Blog Posts Tagged: Kenya

From Research to Action: Kayole Students become Champions of Health in their Community (Part II)

by Jonathan Walker

Want to know how to engage, inspire and motivate students to become champions for health in their community? As DASH’s Jonathan Walker shares from his experience working with Kayole youth, students need to identify with a project and have a voice in its development and outcome. Then, the sky is the limit for both their personal and community growth.

Focusing a research project on how students perceive health in their community was a great way of engaging students on issues that affect their everyday lives. Through the photo-mapping method, the project linked student’s perceptions on health to the physical attributes and locations of their lived environments (e.g. schools, streets, markets, public spaces, etc.). Not only did this connect subjective and objective indicators for community health assets and risks, but provided a rich collection of qualitative data to act upon.

As the research and data collection for the pilot project reached its end, neither myself, the project supporters, nor teachers needed to intervene to prompt the students toward further action. After putting in the work through hours of photo-mapping, focus groups and community interviews, the students had taken ownership of the project and wanted to see that their efforts make a lasting impact in the community.

July 29 Pic 2We had a discussion on what we could do with the photos and how we could use our research findings to promote and advocate for community health. A whole range of ideas came up, including contacting the local MP to showcase the health risks children and youth face, to creating free student-led health workshops in the community to raise awareness and sensitize residents on healthy practices.

July 29 Pic 5In the short time since the pilot project (May 2013), the students, teachers, and project coordinators have organized several impactful events. The first was a trip to the Africa Continental Headquarters at the UN offices in downtown Nairobi to spread awareness about the health issues faced by youth in Kayole (see right). For many of the students from the PPM project, this was their first time experiencing the downtown district, let alone having an opportunity to visit the United Nations. It was a tremendous learning opportunity, and resulted in partnerships formed with two NGOs in consultative status with the U.N. : WFWP (Women’s Federation for World Peace) and WAIT, an HIV awareness and prevention organization. The students had opportunities to present about their work at workshops and conferences organized by both the WFWP (picture) and WAIT. (picture)

July 29 Pic 6Due to the successes of the pilot, and the interest for more youth to get involved, we’re now forming an organization– Healthy Settings Kenya – which seeks to support the efforts of youth in Kayole and elsewhere in student-led research and health interventions for their communities. Future efforts are also being made to improve the school environment of the Great Hope Educational Centre where the participating PPM students attend secondary school. Great Hope caters for underprivileged students in Kayole who otherwise could not afford school fees, and works to provide a safe environment for orphaned, neglected and HIV affected youth to receive education and keep hope alive.

Student Perceptions on Health in their Environments: reflections from community research in Nairobi, Kenya (Part I)

by Jonathan Walker

Jonathan completed an internship with DASH in the winter of 2012 and has spent the past 6 months in East Africa, where he was working on a CIDA internship with The Aids Support Organization (TASO) in Kampala, Uganda, and subsequently organizing the PPM health project with teachers and students in Nairobi, Kenya.  DASH is excited to be able to share Jonathan’s experiences with student engagement from across the globe, his experiences show that when we put students at the center of their health and learning the results can be extraordinary!

The Kayole Health Participatory Photo Mapping Project (PPM) was a pilot study that looked to engage students of Kayole, an underprivileged community in Nairobi, Kenya, with assessing their school and community environments for health and well-being. This project could then further develop student-led community development initiatives based upon their research findings. The method of engagement, PPM, enabled the students to subjectively and objectively document the health assets and risks in the local community using photography, direct observation, note taking, interviews and focus group discussions. Part I of this two-part series looks into how the research process unfolded and some of the key findings from the pilot study.

After six months of preliminary research, reflection and organizing for the Kayole Health Participatory Photo-Mapping (PPM) project with my friend and partner, Charles Olupot, the day for Workshop 1 had finally arrived. I knew we had a great group of students and teachers supporting this project. It was clear that they all felt it was something important and needed by their community, and I was honoured to be a part of that.

Before heading out into the community to begin the photo-mapping research, a discussion was facilitated with the student participants to brainstorm the community health issues they wanted to explore. Each student had an opportunity to speak, and the following were the preliminary community health issues they mentioned:

  • Garbage collection
  • Health care services
  • Slums/ living conditions
  • Education
  • Security/ safety
  • Environment
  • Status of the roads
  • Pollution
  • Plants
  • Hunger

We broke up into three groups; two groups of three and one group of four. Each student put on their jerseys, both for safety and to indicate they were part of the project, and Charles moved with the letter of permission and stamp of approval from the local government, which enabled us to conduct the study and take pictures throughout the neighbourhood.

The field work went very well. The students were engaged in taking photos for the health themes they identified, and were busily taking notes to describe the site of documentation as well as their thoughts and perceptions. We concluded the first field study after about two and half hours in the community, and the three groups reconvened at the school. We decided that when the photo-mapping research for the whole of Kayole was complete, we’d categorize and present the photos using three broad, cross-cutting themes that, indirectly or directly affect the community health: Social Services (picture), Physical Environment (picture), and Pollution (picture). This would help with targeting future efforts towards advocacy and awareness campaigns.

We concluded Sunday’s workshop with each youth participant coming to the stage to present on their findings and express their thoughts about engaging in the research process. While taking notes on their presentations, I had the opportunity to exercise my listening skills. I’ve come to learn that listening skills are incredibly important for ‘outside’ researchers involved in community development projects. I was able to learn a lot from these students, and develop new insights and perspectives on health issues I’ve always taken for granted. For example, I had assumed that the common perception was that the more plants and greenery in a neighbourhood the better. Coming from Vancouver, I had interpreted a large tree in a neighbourhood with beauty and higher property values. I would think of flowers, fruits and vegetables when I’d think of plants; these are positive things that improve the health and perceived well-being of a community. However, the perception of ‘plants’ in Kayole was entirely different. Instead of being seen as an object of beautification, plants were discussed in relation to health risks for the community. Thick bushes were photographed and documented as hotspots for the cultivation of mosquitoes, a major health concern given the problematic prevalence of malaria. Additionally, the youth indicated that bushy areas with lots of plants in Kayole were also the places you’d be likely to find the drug dealers and drug addicts; hiding within the bushes for cover while engaging in their illegal activities.

Providing the students with an opportunity to express their own perceptions of health in their community environment through photography, writing, focus groups and public speaking was a key objective of the pilot. The project resulted in much success both in terms of student enthusiasm and developing a rich collection of qualitative data. Stay tuned for next week’s Part II to learn how the students are building upon their community research to design exciting health interventions and awareness campaigns in Kayole and beyond!