Department of Health Systems Research, COMAHS, Freetown, Western Area, Sierra Leone
Pediatrics, King Harman Road Maternal and Child Health Hospital, Freetown, Western Area, Sierra Leone.
BMJ Glob Health. 2022 May;7(5). doi: 10.1136/bmjgh-2021-008122.
COVID-19 brings uncertainties and new precarities for communities and researchers, altering and amplifying relational vulnerabilities (vulnerabilities which emerge from relationships of unequal power and place those less powerful at risk of abuse and violence). Research approaches have changed too, with increasing use of remote data collection methods. These multiple changes necessitate new or adapted safeguarding responses. This practice piece shares practical learnings and resources on safeguarding from the Accountability for Informal Urban Equity hub, which uses participatory action research, aiming to catalyse change in approaches to enhancing accountability and improving the health and well-being of marginalised people living and working in informal urban spaces in Bangladesh, India, Kenya and Sierra Leone. We outline three new challenges that emerged in the context of the pandemic (1): exacerbated relational vulnerabilities and dilemmas for researchers in responding to increased reports of different forms of violence coupled with support services that were limited prior to the pandemic becoming barely functional or non-existent in some research sites, (2) the increased use of virtual and remote research methods, with implications for safeguarding and (3) new stress, anxiety and vulnerabilities experienced by researchers. We then outline our learning and recommended action points for addressing emerging challenges, linking practice to the mnemonic 'the four Rs: recognise, respond, report, refer'. COVID-19 has intensified safeguarding risks. We stress the importance of communities, researchers and co-researchers engaging in dialogue and ongoing discussions of power and positionality, which are important to foster co-learning and co-production of safeguarding processes.
新冠疫情为社区和研究人员带来了不确定性和新的脆弱性,改变和放大了关系脆弱性(关系脆弱性源于权力不平等的关系,使权力较弱者面临滥用和暴力的风险)。研究方法也发生了变化,越来越多地使用远程数据收集方法。这些多重变化需要新的或适应的保障措施。本实践文章分享了来自非正规城市公平问责制中心的保障措施的实践经验和资源,该中心采用参与式行动研究,旨在促进在增强问责制和改善孟加拉国、印度、肯尼亚和塞拉利昂生活和工作在非正规城市空间的边缘化人群的健康和福祉方面的方法方面的改变。我们概述了在疫情背景下出现的三个新挑战(1):研究人员在应对不同形式暴力的增加报告时,关系脆弱性和困境加剧,加上支持服务在疫情前已经有限,在一些研究地点几乎无法运作或不存在,(2)虚拟和远程研究方法的增加使用,对保障措施产生影响,以及(3)研究人员经历的新的压力、焦虑和脆弱性。然后,我们概述了我们在应对新出现的挑战方面的学习和建议行动要点,将实践与记忆术“四个 R:识别、响应、报告、转介”联系起来。新冠疫情加剧了保障措施的风险。我们强调社区、研究人员和共同研究人员参与对话和持续讨论权力和地位的重要性,这对于促进保障措施的共同学习和共同制定过程至关重要。