Nuestras Historias- Designing a novel digital story intervention through participatory methods to improve maternal and child health in the Peruvian Amazon

Autor: Neha P. Limaye, Cesar Carcamo, Andrea C. Rivas-Nieto, Magaly M. Blas
Jazyk: angličtina
Rok vydání: 2018
Předmět:
health care delivery
Persuasion
workshop
Maternal Health
health care survey
Psychological intervention
Video Recording
Social Sciences
lcsh:Medicine
Transportation
Pediatrics
Labor and Delivery
0302 clinical medicine
Sociology
Pregnancy
Peruvian
Surveys and Questionnaires
Peru
Medicine and Health Sciences
Photovoice
Photography
Psychology
traffic and transport
Public and Occupational Health
030212 general & internal medicine
lcsh:Science
maternal welfare
media_common
Child health
Multidisciplinary
4. Education
Child Health
Obstetrics and Gynecology
3. Good health
female
Health education and awareness
Health Education and Awareness
Engineering and Technology
health program
Female
Workshops
0305 other medical science
Research Article
Adult
education program
health care personnel
Imaging Techniques
media_common.quotation_subject
rural area
Research and Analysis Methods
Article
medical photography
Education
educational status
Domestic violence
03 medical and health sciences
Nursing
male
Humans
Narrative
human
Labor and delivery
Curriculum
purl.org/pe-repo/ocde/ford#3.02.03 [https]
Behavior
030505 public health
Digital storytelling
pregnancy outcome
maternal mortality
questionnaire
videorecording
lcsh:R
Community Participation
Biology and Life Sciences
program acceptability
Health Care
Birth
Women's Health
lcsh:Q
Rural area
Zdroj: CONCYTEC-Institucional
Consejo Nacional de Ciencia Tecnología e Innovación Tecnológica
instacron:CONCYTEC
PLoS ONE, Vol 13, Iss 11, p e0205673 (2018)
PLoS ONE
Popis: Background In rural areas of the Loreto region within the Peruvian Amazon, maternal mortality rate is above the national average and the majority of women deliver at home without care from a trained health care provider. Methods To develop community-tailored videos that could be used for future interventions, we conducted Photovoice and digital storytelling workshops with community health workers (CHW) and mothers from 13 rural communities in the Parinari district. Through Photovoice we recognized local barriers to healthy pregnancies. Participants (n = 28) were trained in basic photography skills and ethics. They captured photos representing perceived pregnancy-related road-blocks and supports, and these photos identified central themes. Participants recorded personal stories and “storyboarded” to develop digital stories around these themes, and a Digital Story Curriculum called Nuestras Historias (Our Stories), was created. An acceptability survey of the digital stories was then conducted including 47 men (M) and 60 women (F). Results According to the PhotoVoice workshops, pregnancy-related problems included: lack of partner support, domestic violence, early pregnancies, difficulty attending prenatal appointments, and complications during pregnancy and delivery. Over 30 stories on these themes were recorded. Seven were selected based on clarity, thematic relevance, and narrative quality and were edited by a professional filmmaker. The acceptability survey showed that local participants found the digital stories novel (M = 89.4%, F = 83.3%), relatable (M = 89.4%, F = 93.2%), educational (M = 91.5%, F = 93.3%) and shareable (M = 100%, F = 100%). Over 90% of respondents rated the digital stories as “Excellent” or “Good”, found the videos “Useful” and considered them “Relevant” to their communities. Conclusions The digital stories address community-specific problems through narrative persuasion using local voices and photography. This combination had a high acceptability among the target population and can serve as a model for developing educational strategies in a community-tailored manner. This package of seven videos will be further evaluated through a cluster randomized trial.
Databáze: OpenAIRE
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