The unhealthy divide: how the secular-faith binary potentially limits GBV prevention and response

ABSTRACT

While progress has been made in creating conversations between the secular and faith actors involved in developmental issues, a distinct binary still exists. This could potentially be limiting a holistic response to gender-based violence, a global public health, development, humanitarian, and human rights issue. This article explores how perceptions of this binary – faith versus secular – are understood to impact GBV prevention and response efforts. Drawing on interviews conducted during a scoping study, the opinions and experiences of actors from faith-based organisations and academic institutions are used to shed light on how the faith-secular binary is being upheld and challenged, and how it is perceived to be impacting holistic GBV prevention and response.     

Female genital cutting in Egypt: drivers and potential responses

ABSTRACT

Female genital cutting (FGC) is a major issue at the interplay of faith and health in development. The practice is in part faith-inspired, and has clear negative health impacts. The prevalence of FGC remains especially high in Egypt. This article reflects on some of the factors that lead to the perpetuation of the practice by analysing data from the 2014 Survey of Young People in Egypt. The focus is on whether religiosity, acceptance of traditional gender roles and discrimination, attitudes towards women’s autonomy, and age at marriage affect attitudes towards FGC, controlling for other factors. The results suggest that all these factors do indeed play a role.     

Mobilising faith-based and lay leaders to address antenatal care outcomes in northern Ghana

ABSTRACT

Despite the benefits of antenatal care, evidence from sub-Saharan Africa suggests that women often initiate these services after the first trimester of pregnancy and do not complete the recommended number of visits. This study examines the impact of mobilising faith-based and lay leaders to address the socio-cultural barriers to antenatal care uptake in northern Ghana in the context of a broader child survival project. A quasi-experimental design was used, and data were analysed using a difference-in-differences approach. The results presented in this article indicate the potential for faith-based and lay leaders to promote uptake of maternal and child health behaviours.     

Food insecurity and ART adherence in Swaziland: the case for coordinated faith-based and multi-sectoral action

ABSTRACT

Faith-based organisations (FBOs) have long been involved in HIV and AIDS impact mitigation and humanitarian relief, but most are not equipped to intervene in the structural drivers of food insecurity and attendant health inequities. Acknowledging limitations is as paramount a task for organisational effectiveness as maximising strengths. This article reports findings from a study of HIV-positive care supporters who volunteer with a church-run home-based care organisation in Swaziland. The article seeks to assess the impact of chronic food insecurity on antiretroviral adherence practices and how these individuals manage daily food shortages. Findings highlight the limited capacities of FBOs in highly vulnerable settings and the imperative for international and governmental coordination.     

Whole-person health and development: two South Indian initiatives

ABSTRACT

In responding to the 2016 reformulation of the United Nation’s Sustainable Development Goals, the development community’s efforts are focused on a sweep of initiatives aiming to promote whole-society, sustainable development. The ambition of the SDGs is inspiring, but also daunting, and does not always sit easily within national models of economic development. This viewpoint profiles two organisations in the south Indian state of Tamil Nadu, that have decades of experience in whole-person development among scheduled tribes and disability communities. Both organisations serve as timely examples of ongoing holistic, whole-person health and development in the context of new ideals and economic realities.     

“They don't garden here”: NGO constructions of Maya gardening practices in Belize

Communities in southern Belize have among the poorest health outcomes in the region, including high rates of under-nutrition. In response, an NGO school garden programme has been initiated to improve health and nutrition. An analysis of the programme as it relates to home garden practices and diet in two Q'eqchi' Maya communities illustrates the complexity of challenges faced by NGOs. Most notable are issues of legitimacy, cultural appropriateness, self-interest, and constructed conceptions of their target communities, all of which raise the question of what is more important: autonomous and healthy communities or the preservation of the NGO programme?

