Kombo Bernadette, Sariola Salla, Gichuru Evanson, Molyneux Sassy, Sanders Eduard J, van der Elst Elise
HIV Key Populations Studies, KEMRI/Wellcome Trust Research Programme, Kilifi, Kenya.
Department of Public Health, The Ethox Centre, University of Oxford, Oxford, UK.
Cogent Med. 2017 May 27;4(1):1330728. doi: 10.1080/2331205X.2017.1330728. eCollection 2017.
Kenya is a generally homophobic country where homosexuality is criminalised and people who engage in same sex sexuality face stigma and discrimination. In 2013, we developed a 16 min documentary entitled "" that aimed at sharing information on how and why men who have sex with men (MSM) are involved in on-going KEMRI HIV prevention research, and associated community engagement. To consider the film's usefulness as a communication tool, and its perceived security risks in case the film was publicly released, we conducted nine facilitated viewings with 122 individuals representing seven different stakeholder groups. The documentary was seen as a strong visual communication tool with potential to reduce stigma related to homosexuality, and facilitated film viewings were identified as platforms with potential to support open dialogue about HIV research involving MSM. Despite the potential, there were concerns over possible risks to LGBT communities and those working with them following public release. We opted-giving emphasis to the "do no harm" principle-to use the film only in facilitated settings where audience knowledge and attitudes can be carefully considered and discussed. The results highlight the importance of carefully assessing the range of possible impacts when using visuals in community engagement.
肯尼亚是一个普遍存在恐同现象的国家,同性恋在该国被定为犯罪,从事同性性行为的人面临耻辱和歧视。2013年,我们制作了一部时长16分钟的纪录片,名为《》,旨在分享有关男男性行为者(MSM)如何以及为何参与肯尼亚医学研究协会正在进行的艾滋病毒预防研究以及相关社区参与情况的信息。为了评估这部影片作为一种传播工具的效用,以及万一影片公开发布可能存在的安全风险,我们与代表七个不同利益相关者群体的122人进行了九次有引导的观影活动。该纪录片被视为一种强大的视觉传播工具,具有减少与同性恋相关耻辱感的潜力,有引导的观影活动被确定为有可能支持就涉及男男性行为者的艾滋病毒研究展开公开对话的平台。尽管有这些潜力,但人们担心影片公开发布后可能会给 LGBT 群体及其相关工作人员带来风险。我们选择——强调“不造成伤害”原则——仅在能够仔细考虑和讨论观众知识与态度的有引导的场合使用这部影片。结果凸显了在社区参与中使用视觉资料时仔细评估可能产生的各种影响的重要性。