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Faculty of Arts and Design

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Author: search.filters.author.Gumede, DumileSubject: search.filters.subject.South Africa

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    Value and limitations of broad brush surveys used in community-randomized trials in Southern Africa
    (SAGE Publications, 2019-04) Bond, Virginia; Ngwenya, Fredrick; Murray, Emma; Ngwenya, Nothando; Viljoen, Lario; Gumede, Dumile; Bwalya, Chiti; Mantantana, Jabulile; Hoddinott, Graeme; Dodd, Peter J.; Ayles, Helen; Simwinga, Musonda; Wallman, Sandra; Seeley, Janet
    We describe and reflect on a rapid qualitative survey approach called "Broad Brush Survey" (BBS) used in six community-randomized trials (CRTs)/studies in Zambia and South Africa (2004-2018) to document, compare, classify, and communicate community features systematically for public health and multidisciplinary research ends. BBS is based on a set sequence of participatory qualitative methods and fieldwork carried out prior to a CRT intervention and/or research by social scientists to generate rapid community profiles using four key indicators: physical features, social organization, networks, and community narratives. Profiling makes apparent similarities and differences, enabling comparison across communities and can be facilitated by an ideal model of open-closed systems. Findings have provided practical outputs (e.g., community profiles) and academic opportunities (e.g., community typologies). The BBS approach enables complex social landscapes to be incorporated in CRTs. This method has proven to be useful, adaptable and to have multidisciplinary appeal.
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    A reflection on ethical and methodological challenges of using separate interviews with adolescent-older carer dyads in rural South Africa.
    (Springer Science and Business Media LLC, 2019-07-08) Gumede, Dumile; Ngwenya, Nothando B.; Namukwaya, Stella; Bernays, Sarah; Seeley, Janet
    This article discusses our reflections on ethical and methodological challenges when conducting separate interviews with individuals in dyads in the uMkhanyakude district, South Africa. Our work is embedded in an ethnographic study exploring care relationships between adolescents and their older carers in the context of a large-donor funded HIV programme. We use these reflections to discuss some of the challenges and present possible management strategies that may be adopted in conducting dyadic health research in resource-poor settings.

    Methods

    Drawing from the relational agency, three rounds of separate interviews and participant observation were undertaken with dyads of adolescents aged between 13 and 19 and their older carers aged 50+ from October 2017 to September 2018. A reflexive journal was kept to record the interviewer's experiences of the whole research process. We identified methodological and ethical challenges from these data during the thematic analysis.

    Results

    A total of 36 separate interviews were conducted with six pairs of adolescent-older carer dyads (n = 12 participants). Five themes emerged: recruitment of dyads, consenting dyads, confidentiality, conducting separate interviews with adolescents and older carers, and interviewer-dyad interaction. We also illustrated how we dealt with these challenges.

    Conclusions

    Results from this study can guide the recruitment, consenting and collecting data for health studies that employ a similar form of enquiry in LMICs. However, ethical and methodological challenges should be recognised as features of the relationships between cross-generation dyads rather than weaknesses of the method.