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Conducting a Participatory Situation Analysis of.pdf - Global HIV ...

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dren. For example, an FGD may increase the understanding<br />

<strong>of</strong> what motivates high-risk behaviors. FGD<br />

information can also be useful when developing questions<br />

for standardized questionnaires. For example,<br />

responses and debate over the question “What conditions<br />

must exist for a vulnerable child to feel safe?”<br />

might generate several potential responses for a related<br />

survey question.<br />

The FGD methodology provides in-depth information,<br />

but it does not produce quantifiable data and the findings<br />

cannot be generalized to a larger population. The<br />

Experience from the Field:<br />

<strong>Conducting</strong> In-Depth Interviews<br />

In Nigeria, the research team conducted the following<br />

in-depth interviews with key informants and with staff<br />

<strong>of</strong> organizations undertaking activities for orphans<br />

and vulnerable children:<br />

One-on-one interviews (20 interviews <strong>of</strong> key<br />

informants):<br />

• Four interviews with ministry/government<br />

<strong>of</strong>ficials<br />

• Ten interviews with staff <strong>of</strong> NGOs<br />

• Six interviews with community leaders/spokespeople<br />

Specifically, a minimum <strong>of</strong> 2 traditional leaders, 2 religious<br />

leaders, 2 teachers (principal/school head), and<br />

4 health workers (community health workers/doctors/nurses)<br />

per Local Government Area were interviewed.<br />

Note, however, that important<br />

community/spokesperson and opinion leaders outside<br />

these categories were identified from the key informant<br />

interviews (e.g., PLWHA).These identified persons<br />

were interviewed when time permitted.<br />

Organizational response and capability<br />

assessment<br />

Representatives <strong>of</strong> organizations such as the following<br />

were interviewed: institutional service provider<br />

organizations (private and public), NGOs, CBOs, and<br />

religious groups.As many NGOs as possible were<br />

covered, but no fewer than five.A variety <strong>of</strong> organizations<br />

were sought to include those providing assistance<br />

and working within areas that directly or<br />

indirectly benefit children, such as those that are<br />

involved with child survival, safe motherhood, community<br />

development, micro-finance, and other OVCrelated<br />

services.<br />

findings will not include numbers or percentages, such as<br />

“80% <strong>of</strong> participants believed that stigma is a main barrier<br />

to helping children affected by <strong>HIV</strong>/AIDS.” Instead,<br />

FGDs capture broad themes that convey participants’<br />

experiences and perspectives and uncover why people<br />

think and feel as they do. A theme related to stigma<br />

would present summaries <strong>of</strong> purported underlying causes<br />

<strong>of</strong> stigma and suggestions for decreasing it (see Appendix<br />

A—Resources, “Qualitative Methods” for sources <strong>of</strong><br />

more information on FGD methodology).<br />

What do focus group discussions require?<br />

A focus group discussion requires a group <strong>of</strong> 8 to 10 people<br />

experienced with or vested in the topic to be discussed.<br />

People in the group may or may not know each other. The<br />

cultural context will direct the Technical Lead on what is<br />

appropriate for obtaining comfortable group interactions.<br />

It helps for the group to be as homogenous as possible to<br />

avoid factors like authority or power dynamics that can<br />

impede free discussion. For example, people in authority<br />

positions may dominate the discussion.<br />

In terms <strong>of</strong> the number <strong>of</strong> FGDs needed, the rule <strong>of</strong><br />

thumb is to conduct at least two FGDs for each defining<br />

demographic variable (e.g., sex, age, residence, orphan<br />

status). For instance, to better understand and explore<br />

the issues <strong>of</strong> inheritance, birth registration, and succession<br />

planning among caregivers and community leaders<br />

will require at least 6 FGDs per data collection site (2<br />

groups with female caregivers, 2 groups with male caregivers,<br />

and 2 groups with community leaders). If the<br />

desire is to explore these same issues from a rural versus<br />

urban community context, 6 FGDs per location would<br />

be needed based on the same demographic breakdown.<br />

The number <strong>of</strong> defining variables or audience characteristics<br />

to be included increases the resources (e.g., time,<br />

money, and personnel) needed to transcribe, translate,<br />

code, and analyze the data. It is a common misconception<br />

that focus group data collection is less expensive<br />

than standardized or quantitative interviewing.<br />

Because group interaction is key to productive FGDs, an<br />

experienced, well-trained moderator and a carefully crafted<br />

topic guide are essential. The moderator must be able<br />

to establish a non-judgmental and permissive environment<br />

that encourages people to speak comfortably and<br />

freely. The moderator must be empathetic and diplomatic<br />

and have strong observational and listening skills. The<br />

participants should do the majority <strong>of</strong> the talking, while<br />

the moderator should keep the discussion moving and<br />

focused on the topics. Similar to in-depth interviewing,<br />

the moderator will probe participants’ comments to<br />

<strong>Conducting</strong> a <strong>Participatory</strong> <strong>Situation</strong> <strong>Analysis</strong> <strong>of</strong><br />

Orphans and Vulnerable Children Affected by <strong>HIV</strong>/AIDS<br />

39

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