Perspectives Of Community Leaders Research Articles

Rethinking peace and violence from the favelas

ABSTRACT This article reconsiders peace and security from the perspectives of community leaders, educators and activists in favelas in Rio de Janeiro, Brazil, in 2019–2020. Through a critical lens, it argues that the urban violence in Rio de Janeiro resembles a form of new wars where the state is a major producer of insecurity. It questions the meaning of peace and top-down pacification processes in a city where the favelas, since their origin, have been considered dangerous areas needing to be pacified and controlled. The article introduces favela peace formation as a concept to describe alternative processes working to reduce the intersectional forms of violence in these communities: non-violent, locally legitimate peace processes working to slowly construct a positive, sustainable peace. To conclude, it discusses how favela peace formation presents a way of imagining peace as ‘care’ instead of ‘order’ in response to the state’s violent peace as ‘control’.

Community demand for comprehensive primary health care from malaria volunteers in South-East Myanmar: a qualitative study

BackgroundMalaria volunteers have contributed significantly to malaria control achieving a reduction of annual parasite incidence to pre-elimination levels in several townships across Myanmar. However, the volunteers’ role is changing as Myanmar transitions from a malaria control to elimination programme and towards the goal of universal health coverage. The aim of the study is to explore the perspectives of community leaders, members and malaria volunteers in South-East Myanmar on community-delivered models to inform an optimal design that targets malaria elimination in the context of primary health care in Myanmar.MethodsQualitative methods including focus group discussions (FGDs) with community members and current or ex-malaria volunteers, and participatory workshops with community leaders were conducted. All data collection tools were pilot tested with similar participants. The FGDs were stratified into male and female participants in consideration of diverse gender roles among the ethnic groups of Myanmar. Data saturation was the key cut-off point to cease recruitment of participants. Inductive thematic analysis was used.ResultsCommunity members were willing to be tested for malaria because they were concerned about the consequences of malaria although they were aware that malaria prevalence is low in their villages. Malaria volunteers were the main service providers for malaria and other infectious diseases in the community. Apart from malaria, the community identified common health problems such as the flu (fever, sneezing and coughing), diarrhoea, skin infections and tuberculosis as priority diseases in this order. Incorporating preventive, and whenever possible curative, services for those diseases into the current malaria volunteer model was recommended.Discussion and conclusionThere was a gap between the communities’ expectations of health services and the health services currently being delivered by volunteers in the community that highlights the need for reassessment and reform of the volunteer model in the changing context. An evidence-based, community preferred, pragmatic community-delivered integrated model should be constructed based on the context of malaria elimination and progressing towards universal health coverage in Myanmar.

Developing pathways for community-led research with big data: a content analysis of stakeholder interviews

BackgroundBig data (BD) informs nearly every aspect of our lives and, in health research, is the foundation for basic discovery and its tailored translation into healthcare. Yet, as new data resources and citizen/patient-led science movements offer sites of innovation, segments of the population with the lowest health status are least likely to engage in BD research either as intentional data contributors or as ‘citizen/community scientists’. Progress is being made to include a more diverse spectrum of research participants in datasets and to encourage inclusive and collaborative engagement in research through community-based participatory research approaches, citizen/patient-led research pilots and incremental research policy changes. However, additional evidence-based policies are needed at the organisational, community and national levels to strengthen capacity-building and widespread adoption of these approaches to ensure that the translation of research is effectively used to improve health and health equity. The aims of this study are to capture uses of BD (‘use cases’) from the perspectives of community leaders and to identify needs and barriers for enabling community-led BD science.MethodsWe conducted a qualitative content analysis of semi-structured key informant interviews with 16 community leaders.ResultsBased on our analysis findings, we developed a BD Engagement Model illustrating the pathways and various forces for and against community engagement in BD research.ConclusionsThe goal of our Model is to promote concrete, transparent dialogue between communities and researchers about barriers and facilitators of authentic community-engaged BD research. Findings from this study will inform the subsequent phases of a multi-phased project with the ultimate aims of organising fundable frameworks and identifying policy options to support BD projects within community settings.

Reconsidering school improvement through the community equity literacy leadership assessment (CELLA) for principals

PurposeThe purpose of this paper is to reconsider school improvement from the perspectives of community leaders who support urban schools in equitable ways.Design/methodology/approachThis study employs the Delphi method to elicit feedback from community leaders.FindingsFindings highlight how the community equity literacy leadership assessment’s (CELLA) constructs can be expanded to include essential knowledge and practices that improve schooling conditions for students.Originality/valueThis study extends the existing research on school improvement in two ways. First, this study reconsiders school improvement from the perspectives of community leaders who support urban schools in equitable ways. Second, and in doing so, this study examines how a panel of 16 “expert community leaders” offered feedback on the CELLA for principals, an emerging survey instrument to help educational leaders improve school and community conditions.

