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Love Shouldn't Hurt - E le Saua le Alofa: Co-designing a theory of change for preventing violence against women in Samoa.
Mannell, Jenevieve; Tevaga, Pepe; Heinrich, Sina; Fruean, Sam; Chang, Siliniu Lina; Lowe, Hattie; Brown, Laura J; Vaczy, Caroline; Tanielu, Helen; Cowley-Malcolm, Esther; Suaalii-Sauni, Tamasailau.
Affiliation
  • Mannell J; Institute for Global Health, UCL, London, United Kingdom.
  • Tevaga P; Centre for Samoan Studies, National University of Samoa, Apia, Samoa.
  • Heinrich S; Samoa Victim Support Group, Apia, Samoa.
  • Fruean S; Samoa Victim Support Group, Apia, Samoa.
  • Chang SL; Samoa Victim Support Group, Apia, Samoa.
  • Lowe H; Samoa Victim Support Group, Apia, Samoa.
  • Brown LJ; Institute for Global Health, UCL, London, United Kingdom.
  • Vaczy C; Institute for Global Health, UCL, London, United Kingdom.
  • Tanielu H; Institute for Global Health, UCL, London, United Kingdom.
  • Cowley-Malcolm E; Centre for Samoan Studies, National University of Samoa, Apia, Samoa.
  • Suaalii-Sauni T; Independent consultant, Auckland, New Zealand.
Glob Public Health ; 18(1): 2201632, 2023 01.
Article de En | MEDLINE | ID: mdl-37054449
ABSTRACT
Despite the widespread adoption of Theories of Change (ToC) for programme evaluation, the process of collaboratively developing these theories is rarely outlined or critical analysed, limiting broader methodological discussions on co-production. We developed a ToC as part of E le Saua le Alofa ('Love Shouldn't Hurt') - a participatory peer-research study to prevent violence against women (VAW) in Samoa. The ToC was developed in four phases (1) semi-structured interviews with village representatives (n = 20); (2) peer-led semi-structured interviews with community members (n = 60), (3) community conversations with 10 villages (n = 217) to discuss causal mechanisms for preventing VAW, and (4) finalising the ToC pathways. Several challenges were identified, including conflicting understandings of VAW as a problem; the linearity of the ToC framework in contrast to intersecting realities of people's lived experiences; the importance of emotional engagements, and theory development as a contradictory and incomplete process. The process also raised opportunities including a deeper exploration of local meaning-making, iterative engagement with local mechanisms of violence prevention, and clear evidence of ownership by communities in developing a uniquely Samoan intervention to prevent VAW. This study highlights a clear need for ToCs to be complemented by indigenous frameworks and methodologies in post-colonial settings such as Samoa.
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Texte intégral: 1 Collection: 01-internacional Base de données: MEDLINE Sujet principal: Violence / Amour Type d'étude: Evaluation_studies / Qualitative_research Aspects: Determinantes_sociais_saude Limites: Female / Humans Langue: En Journal: Glob Public Health Sujet du journal: SAUDE PUBLICA Année: 2023 Type de document: Article Pays d'affiliation: Royaume-Uni

Texte intégral: 1 Collection: 01-internacional Base de données: MEDLINE Sujet principal: Violence / Amour Type d'étude: Evaluation_studies / Qualitative_research Aspects: Determinantes_sociais_saude Limites: Female / Humans Langue: En Journal: Glob Public Health Sujet du journal: SAUDE PUBLICA Année: 2023 Type de document: Article Pays d'affiliation: Royaume-Uni