Evaluation of Women's Empowerment in a Community-Based Human Papillomavirus Self-Sampling Social Entrepreneurship Program (Hope Project) in Peru: A Mixed-Method Study.

Autor:	Shin MB; School of Nursing, University of Washington, Seattle, WA, United States., Garcia PJ; School of Public Health, Cayetano Heredia University, Lima, Peru.; Department of Global Health, University of Washington, Seattle, WA, United States., Dotson ME; Department of Biomedical Engineering, Duke University, Durham, NC, United States.; Center for Global Women's Health Technologies, Duke University, Durham, NC, United States.; Duke Global Health Institute, Duke University, Durham, NC, United States., Valderrama M; School of Public Health, Cayetano Heredia University, Lima, Peru., Chiappe M; School of Public Health, Cayetano Heredia University, Lima, Peru., Ramanujam N; Department of Biomedical Engineering, Duke University, Durham, NC, United States.; Center for Global Women's Health Technologies, Duke University, Durham, NC, United States.; Duke Global Health Institute, Duke University, Durham, NC, United States., Krieger M; Department of Biomedical Engineering, Duke University, Durham, NC, United States.; Center for Global Women's Health Technologies, Duke University, Durham, NC, United States.; Duke Global Health Institute, Duke University, Durham, NC, United States.; Calla Health Foundation, Durham, NC, United States., Ásbjörnsdóttir K; Department of Epidemiology, University of Washington, Seattle, WA, United States.; Center of Public Health Sciences, University of Iceland, Reykjavik, Iceland., Barnabas RV; Department of Global Health, University of Washington, Seattle, WA, United States.; Department of Epidemiology, University of Washington, Seattle, WA, United States.; Division of Infectious Diseases, Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States., Iribarren SJ; Department of Biobehavioral Nursing and Health Informatics, University of Washington, Seattle, WA, United States., Gimbel S; Department of Global Health, University of Washington, Seattle, WA, United States.; Department of Child, Family, and Population Health Nursing, University of Washington, Seattle, WA, United States.
Jazyk:	angličtina
Zdroj:	Frontiers in public health [Front Public Health] 2022 Jun 13; Vol. 10, pp. 858552. Date of Electronic Publication: 2022 Jun 13 (Print Publication: 2022).
DOI:	10.3389/fpubh.2022.858552
Abstrakt:	Introduction: Understanding community women's relational and financial empowerment in social entrepreneurship could be the key to scaling up community-based human papillomavirus (HPV) self-sampling programs in low- and middle-income countries. The Hope Project, social entrepreneurship in Peru, trains women (Hope Ladies) to promote HPV self-sampling among other women in their communities. This study aims to evaluate the Hope Ladies' relational and financial empowerment after participating in the program. Materials and Methods: We evaluated the Hope Ladies' experiences of empowerment in social entrepreneurship using a parallel convergent mixed methods design. The Hope Ladies participated in semi-structured in-depth interviews ( n = 20) and an eight-questions five-point Likert scale survey that evaluated their relational ( n = 19)/financial ( n = 17) empowerment. The interview and the survey questions were developed using three empowerment frameworks: Kabeer's conceptual framework, International Center for Research on Women's economic empowerment indicators, and the Relational Leadership Theory. Deductive content analysis was used to evaluate the interviews with pre-determined codes and categories of empowerment. Descriptive statistics were used to analyze the survey results. Qualitative and quantitative data were integrated through a cross-case comparison of emergent themes and corresponding survey responses during the results interpretation. Results: All Hope Ladies reported experiencing increased empowerment in social entrepreneurship. Interviews: The women reported challenges and improvement in three categories of empowerment: (1) resources (balancing between household and Hope Lady roles, recognition from the community as a resource, camaraderie with other Hope Ladies); (2) agency (increased knowledge about reproductive health, improved confidence to express themselves, and ability to speak out against male-dominant culture); and (3) achievement (increased economic assets, improved ability to make financial decisions, and widened social network and capital, and technology skills development). Survey : All (100%) agreed/totally agreed an increase in social contacts, increased unaccompanied visits to a healthcare provider (86%), improved confidence in discussing reproductive topics (100%), improved ability to make household decisions about money (57% pre-intervention vs. 92% post-intervention). Conclusions: The Hope Ladies reported improved relational and financial empowerment through participating in community-based social entrepreneurship. Future studies are needed to elucidate the relationship between empowerment and worker retention/performance to inform the scale-up of HPV self-sampling social entrepreneurship programs. Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (Copyright © 2022 Shin, Garcia, Dotson, Valderrama, Chiappe, Ramanujam, Krieger, Ásbjörnsdóttir, Barnabas, Iribarren and Gimbel.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu