Creating culturally-informed protocols for a stunting intervention using a situated values-based approach (WeValue
Annabel J Chapman1, Chike C Ebido2,3, Rahel Neh Tening2
1Values & Sustainability Research Group, School of Architecture, Technology and Engineering, University of Brighton, Brighton, UK.
This study demonstrates how the WeValue InSitu approach can generate culturally-informed protocols for international development interventions. This method helps incorporate local values into child stunting reduction programs in low- and middle-income countries (LMICs).
Area of Science:
- Global Health
- Anthropology
- Development Studies
Background:
- International development interventions in low- and middle-income countries (LMICs) often overlook local cultural values, leading to ineffective engagement.
- Addressing neo-colonialism concerns in global health necessitates culturally sensitive intervention design.
- Generating 'cultural protocols' is a proposed solution, but methods for their creation are lacking.
Purpose of the Study:
- To explore and demonstrate the WeValue InSitu approach for generating local, culturally-informed protocols.
- To adapt WeValue InSitu for creating communicable local shared values for external partners.
- To inform culturally sensitive interventions for child stunting reduction in Senegal and Indonesia.
Main Methods:
- Employed the WeValue InSitu approach for stakeholder meaning-making to crystallize local shared values.
- Conducted specialized focus group discussions with diverse stakeholders (e.g., mothers, fathers, health workers) totaling 83 participants across 20 groups.
- Explored local life practices influencing child stunting and relevant cultural elements, framed by crystallized shared values.
Main Results:
- Identified key themes for culturally-informed food intervention protocols: gender roles, social hierarchies, health service access, traditional beliefs on malnutrition, and openness to external aid.
- Successfully demonstrated the generation of a grounded, culturally-informed protocol using WeValue InSitu.
- Highlighted the potential of this method to bridge understanding gaps between external partners and local communities.
Conclusions:
- The WeValue InSitu approach is a viable method for generating culturally-informed protocols in international development.
- Culturally-informed protocols are crucial for designing locally acceptable and effective interventions, particularly in child health.
- Further research comparing WeValue InSitu with other formative research methods is recommended.
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