Department of Global Health and Development, London School of Hygiene and Tropical Medicine, London, UK.
Department of Education, Practice and Society, Institute of Education, University College London, London, UK.
BMC Public Health. 2024 Oct 21;24(1):2907. doi: 10.1186/s12889-024-20440-w.
BACKGROUND: Promising evidence supports the effectiveness of edutainment interventions in shifting norms to prevent violence against women and girls and other harmful practices, yet further research into mechanisms and pathways of impact is needed to inform intervention development, delivery and scale-up. This exploratory qualitative evaluation examined the feasibility and indications of change in attitudes, beliefs, norms and behaviours following the broadcast of a radio drama aired to prevent age-disparate transactional sex in Kigoma, Tanzania. METHODS: Over seven weeks, six episodes were broadcast on local radio weekly, between November and December 2021 in Kigoma, targeting adolescent girls (aged 13-15 years) and their caregivers. Reflection sessions were conducted twice a week with 70 girls across seven schools, supplemented by after-school Girls' Club listening sessions for a subgroup of 30 girls. We conducted seven before and after focus group discussions, five with girls (n = 50), one with men caregivers (n = 9) and one with women caregivers (n = 9) and analysed them using thematic and framework analysis approaches. RESULTS: Overall, we found that while girls exhibited significant engagement with the drama, caregiver participation, particularly among men, was low. Thus, no clear changes were detected in men. We did not find any differences in impact based on listening sessions' attendance vs. home listening. We detected positive changes among girls and women in four thematic areas after listening to the drama: (1) participant's increasingly challenged perceptions about what kinds of girls and men take part in age-disparate transactional sex, what can be exchanged, and men's motivations for engaging; (2) there was a shift from attributing blame for age-disparate transactional sex relationships from girls to men; (3) girl's reported increased agency and confidence to avoid age-disparate transactional sex relationships; and (4) we found a heightened sense of responsibility and recognition for the role of parents, peers and community members in preventing age-disparate transactional sex. CONCLUSIONS: These findings highlight the need for further implementation research to explore ways to effectively engage men. They also underscore the potential of engaging, evidence-based edutainment interventions in fostering spontaneous critical reflection about complex behaviours such as age-disparate transactional sex, and diffusing key messages among target populations without the use of organised diffusion activities.
背景:有证据表明,寓教于乐干预措施在改变规范以预防暴力侵害妇女和女童及其他有害做法方面非常有效,但仍需要进一步研究其影响机制和途径,为干预措施的制定、实施和推广提供信息。本探索性定性评估研究了在坦桑尼亚基戈马播出一部预防年龄差异交易性性行为广播剧后,态度、信念、规范和行为的变化迹象。
方法:在 2021 年 11 月至 12 月的七周时间里,每周在当地广播电台播放六集,目标人群是青少年女孩(13-15 岁)及其照顾者。每周两次在七所学校与 70 名女孩举行反思会议,并为 30 名女孩的小组补充课后女孩俱乐部听力会议。我们进行了七次前后焦点小组讨论,五次与女孩(n=50)、一次与男性照顾者(n=9)和一次与女性照顾者(n=9)进行,并用主题和框架分析方法进行分析。
结果:总的来说,我们发现,虽然女孩对戏剧表现出了浓厚的兴趣,但照顾者的参与度,尤其是男性照顾者的参与度较低。因此,在男性中没有发现明显的变化。我们没有发现听力会议参与与否对影响有任何差异。在听完戏剧后,我们在四个主题领域发现了女孩和女性的积极变化:(1)参与者对哪些类型的女孩和男性参与年龄差异交易性性行为、可以交换什么以及男性参与的动机的看法越来越受到挑战;(2)将年龄差异交易性性行为关系的责任从女孩转移到男性;(3)女孩报告说,她们在避免年龄差异交易性性行为关系方面的代理和信心有所增强;(4)我们发现,父母、同龄人以及社区成员在预防年龄差异交易性性行为方面的责任感和认识有所提高。
结论:这些发现强调了进一步开展实施研究的必要性,以探索有效吸引男性的方法。它们还强调了参与基于证据的寓教于乐干预措施的潜力,这些措施可以促进对年龄差异交易性性行为等复杂行为的自发批判性反思,并在不开展有组织的传播活动的情况下,在目标人群中传播关键信息。
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