Department of Communication, University of Minnesota, Duluth, MN 55812, USA.
Health Commun. 2009 Dec;24(8):692-702. doi: 10.1080/10410230903264006.
This study uses the case study method to investigate the processes used by a local nongovernmental organization called the Society for People's Action for Development to organize sex workers in the slums of Bangalore, India, for HIV/AIDS prevention. The nongovernmental organization-facilitated HIV/AIDS program is based on the new paradigm of community organizing that encourages community participation and capacity building. Grounded in the culture-centered approach, this study documents the processes used to organize the women, while highlighting the role of communication in these processes. The study identifies 4 primary processes used to mobilize the community, namely collectivization, community awareness and sensitization, capacity building, and providing legal education and support. Each of these processes highlights the importance of attending to the economic, social, and political realities that shape the health of women. The common thread linking these processes together is the notion of "voice." More specifically, each process serves as a catalyst to produce discursive practices that enable women to provide support to each other, increase awareness in the community about the problems that they face, build self-reliance through financial skills training and communication training, and defend their legal rights. In addition, the study suggests that the primary role of nongovernmental organizations should be the creation of "communicative spaces," which are discursive and material spaces within marginalized communities and mainstream society where cultural participants can identify problems (oftentimes beyond the realm of health), manage solutions to those problems, and advocate for health and social change.
本研究采用案例研究方法,调查了当地非政府组织“人民行动发展协会”(简称 SAPD)在印度班加罗尔贫民窟组织性工作者预防艾滋病毒/艾滋病的过程。该非政府组织促进艾滋病毒/艾滋病项目基于鼓励社区参与和能力建设的社区组织新范式。本研究以文化为中心的方法为基础,记录了组织这些妇女的过程,同时强调了沟通在这些过程中的作用。研究确定了用于动员社区的 4 个主要过程,即集体化、社区意识和宣传、能力建设以及提供法律教育和支持。这些过程中的每一个都强调了关注塑造妇女健康的经济、社会和政治现实的重要性。将这些过程联系在一起的共同主线是“声音”的概念。更具体地说,每个过程都是促进话语实践的催化剂,使妇女能够相互提供支持,提高社区对她们所面临问题的认识,通过财务技能培训和沟通培训建立自力更生能力,并捍卫自己的合法权利。此外,该研究还表明,非政府组织的主要作用应该是创造“交流空间”,这些空间是边缘社区和主流社会中具有话语和物质性质的空间,文化参与者可以在这些空间中识别问题(通常超出健康领域)、管理这些问题的解决方案,并倡导健康和社会变革。