. About Emerald www.emeraldinsight.com Emerald is a global publisher linking research and practice to the benefit of society. The company manages a portfolio of more than 290 journals and over 2,350 books and book series volumes, as well as providing an extensive range of online products and additional customer resources and services. Emerald is both COUNTER 4 and TRANSFER compliant. The organization is a partner of the Committee on Publication Ethics (COPE) and also works with Portico and the LOCKSS initiative for digital archive preservation. Abstract Purpose-The purpose of this paper is to focus on an information technology (IT) deployment project in the specific field of agricultural cooperatives. It also aims to underline the importance of the IT implementation phase, but also the pre-implementation phase. Design/methodology/approach-A four-year canonical action research project was conducted within a network of more than 300 agricultural cooperatives. Research was carried out both during the IT implementation and after deployment. Key information was gathered through unstructured and unofficial interviews, observations, field notes, meetings, focus groups, and documentary analysis. Findings-Despite user resistance behavior, the findings show that information systems (IS) implementation may lead to unexpected results that extend beyond the tool's initial objectives. Indeed, four hidden facets of the tool were revealed: inductor, symbol, pretext, and reference. Research limitations/implications-Although the research is limited to one single-case study, it puts the emphasis on in-depth research, vs cross-sectional data collection, to analyze the relationship between IT implementation initiatives and organizational intelligence. Furthermore, the authors argue that while IS literature has separately developed related theories (actor-network theory, competitive intelligence), the authors conceptualize a whole theoretic system interrelating the two above-stated theories. Practical implications-The implication for IS practitioners is that, by focusing only on experiences that have occurred during IT implementation, one may disregard critical information, behaviors and knowledge from unforeseen effects that have occurred after implementation. In future IT projects, IS managers therefore need to capitalize on post-implementation knowledge, through sociology of translation and competitive intelligence, in order to anticipate potential diversions from the initial objectives. Finally, while most IT implementation methods tend naturally to manage resistance maximize users' satisfaction and to reduce potential resistance, the authors support an alternative approach. It consists into enhancing resistance in order to anticipate and r...

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The Farmer Life School: experience from an innovative approach to HIV education among farmers in South Africa

Cited by 9 publications

References 7 publications

Provision of HIV prevention and care services to farmworkers in sub‐Saharan African countries

Provision of HIV prevention and care services to farmworkers in sub‐Saharan African countries

Understanding the local context and its possible influences on shaping, implementing and running social accountability initiatives for maternal health services in rural Democratic Republic of the Congo: a contextual factor analysis

Innovation for inclusive value-chain development: Successes and challenges

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