Hovden Lise, Paasche Tina, Nyanza Elias Charles, Bastien Sheri
Oslo University Hospital, Oslo, Norway.
Bø municipality, Vesteralen, Norway.
Qual Health Res. 2020 Sep;30(11):1647-1661. doi: 10.1177/1049732320918860. Epub 2020 May 25.
Bottom-up public health interventions are needed which are built on an understanding of community perspectives. Project SHINE is a community-based participatory action research intervention focused on developing sustainable water, sanitation, and hygiene strategies with Maasai pastoralists in Tanzania. The aim of the study is to understand perceptions related to water quality and scarcity as well as to assess the potential of the Biosand Filter as a low-cost, low-tech water treatment option. To avoid unintended harms, the community was engaged in identifying potential harms and mitigation strategies prior to the implementation of the filter.Two in-depth interviews and two group discussions were analyzed using thematic content analysis, while three think tanks were analyzed using directed content analysis. The findings highlight a range of concerns regarding water scarcity and quality. The think tank approach was an effective means of engaging the community in identifying potential unintended harms across four dimensions: the physical, psychosocial, economic, and cultural contexts. In addition, two external themes emerged as salient: political harm and harm by omission.
需要自下而上的公共卫生干预措施，这些措施应建立在对社区观点的理解之上。“SHINE项目”是一项基于社区的参与式行动研究干预措施，重点是与坦桑尼亚的马赛牧民一起制定可持续的水、环境卫生和个人卫生战略。该研究的目的是了解与水质和水资源短缺相关的看法，并评估生物砂滤池作为一种低成本、低技术的水处理选项的潜力。为避免意外危害，在安装滤池之前，让社区参与识别潜在危害和缓解策略。使用主题内容分析法对两次深度访谈和两次小组讨论进行了分析，同时使用定向内容分析法对三次智囊团讨论进行了分析。研究结果突出了一系列关于水资源短缺和水质的担忧。智囊团方法是让社区参与识别四个维度（身体、心理社会、经济和文化背景）潜在意外危害的有效手段。此外，还出现了两个突出的外部主题：政治危害和疏忽造成的危害。
