| Title |
Community resistance to a peer education programme in Zimbabwe
|
|---|---|
| Published in |
BMC Health Services Research, November 2014
|
| DOI | 10.1186/s12913-014-0574-5 |
| Pubmed ID | |
| Authors |
Catherine Campbell, Kerry Scott, Zivai Mupambireyi, Mercy Nhamo, Constance Nyamukapa, Morten Skovdal, Simon Gregson |
| Abstract |
BackgroundThis paper presents community perceptions of a state-of-the-art peer education programme in Manicaland, Zimbabwe. While the intervention succeeded in increasing HIV knowledge among men and condom acceptability among women, and reduced HIV incidence and rates of unprotected sex among men who attended education events, it did not succeed in reducing population-level HIV incidence. To understand the possible reasons for this disappointing result, we conducted a qualitative study of local perspectives of the intervention.MethodsEight focus group discussions and 11 interviews with 81 community members and local project staff were conducted. Transcripts were interrogated and analysed thematically.ResultsWe identified three factors that may have contributed to the programme¿s disappointing outcomes: (1) difficulties of implementing all elements of the programme, particularly the proposed income generation component in the wider context of economic strain; (2) a moralistic approach to commercial sex work by programme staff; and (3) limitations in the programme¿s ability to engage with social realities facing community members.ConclusionsWe conclude that externally-imposed programmes that present new information without adequately engaging with local realities and constraints on action can be met by resistance to change. |
X Demographics
The data shown below were collected from the profiles of 6 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United States | 3 | 50% |
| Canada | 1 | 17% |
| Switzerland | 1 | 17% |
| Unknown | 1 | 17% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 6 | 100% |
Mendeley readers
The data shown below were compiled from readership statistics for 141 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Netherlands | 1 | <1% |
| Unknown | 140 | 99% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 30 | 21% |
| Student > Ph. D. Student | 21 | 15% |
| Researcher | 18 | 13% |
| Lecturer | 8 | 6% |
| Student > Bachelor | 8 | 6% |
| Other | 26 | 18% |
| Unknown | 30 | 21% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 30 | 21% |
| Social Sciences | 23 | 16% |
| Nursing and Health Professions | 16 | 11% |
| Psychology | 14 | 10% |
| Immunology and Microbiology | 2 | 1% |
| Other | 17 | 12% |
| Unknown | 39 | 28% |
Attention Score in Context
This research output has an Altmetric Attention Score of 4. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 26 November 2014.
All research outputs
#8,269,229
of 24,914,266 outputs
Outputs from BMC Health Services Research
#4,130
of 8,429 outputs
Outputs of similar age
#112,724
of 374,475 outputs
Outputs of similar age from BMC Health Services Research
#67
of 131 outputs
Altmetric has tracked 24,914,266 research outputs across all sources so far. This one has received more attention than most of these and is in the 66th percentile.
So far Altmetric has tracked 8,429 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 8.2. This one has gotten more attention than average, scoring higher than 50% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 374,475 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 69% of its contemporaries.
We're also able to compare this research output to 131 others from the same source and published within six weeks on either side of this one. This one is in the 49th percentile – i.e., 49% of its contemporaries scored the same or lower than it.