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Impact of - IDL-BNC @ IDRC - International Development Research ...

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on clinical studies and laboratory tests. They argued against stratifying the<br />

sample fearing it would compromise the representativeness <strong>of</strong> their results.<br />

Ultimately, the position <strong>of</strong> the physicians dominated, and the sample was not<br />

stratified. As a result, it was not possible to establish the influence <strong>of</strong> plot size<br />

or occupation on risk levels and application or prevention practices. (This was<br />

corrected in the second phase <strong>of</strong> research in which the population was stratified<br />

according to orchard size.) The clinical analysis and laboratory tests were<br />

conducted on all those who were fumigating at the time <strong>of</strong> observation.<br />

Difficulty in harmonizing the approaches <strong>of</strong> the pr<strong>of</strong>essionals in the social and<br />

medical sciences was encountered on another point as well. The social scientists<br />

proposed that risk studies should be concerned not only with application<br />

practices, protection, and prevention, but also should consider the point <strong>of</strong><br />

view <strong>of</strong> the growers. This information would serve to orient the educational<br />

process and probe the importance <strong>of</strong> conditional elements such as economic<br />

factors. Accordingly, the survey included a series <strong>of</strong> open-ended questions<br />

that, with difficulty, would permit a quantitative analysis. In contrast, the<br />

medical scientists felt that the growers' opinions could be useful only if they<br />

were categorized quantitatively as "adequate/inadequate" or "relation/no<br />

relation with DNOC."<br />

The open-ended questions <strong>of</strong> the survey yielded general comments, e.g., "It<br />

bothers me to use gloves, masks, or boots." What, precisely, bothered the<br />

person (the inconvenience, the expense, etc.) was not included. Therefore, it<br />

was not possible to see the logic <strong>of</strong> these answers or compare them with others.<br />

Because <strong>of</strong> this deficiency, the debate was arbitrarily resolved in favour <strong>of</strong> the<br />

physicians.<br />

On the issue <strong>of</strong> self-diagnosis, the same problem arose. The medical scientists<br />

were interested in tabulating, as faithfully as possible, the perceived annoyances,<br />

the type <strong>of</strong> annoyances, and their perceived cause to categorize them<br />

as "right/wrong" and "related/not related to DNOC." They proposed direct<br />

questioning, clinical examination, and corroboration <strong>of</strong> results with laboratory<br />

analysis. The social and educational scientists, on the other hand, were interested<br />

in studying this aspect through open-ended questions that would permit<br />

the discovery <strong>of</strong> "the logic <strong>of</strong> folk wisdom" and enable future comparison with<br />

the medical sciences. In their opinion, the classification <strong>of</strong> "right/wrong" or<br />

"related/not related to DNOC" would not give precise grounds for educational<br />

intervention. It would only identify areas <strong>of</strong> intervention.<br />

For example, if a grower has complained about "suffocation" and he or she is<br />

asked the reason for that complaint, the response "it is because <strong>of</strong> DNOC" or<br />

"because <strong>of</strong> the day's work" is sufficient for the physician. Those answers<br />

reveal the percentage <strong>of</strong> the population that is able to identify the root cause<br />

<strong>of</strong> the complaint. However, the social scientist is interested in obtaining<br />

answers that indicate, for example, that the "suffocation" was produced<br />

because the DNOC was "hot." It is reported as "hot" because it "burned" the<br />

tree buds. This characteristic <strong>of</strong> DNOC may change perception <strong>of</strong> "normal"<br />

99

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