« Ils ne font pas de jardinage, ici » : constructions d'une ONG des pratiques de jardinage mayas au Belize

Les communautés du sud du Belize affichent certains des pires résultats de la région en matière de santé, y compris un taux élevé de sous-nutrition. Pour remédier à cette situation, un programme de potagers scolaires mené par une ONG a été lancé pour améliorer la santé et la nutrition. Une analyse du programme du point de vue de ses liens avec les pratiques de culture de potagers familiaux et le régime de deux communautés mayas Q'eqchi’ illustre la complexité des défis auxquels sont confrontés les ONG. Les questions les plus notables sont celles de la légitimité, du caractère approprié sur le plan culturel, de l'intérêt propre, et des conceptions construites de leurs communautés cibles, autant de questions qui soulèvent celle de savoir ce qui est plus important : des communautés autonomes et en bonne santé ou la préservation du programme de l'ONG?

“Aquí no realizan jardinería”: construcciones de ong en torno a las prácticas de jardinería de los indígenas mayas de Belice

Las comunidades del sur de Belice muestran algunos de los peores resultados de salud en la región, entre los que se incluye una alta tasa de desnutrición. Con el objetivo de mejorar la salud y de combatir la desnutrición, varias ong impulsaron un programa de jardines escolares. Una evaluación del programa en torno a las prácticas de jardinería en el hogar y a la dieta de dos comunidades maya q'eqchi’, ilustra la complejidad de los retos enfrentados por las ong. Entre los más destacados se encuentran temas de legitimidad, de idoneidad cultural, de interés egoísta y de conceptos construidos por las ong respecto a sus comunidades destinatarias. Estos retos provocan la reflexión en relación a si es preferible tener comunidades autónomas y sanas o conservar programas de ong.

“Eles não cultivam hortas aqui”: promoção de práticas maias de jardinagem por uma ONG em Belize

Comunidades do sul de Belize estão entre as que possuem os mais baixos indicadores de saúde da região, incluindo altas taxas de desnutrição. Em resposta ao problema, um programa de horta escolar de uma ONG foi criado para melhorar a saúde e nutrição. Uma análise do programa no que se refere a práticas de cultivo de horta doméstica e dieta em duas comunidades maias de Q'eqchi ilustra a complexidade dos desafios enfrentados pelas ONGs. Os pontos que mais chamam atenção são as questões de legitimidade, adequação cultural, interesse próprio e concepções construídas sobre suas comunidades-alvo. Tudo isso suscita a questão sobre o que é mais importante: comunidades autônomas e saudáveis ou a preservação do programa de ONG?     

The North Carolina Way: emerging healthcare system and faith community partnerships

ABSTRACT

United States healthcare policy has promoted the development of healthcare systems and community partnerships designed to decrease costs and readmissions, particularly for under-served populations. Typically, these partnerships are “hospital-centric”, focused on following in-house clinical costs into the community. Two contrasting large-scale community system models show results from development practices, integrating faith community partnerships that affect healthcare utilisation. This “community to hospital” focus is key to several such initiatives in the US. This article describes local implementation efforts in North Carolina, known as “the North Carolina Way”, and tests assumptions on implementation practices for creating robust faith-community and healthcare partnerships.     

Peacebuilding for faith-based development organisations: informing theory and practice

Faith leaders and their congregations have been recognised as holding the potential to engage positively in peacebuilding activities in a post-conflict context. Alongside this, faith-based development organisations (FBDOs) have the ability to engage with these constituencies to increase the peacebuilding impact of their activities. This paper presents a framework of faith engagement for FBDOs to work with local faith leaders and people of faith to develop the peacebuilding impact of development activities. A reworking of Anderson's “Do No Harm”, it encompasses the areas that FBDOs need to address in order to be effective peacebuilding actors in a faith context.     

Domains of faith impact: how “faith” is perceived to shape faith-based international development organisations

Increasing interest in faith-based international development organisations (FBOs) recently has improved understanding of these agencies. One reason for complex, often contradictory findings is the lack of frameworks analysing the interactions of worldviews on organisational structures, processes, and behaviours of agencies, and development outcomes. We utilise Lincoln's (2003. Holy Terrors: Thinking about Religion after September 11. Chicago: University of Chicago Press) four “domains of religion” to explore how the literature reports faith impacting the shape of development FBOs’ structures, behaviours, and outcomes. Literature suggests faith has a significant impact upon these agencies. We outline very specific similarities and differences, highlighting the importance of nuanced analysis of faith's role in FBOs. Further research is needed to build more evidence around these impacts of faith on FBOs.     

