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

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Gain access to field sites<br />

Gaining access to field sites for a situation analysis can be<br />

surprisingly challenging in terms <strong>of</strong> the measures needed<br />

to obtain permission and acceptance by key community<br />

representatives. Entering a community to talk about the<br />

care <strong>of</strong> children, especially orphans, can easily trigger suspicion<br />

and/or raise expectations <strong>of</strong> material support.<br />

Several weeks before the interviewer training, the<br />

Advisory Team, in cooperation with administrative <strong>of</strong>ficials<br />

<strong>of</strong> the area, should select field sites. Advisory Team<br />

members, or the Technical Lead, can then ask community<br />

leaders’ permission to bring several interviewers to the<br />

sites. This initial visit to the field site also provides an<br />

opportunity to confer with community leaders to ensure<br />

that expectations are not raised in terms <strong>of</strong> receiving payment,<br />

food, or other forms <strong>of</strong> material support in<br />

exchange for participating in the situation analysis.<br />

After receiving permission to collect data, it is necessary<br />

to make housing and transportation arrangements.<br />

Accommodations for interviewers should be in a place<br />

that community members view as neutral (e.g., church<br />

guesthouse). Such arrangements are not easy, even when<br />

the duration <strong>of</strong> the fieldwork is short. Often a community<br />

leader will <strong>of</strong>fer to house the interviewers in her or his<br />

own accommodations. Although this is a generous gesture,<br />

efforts should be made to avoid such a situation<br />

because it is not appropriate for interviewers to live with<br />

anyone who might be viewed as influential in the community<br />

because such a perception can undermine the<br />

interviewers’ need for a reputation <strong>of</strong> impartiality with<br />

respondents. Furthermore, this type <strong>of</strong> arrangement can<br />

lead to violations <strong>of</strong> interviewer-informant confidentiality.<br />

Before their first visit to the field sites (or when on the<br />

way to visit the sites), the new interviewers should introduce<br />

themselves to important administrative <strong>of</strong>ficials and<br />

inform them <strong>of</strong> their arrangements to work with community<br />

leaders. When the interviewers arrive at the field<br />

sites, they should settle into their accommodations and<br />

make introductory visits to community leaders. After<br />

these introductions, community leaders’ collaboration<br />

with the research team will be authorized and data collection<br />

can <strong>of</strong>ficially begin.<br />

Experience in Nigeria revealed that the labor or work<br />

schedules <strong>of</strong> people at some field sites can affect the timing<br />

for interviewing heads <strong>of</strong> households (e.g., interviews<br />

may need to be conducted at night). Interviewers must<br />

also consider their own safety and social events (e.g.,<br />

funerals and weddings) that would make interviewing<br />

inappropriate.<br />

Incentives<br />

A decision must be made whether or not to give participants<br />

an incentive (e.g., cash, food, vouchers), both to<br />

encourage their participation and to thank them for their<br />

participation. There are concerns that incentives amount<br />

to bribes, so if an incentive is used, it must not be so<br />

enticing that participants feel coerced into participating<br />

in something they might otherwise not consider—sometimes<br />

referred to as economic coercion. Also, providing<br />

incentives may undermine using the situation analysis<br />

findings as an impetus for community mobilization.<br />

The use <strong>of</strong> incentives must take into account the usual<br />

practices within a community. Previous situation analyses<br />

based on the tools in this Guide did not include<br />

incentives for participants.<br />

Some incentives that field interview teams can use to<br />

“give something back” to respondents include helping<br />

with tasks and work in exchange for the participants’<br />

time, arranging for shorter waiting times in free care<br />

services, <strong>of</strong>fering extra home-based care visits or special<br />

training, or providing access to group counseling or education<br />

sessions through a community-based NGO.<br />

Community leaders may be a source <strong>of</strong> ideas for appropriate<br />

incentives.<br />

Ensure confidentiality and informed consent<br />

Privacy and confidentiality <strong>of</strong> information from the<br />

community must be maintained at all times. Winning<br />

the trust <strong>of</strong> the community is essential for obtaining<br />

valid results. The situation analysis respondents must<br />

feel confident that the information they provide will be<br />

kept confidential; if they do not, they may hesitate to<br />

give accurate information. In some situations,<br />

<strong>HIV</strong>/AIDS-infected or -affected households may be suspicious<br />

<strong>of</strong> institutions and individuals they view as<br />

threatening. It is, therefore, critical that the field interview<br />

team build a relationship with community leaders<br />

and key informants so that there is a basic sense <strong>of</strong> trust<br />

between them. In some settings, this may require active<br />

involvement by the “gatekeepers” in planning and conducting<br />

the analysis.<br />

Before conducting an interview, permission must be<br />

obtained from each respondent who participates; this<br />

permission is called “informed consent.” Interviewers<br />

<strong>of</strong>ten obtain such consent by reading a statement about<br />

the interview process to the respondent and asking for<br />

his or her signature to indicate their agreement to participate.<br />

The statement normally describes the nature <strong>of</strong> the<br />

data collection, the way the results will be used, the risk<br />

to the respondent, and the benefits. The statement<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 />

51

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