Participatory approaches to HIV/AIDS programmes
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Abstract
Introductory article to special edition of PLA notes on HIV/AIDS.
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Introductory article to special edition of PLA notes on HIV/AIDS.
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The first section of this report comprises an introduction to the area in relation to its natural resources with particular emphasis on trees, and perceptions of trees by residents. The background to, and use of R/PRA is discussed, in the context of a workshop held on focusing on participation and trees. The methods used in RRA are discussed and a checklist of important issues given. In example case studies, local attitudes towards woodlands, private and communal tree planting, trees on arable lands, firewood and environmental problems were detailed, and linked to livestock and cropping constraints. From the R/PRA, a discussion of different problems and potential solutions was encouraged, and 'best bet' project actions worked out, although these were formulated away from the field, and taken back for further discussion. The report concludes with an evaluation of the workshop and the methodolgy (generally favourable comments although problems of expectation-raising and excessive focus on trees were mentioned). There was a felt need for further training and follow-up work.
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A workshop was held in India to "adapt some of the participatory methods developed within agriculture for conducting PRA exercises on women's health". A "body mapping" exercise was conducted with a group of traditional birth attendants to discuss their concepts of reproduction, contraception and nutrition. A village mapping exercise led later to construction of "pregnancy time lines" and information on family planning acceptors. The article briefly mentions constraints, such as how to deal with sensitive issues like abortion.
The paper reports on the use of wealth ranking in an agro-pastoral community in Mazvihwa communal area in southern Zimbabwe. A comparison of the rankings carried out by different groups reveals differing perceptions of what constitutes 'wealth', and highlights the need to carry out several different rankings in order to explore the diversity of local perceptions. The rankings were also examined in relation to household survey data of asset ownership and income levels. The results show a high degree of correlation for many of the indicators, although others do not show a smooth relationship with wealth rank. It is concluded that ranking can provide an important complement to the more conventional survey approach. Analysis of ranking data alongside survey data reveals gaps in survey material and assists in the identification of appropriate wealth indicators.
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Outlines the REFLECT method, a new approach to adult literacy techniques developed by ActionAid. REFLECT stands for Regenerated Freirean Literacy through Empowering Community Techniques. The approach seeks to build on Freirian theory but provide a more effective methodology by drawing on PRA visualisation methods. Initial observations are that REFLECT is keeping learners motivated, teaching them literacy more effectively and linking literacy to wider development based on the agenda of local communities.