Roles of religious actors in the West African Ebola response

ABSTRACT

More than 11,000 people died during the 2014–15 Ebola epidemic. It devastated the communities concerned and set back progress in building health systems and socio-economic development more broadly. Concentrated in three poor West African countries, Guinea, Liberia, and Sierra Leone, the tremors reverberated worldwide, spurring mobilisation of vast human and financial resources. The epidemic highlighted contemporary challenges for public health, particularly in fragile states, with lessons extending far beyond health sectors. Religious actors played distinctive roles at various points and across different sectors. This article focuses on religious responses to the 2014 Ebola epidemic and implications for public health practitioners.     

A comprehensive approach to providing services to survivors of sexual and gender-based violence in Democratic Republic of Congo: addressing more than physical trauma

ABSTRACT

The eastern Democratic Republic of Congo (DRC) is impacted by a prolonged conflict and humanitarian crisis. Sexual and gender-based violence (SGBV) affects an estimated 39.7% of women and 23.6% of men in the region, and is associated with serious medical, psychological, and socio-economic outcomes for survivors and communities. IMA World Health, a faith-based non-profit organisation, implements a USAID-funded project, Ushindi, which is a collaborative effort with three national NGOs and one technical partner in response to SGBV in eastern DRC. The consortium provides a comprehensive package of services to SGBV survivors, focusing on medical, emotional, psychological, legal, and socio-economic needs.     

Practice-based insights in developing and implementing a sport-based programme for girls

Parivartan Plus is a structured sports mentoring programme for girls, implemented in a Mumbai slum where social expectations around gender-appropriate behaviour and good parenting restricts girls’ mobility and visibility in public spaces. This article presents practice-based learning from developing and implementing programme theory to empower girls in achieving changes in their everyday social interactions at home and beyond. Gender and social norms theory were combined with local practical wisdom to turn main implementation challenges into opportunities. The article reflects on the strategies that gave visibility to, and achieved community endorsement for, the erosion of restrictive gender norms while ensuring community safety.     

Community grain banks and food security of the tribal poor in India

Given the context of failure of many of the programmes aimed at providing food security for tribal communities, this paper deals with the question, can grassroots-level experiments like community grain banks provide food security for the tribal poor? This paper examines the working of community grain banks established by Bapuji Rural Development and Enlightenment Society (BREDS) in India and concludes that community food grain banks demonstrate as an effective mechanism to ensure food security for the tribal poor, especially those who were excluded from the reach of government programmes.

Banques de céréales communautés et sécurité alimentaire des pauvres tribaux en Inde

Étant donné le contexte d’échec de nombre des programmes visant à assurer la sécurité alimentaire des communautés tribales, cet article traite de la question suivante : les expériences au niveau de la base populaire comme les banques de céréales communautaires peuvent-elles assurer la sécurité alimentaire des pauvres tribaux ? Cet article examine le fonctionnement des banques de céréales communautaires établies par la Bapuji Rural Development and Enlightenment Society (BREDS) en Inde et conclut que les banques de céréales alimentaires se révèlent être un mécanisme efficace pour garantir la sécurité alimentaire des pauvres tribaux, en particulier ceux qui ont été exclus de la portée des programmes gouvernementaux.

Bancos comunitarios de granos y seguridad alimentaria de las etnias pobres de India

Tomando en cuenta el contexto de fracaso de muchos programas dirigidos a proporcionar seguridad alimentaria a las comunidades étnicas, el presente artículo plantea la interrogante en torno a si experimentos realizados a nivel de base, como los bancos comunitarios de granos, ofrecen seguridad alimentaria a las etnias pobres. En este sentido, el artículo examina el desarrollo de los bancos comunitarios de granos establecidos por la Sociedad para el Desarrollo y la Iluminación Rural de Bapuji (breds) en India. Las conclusiones indican que dichos bancos constituyen un mecanismo efectivo para garantizar la seguridad alimentaria de las etnias pobres, especialmente de aquellas que habían sido excluidas del alcance de los programas gubernamentales.

