Swaans Kees, Broerse Jacqueline, Meincke Maylin, Mudhara Maxwell, Bunders Joske
Athena Institute for Research on Innovation and Communication in Health and Life Sciences, Faculty of Earth- and Life Sciences, VU University Amsterdam, De Boelelaan 1085, 1081 HV Amsterdam, The Netherlands.
Eval Program Plann. 2009 Feb;32(1):31-42. doi: 10.1016/j.evalprogplan.2008.09.002. Epub 2008 Sep 24.
Participatory and interdisciplinary approaches have been suggested to develop appropriate agricultural innovations as an alternative strategy to improve food security and well-being among HIV/AIDS affected households. However, sustainable implementation of such interactive approaches is far from easy and straight forward. This study reports of the Interactive Learning and Action (ILA) approach, a methodology for agricultural innovation which has been adapted to the context of HIV/AIDS. Role players in agriculture and health were brought together to stimulate and sustain innovation among three support groups for poor and affected households in a rural high HIV/AIDS prevalence area in South Africa. The effectiveness of the approach was evaluated using both outcome and process criteria. The results indicate that an interactive approach in which service providers/researchers engage themselves as actors to explore the livelihood system and develop appropriate solutions in joint collaboration with resource users has potential. However, it also revealed that cooperation among participants and stakeholders at the interface of agriculture and HIV/AIDS is complicated and sensitive to erosion. Of particular concern was the difficulty of mobilizing members from poor and affected households to participate and to overcome stigma and discrimination. Lessons and potential applications for the further development of interactive approaches are discussed.
有人建议采用参与性和跨学科方法来开发适当的农业创新，以此作为改善受艾滋病毒/艾滋病影响家庭的粮食安全和福祉的替代战略。然而，可持续实施这种互动方法绝非易事，也并非一帆风顺。本研究报告了互动学习与行动（ILA）方法，这是一种已适应艾滋病毒/艾滋病背景的农业创新方法。农业和卫生领域的参与者齐聚一堂，以促进和维持南非一个艾滋病毒/艾滋病高流行率农村地区的三个贫困和受影响家庭支持小组的创新。使用结果和过程标准对该方法的有效性进行了评估。结果表明，服务提供者/研究人员作为行动者参与其中，与资源使用者共同探索生计系统并制定适当解决方案的互动方法具有潜力。然而，研究还表明，农业与艾滋病毒/艾滋病交叉领域的参与者和利益相关者之间的合作复杂且容易受到损害。特别令人担忧的是，动员贫困和受影响家庭的成员参与并克服耻辱感和歧视存在困难。文中讨论了互动方法进一步发展的经验教训和潜在应用。