Maternal and reproductive health (MRH) services during the 2013 eruption of Mount Sinabung: A qualitative case study from Indonesia

ABSTRACTMaternal and reproductive health (MRH) needs are particularly heightened during disasters, affecting the long-term maternal morbidity and mortality. This single case study, drawing on the 2013 eruption of Mount Sinabung, Indonesia, aimed to investigate the experiences of pregnant women and the perspectives of community leaders on the accessibility and the provision of MRH services during the emergency response phase. The study was conducted between August 2017 and April 2018 in the newly relocated villages in Siosar Kabanjahe, Karo district. Data were collected from two stakeholder groups over two phases. Phase 1 with 10 women who were pregnant at the time of the eruption. Phase 2 with 16 community leaders. Data were thematically analysed and utilised NVivo software. While there were considerable efforts to provide MRH services following the eruption, these were described as inadequate. The activation of local disaster management authorities and provision of free-of-charge MRH services were seen as imperative to improving the disaster responses. To improve responses in future disasters, health authorities are recommended to upscale health information systems in emergencies, educate health professionals on Disaster Risk Management (DRM), improve guidelines related to temporary shelter and improve multi-sectoral coordination to ensure MRH provision is aligned with DRM policies.

Community leaders’ perspectives on facilitators and inhibitors of health promotion among the youth in rural South Africa

IntroductionThere are a number of factors that influence health promotion activities among the youth. This study sought to gain a comprehensive understanding of the facilitators and inhibitors of health promotion among the youth from the perspectives of community leaders in a rural setting in South Africa. MethodsThe study adopted an exploratory, descriptive and contextual qualitative approach involving community leaders in rural South Africa. Data saturation occurred after individual interviews with 21 participants. Data analysis employed the principles of content analysis. ResultsWe found that facilitators of health promotion were access to education on the benefits of health promotion activities, efforts of organizations and community leaders/teachers, access to health care services and engaging in physical activities, and youth motivation and positive role modelling. The themes that described the inhibitors of health promotion were inadequate recreational and health facilities and health personnel, the impact of stringent religious doctrines, unemployment, social vices and poor parenting. ConclusionWe concluded that there is the need to implement more engaging activities and opportunities for the youth and parents in rural communities to enhance health promotion.

Engaging African-Caribbean, Asian, and Latino community leaders to address HIV stigma in Toronto

Purpose Racialized minority and newcomer communities are over-represented in positive HIV cases in Canada. Stigma has been identified as one of the barriers to HIV prevention, testing, and treatment. Faith, media, and social justice sectors have historically served a vital role in promoting health issues in these communities. However, they have been relatively inactive in addressing HIV-related issues. The purpose of this paper is to report on the results of an exploratory study that engaged faith, media, and social justice leaders in the African-Caribbean, Asian, and Latino communities in Toronto. Design/methodology/approach This study used a qualitative interpretive design and focus groups to explore the challenges and opportunities in addressing HIV stigma. A total of 23 people living with HIV and 22 community leaders took part in seven focus groups. Intersectionality was used as an analytical lens to examine the social processes that perpetuate HIV stigma. Findings This paper focuses on the perspectives of community leaders. Five themes were identified: misconception of HIV as a gay disease; moralistic religious discourses perpetuate HIV stigma; invisibility of HIV reinforces community denial; need to promote awareness and compassion for people with HIV; and the power of collective community efforts within and across different sectors. Originality/value Although affected communities are faced with many challenges related to HIV stigma, effective change may be possible through concerted efforts championed by people living with HIV and community leaders. One important strategy identified by the participants is to build strategic alliances among the HIV, media, faith, social justice, and other sectors. Such alliances can develop public education and HIV champion activities to promote public awareness and positive emotional connections with HIV issues, challenge HIV stigma and related systems of oppression, and engage young people in HIV championship.

Exemplary public library branch managers: their characteristics and effectiveness

PurposeThe purpose of this paper is to revisit a study that identifies the characteristics that contribute to perceptions by local politicians, library board members, library leaders and colleagues of what makes a public library branch manager “exemplary”.Design/methodology/approachThe paper is an in‐depth study that draws upon a survey questionnaire and 120 interviews with multiple stakeholders, supervisors, peers and branch managers from two large public library systems in the Greater Vancouver (British Columbia, Canada) area and peer members of the Ontario (Canada) Library Association. Branch managers also completed the Myers‐Briggs Type Indicator assessment instrument for personality type and temperament profiling.FindingsSurvey results collectively described the exemplary branch manager as a flexible individual with best‐practice management know‐how and the emotional intelligence needed to motivate and bring others along. The exemplary branch manager has a strong tendency toward extraverted behaviors.Practical implicationsKnowledge can be leveraged to improve graduate school curriculum, career planning, recruitment, and staff training and development to enhance the effectiveness of public library branch managers as perceived by community and library leaders.Originality/valueThe paper provides perceptual, behavioral and psychometric evidence that incorporates perspectives of community leaders, colleagues and staff needed to identify core competencies for public library branch managers.