Bancos comunitários de grãos e segurança alimentar de comunidades tribais pobres na Índia

Dado o contexto do fracasso de muitos dos programas destinados a oferecer segurança alimentar para as comunidades tribais, este artigo lida com a seguinte questão: experimentos de base, como os bancos comunitários de grãos, fornecem segurança alimentar para as comunidades tribais pobres? Este artigo examina o funcionamento de bancos comunitários de grãos criados pela Bapuji Rural Development and Enlightenment Society (BREDS) na Índia e conclui que os bancos comunitários de grãos de alimentos mostram ser um mecanismo eficiente para garantir a segurança alimentar para as comunidades tribais pobres, especialmente para aquelas que estavam fora do alcance de programas governamentais.     

The global financial crisis and self-help groups in rural India: are there lessons from their micro savings model?

The global financial crisis is envisaged to have impacted some Southern countries, including India, less severely than most countries in the North. India's expected economic growth of over nine per cent was brought down to just over five per cent. In the aftermath of the crisis, a positive growth figure itself sent optimistic signals. But in a country where nearly 80 per cent of the population – mostly in rural areas – lives on under US$2 a day with a high level of social and economic vulnerability, the effects of the crisis threaten to push many into deprivation. Yet, scattered evidence suggests the emergence of savings-led self-help groups for women amongst the poorest and socially excluded communities to overcome financial vulnerabilities. Grounded in participatory methods, the focal point this is the individual rural woman driving the well-being and the poverty agenda. The paper considers if there are lessons that can be drawn from this micro-level shift for the larger global crisis.

La crise financière mondiale et les groupes d'entraide en Inde rurale : y a-t-il des enseignements à tirer de leurs modèles de micro-épargne ?

On estime que la crise financière mondiale a eu un impact sur certains pays du Sud, y compris l'Inde, moins important que sur les pays de l'hémisphère Nord. La croissance économique prévue de l'Inde de plus de neuf pour cent a été réduite par la crise à juste un peu plus de cinq pour cent. Au lendemain de la crise, un chiffre de croissance positif a lui-même transmis des signaux optimistes. Mais dans un pays où presque 80 pour cent de la population – principalement en milieu rural – vit avec moins de 2 $ US par jour, avec un important degré de vulnérabilités sociales et économiques, les effets de la crise menacent de faire sombrer de nombreuses personnes dans l'indigence. Or, des données éparpillées suggèrent l'apparition de groupes d'entraide axés sur l'épargne pour les femmes parmi les communautés les plus pauvres et les plus socialement exclues pour leur permettre de surmonter leurs vulnérabilités financières. Avec comme socle les méthodes participatives, ces groupes ont comme axe le fait que ce sont les femmes rurales individuelles qui impulsent l'ordre du jour de la qualité de vie et de la pauvreté. Cet article demande s'il y a des enseignements à tirer de cette évolution au niveau micro pour la crise mondiale dans son ensemble.

La crisis financiera mundial y los grupos de autoayuda en la India rural: ¿existen aprendizajes de su modelo de microahorros?

Es comúnmente aceptado que la crisis financiera mundial ha tenido un impacto menos fuerte en algunos de los países del Sur como India que en la mayoría de los países del Norte. El crecimiento económico de más de 9% previsto para India se redujo a un poco más de 5%. El hecho de que tras la crisis la tasa de crecimiento haya sido positiva generó señales optimistas. Aún así, en un país donde casi 80% de la población – la mayoría residente en áreas rurales – vive con menos de usd 2 diarios y con un elevado nivel de vulnerabilidades socioeconómicas, los efectos de la crisis amenazaron con dejar a muchas personas en la penuria. Sin embargo, algunas investigaciones indican el surgimiento de grupos de autoayuda encabezados por mujeres y centrados en el ahorro, cuyo objetivo es enfrentar la vulnerabilidad financiera en las comunidades más pobres y socialmente marginadas. Utilizando métodos participativos, el centro de atención de este estudio es la mujer campesina que está impulsando los esfuerzos para lograr el bienestar y superar la pobreza. El artículo analiza la existencia de aprendizajes derivados de este cambio a nivel micro que pudieran ser aplicados a la crisis mundial más amplia.

