Experiences of using a participatory action research approach to strengthen district local capacity in Eastern Uganda

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dc.contributor.authorTetui, Moses
dc.contributor.authorCoe, Anna-Britt
dc.contributor.authorHurtig, Anna-Karin
dc.contributor.authorEkirapa-Kiracho, Elizabeth
dc.contributor.authorKiwanuka, Suzanne N.
dc.date.accessioned2022-08-25T20:23:50Z
dc.date.available2022-08-25T20:23:50Z
dc.date.issued2017
dc.description.abstractTo achieve a sustained improvement in health outcomes, the way health interventions are designed and implemented is critical. A participatory action research approach is applauded for building local capacity such as health management. Thereby increasing the chances of sustaining health interventions. Objective: This study explored stakeholder experiences of using PAR to implement an intervention meant to strengthen the local district capacity. Methods: This was a qualitative study featuring 18 informant interviews and a focus group discussion. Respondents included politicians, administrators, health managers and external researchers in three rural districts of eastern Uganda where PAR was used. Qualitative content analysis was used to explore stakeholders’ experiences. Results: ‘Being awakened’ emerged as an overarching category capturing stakeholder experiences of using PAR. This was described in four interrelated and sequential categories, which included: stakeholder involvement, being invigorated, the risk of wide stakeholder engagement and balancing the risk of wide stakeholder engagement. In terms of involvement, the stakeholders felt engaged, a sense of ownership, felt valued and responsible during the implementation of the project. Being invigorated meant being awakened, inspired and supported. On the other hand, risks such as conflict, stress and uncertainty were reported, and finally these risks were balanced through tolerance, risk-awareness and collaboration. Conclusions: The PAR approach was desirable because it created opportunities for building local capacity and enhancing continuity of interventions. Stakeholders were awakened by the approach, as it made them more responsive to systems challenges and possible local solutions. Nonetheless, the use of PAR should be considered in full knowledge of the undesirable and complex experiences, such as uncertainty, conflict and stress. This will enable adequate preparation and management of stakeholder expectations to maximize the benefits of the approach.en_US
dc.identifier.citationMoses Tetui, Anna-Britt Coe, Anna-Karin Hurtig, Elizabeth Ekirapa-Kiracho & Suzanne N. Kiwanuka (2017) Experiences of using a participatory action research approach to strengthen district local capacity in Eastern Uganda, Global Health Action, 10:sup4, 1346038, DOI: 10.1080/16549716.2017.1346038en_US
dc.identifier.urihttps://doi.org/10.1080/16549716.2017.1346038
dc.identifier.urihttps://nru.uncst.go.ug/handle/123456789/4432
dc.language.isoenen_US
dc.publisherGlobal Health Actionen_US
dc.subjectParticipatory action researchen_US
dc.subjectStakeholders experiencesen_US
dc.subjectLocal capacityen_US
dc.subjectDistrictsen_US
dc.subjectImplementation scienceen_US
dc.titleExperiences of using a participatory action research approach to strengthen district local capacity in Eastern Ugandaen_US
dc.typeArticleen_US
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