A crise financeira global e grupos de auto-ajuda na Índia rural: há lições a serem tiradas de seu modelo de micropoupança?

Considera-se que a crise financeira global tenha tido impacto menos severo em alguns países do hemisfério sul, inclusive a Índia, do que na maioria dos países do hemisfério norte. A previsão de crescimento econômico da Índia de mais de nove por cento foi reduzida para apenas um pouco acima de cinco por cento. Na sequência da crise, um próprio dado positivo de crescimento enviou sinais otimistas. Mas em um país em que quase 80 por cento da população – a maioria em áreas rurais – vivem com menos de US$2 por dia, com um alto nível de vulnerabilidade social e econômica, os efeitos da crise ameaçam deixar muitos em situação de privação. Porém, evidências dispersas sugerem a emergência de grupos de auto-ajuda que visam poupar para que as mulheres que estão entre as comunidades mais pobres e socialmente excluídas superem as vulnerabilidades financeiras. Baseado em métodos participativos, o ponto de enfoque são as mulheres rurais individuais dirigindo a agenda sobre bem-estar e pobreza. O artigo avalia se existem lições que podem ser extraídas desta mudança de nível micro para a crise global mais geral.     

“So,the Killings Continued”: Wartime Mobilization and Post-War Violence in KwaZulu-Natal,South Africa

ABSTRACT

Many post-war states experience continuous low-intensity violence for years after the formal end of the conflict. Existing theories often focus on country-level explanations of post-war violence, such as the presence of spoilers or the nature of the peace agreement. Yet, post-war violence does not affect all communities equally; whereas some remain entrenched in violence, others escape the perpetuation of violent conflict. We argue that communities where wartime mobilization at the local level is based on the formation of alliances between armed groups and local elites are more likely to experience post-war violence, than communities where armed groups generate civilian support based on grassroots backing of the group’s political objectives. We explore this argument in a comparison of three communities in KwaZulu-Natal, South Africa, which have experienced different levels of post-war violence. The analysis supports the main argument and contributes to the research on the microdynamics of civil war by outlining the implications of certain strategies of wartime mobilization and how these may generate localized legacies.     

The internet and distance education

ABSTRACT

Few technologies have generated as much interest, paranoia, and hype as the Internet. Its significance has been recognised by most major companies and institutions around the world. Analysts suggest that it may lay to waste global giants that do not adapt to it and allow new companies to spring from nothing to take their place (Chaldwick, 1998).

Companies in industries like computing, television, publishing and retailing have been quick to see the potential threats and opportunities from this network. Many are pouring in tens or even thousands of pounds developing websites, with little return of that investment within sight. Others may be less sure of the Internet's potential, but still feel that it is too important not to have a presence there. Distance education has been around in one form or another since the 1830s, but if distance education ever had a ‘boom’ era, we are in it now, and have been in it for remarkable advances in the delivery of technologies available to us. One of these, of course, is the Internet. This paper will attempt to explore where distance education fits into the picture, with particular reference to Internet connectivity and use in developing countries, what the Internet can offer for distance education learners, constraints which hinder Internet use for distance education and solutions to these constraints.     

Poor communities as corporate stakeholders: A bottom-up research approach

Abstract

This article strives to provide an understanding of salient issues affecting the daily lives of participants from various developing communities in the country, and within the bigger picture, discuss some implications for organisations that affect or are affected by such communities. A key implication is that the process of constant connectivity and dialogue, including dissent, with communities as corporate stakeholders, may be more important in establishing trust and earning accountability, than the outcomes of well-planned corporate social responsibility campaigns. The study is based on qualitative research undertaken between 2006 and 2008 in 35 South African rural and township communities in Limpopo Province, North-West and Gauteng. A bottom-up research approach was proposed by the researchers, which, instead of evaluating the effects of corporate communication campaigns on communities, was to begin at a grassroots level with communities themselves, by exploring top-of-mind issues. From the findings it was apparent that a vicious cycle of extreme and endemic poverty was the focal area that occupied community members’ minds. This study provides a linkage between certain aspects of corporate social responsibility, normative stakeholder theory, strategic communication and stakeholder dialogue, in an attempt to provide organisations with guidelines to evaluate and respond to the challenges of poor communities, and offer a perspective on the way strategic communication with poor communities should take place.     

The historical contribution of faith-based health providers in the Ecuadorian health system: an overview of the evidence

ABSTRACT

Faith-based health providers (FBHPs) have historically shaped the national health system in Ecuador, yet there is little robust evidence of this role, or their current contribution to the national health system. This article situates FBHPs in the Ecuadorian health system, using secondary analyses of national health surveys to consider changes in contribution from 1998 to 2014, and synthesising this with secondary literature. The research confirms the important role that FBHPs have historically played in Ecuador, but also shows that their current role needs to be better understood if universalisation of health service coverage is to be achieved.     

Network development for non-state health providers: African Christian health associations

ABSTRACT

Substantial effort has been put into forming and strengthening national networks of non-state, non-profit health providers in lower- to middle-income contexts. Christian health associations (national umbrella networks of faith-inspired health providers) were first established in the 1950s, and are currently present in an estimated 23 of the 54 countries in Africa. The establishment of CHAs was equally encouraged by faith-based health providers, governments, and external stakeholders. CHAs look different in each context, but perform similar roles: networking diverse institutions and facilities together into a loose system; and establishing a more cohesive sector to simplify and strengthen advocacy and engagement with the government.     

Participatory communication for development in practice: the case of community media

Since it emerged, the field of communication for development has undergone a constant process of redefinition. Since the 1990s, the importance of participation in social and communicative processes has been stressed, and studies carried out during those years focused on participation as an important component to be considered. The so-called community media are privileged forces driving the participatory communication for development approach. Since their emergence and up to the recent studies, community media have been characterised by the centrality of citizenship participation in the creation of widespread messages, and in the processes of social change that they promote.

Communication participative pour le développement dans la pratique : le cas des médias communautaires

Depuis son apparition, le domaine de la communication pour le développement a traversé un processus constant de redéfinition. Depuis les années 1990, l'importance de la participation aux processus sociaux et de communication a été soulignée, et des études effectuées durant cette période-là se sont concentrées sur la participation comme élément important à prendre en compte. Ces « médias communautaires » sont des forces privilégiées qui impulsent l'approche participative pour la communication pour le développement. Depuis leur naissance et jusqu'aux récentes études effectuées, les médias communautaires se sont caractérisés par la position centrale de la participation citoyenne à la création de messages généralisés, et aux processus de changement social qu'ils promeuvent.

Comunicación participativa para el desarrollo en la práctica: el caso de los medios comunitarios

Desde que inició, el ámbito de la comunicación para el desarrollo ha experimentado un proceso constante de redefinición. A partir de los años noventa, ha comenzado a insistirse en la importancia de participar en los procesos sociales y comunicacionales. Los estudios realizados durante esa década, se centraron en la participación como componente primordial que debía ser tenido en cuenta. Los llamados medios comunitarios constituyen fuerzas privilegiadas que impulsan el enfoque de la comunicación participativa para el desarrollo. Desde que iniciaron sus actividades y hasta las últimas investigaciones realizadas al respecto, los medios comunitarios se caracterizaron por la significación otorgada a la participación ciudadana en la creación de mensajes de amplia difusión y en el proceso de cambio social promovido por dichos mensajes.

Comunicação participativa para o desenvolvimento na prática: o caso da mídia comunitária

Desde que surgiu, a área de comunicação para o desenvolvimento tem passado por um processo constante de redefinição. Desde a década de 1990, a importância da participação em processos sociais e comunicativos tem sido ressaltada e estudos têm sido realizados durante estes anos tendo como foco a participação como componente importante a ser considerado. A chamada mídia comunitária constitui-se em forças privilegiadas que dirigem a comunicação participativa para a abordagem de desenvolvimento. Desde o seu surgimento até estudos recentes, a mídia comunitária tem se caracterizado pela ênfase na participação dos cidadãos na criação de mensagens disseminadas e nos processos de mudança social que elas promovem.