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The influence of an agricultural intervention on social capital and water insecurity coping strategies: Qualitative evidence from female smallholder farmers living with HIV in western Kenya.
Owuor, Patrick M; Miller, Joshua D; Kanugula, Samanvi S; Yeam, Joohee; Collins, Shalean; Obure, Valeria; Arunga, Titus; Otieno, Phelgona; Olack, Beatrice; Butler, Lisa M; Bukusi, Elizabeth A; Cohen, Craig R; Weiser, Sheri D; Young, Sera L.
Afiliação
  • Owuor PM; Department of Anthropology, Northwestern University, Evanston, IL, 60208, USA.
  • Miller JD; Department of Anthropology, Wayne State University, Detroit, MI, 48201, USA.
  • Kanugula SS; Department of Anthropology, Northwestern University, Evanston, IL, 60208, USA.
  • Yeam J; Department of Nutrition, University of North Carolina at Chapel Hill, Chapel Hill, NC, 27599, USA.
  • Collins S; Department of Anthropology, Northwestern University, Evanston, IL, 60208, USA.
  • Obure V; Department of Anthropology, Northwestern University, Evanston, IL, 60208, USA.
  • Arunga T; School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA, 70112, USA.
  • Otieno P; Kenya Medical Research Institute (KEMRI), Nairobi, Kenya.
  • Olack B; Institute for Policy Research, Northwestern University, Illinois, 60208, USA.
  • Butler LM; Kenya Medical Research Institute (KEMRI), Nairobi, Kenya.
  • Bukusi EA; Kenya Medical Research Institute (KEMRI), Nairobi, Kenya.
  • Cohen CR; Department of Public Health Services, Queen's University, Kingston, Ontario, K7L 3N6, Canada.
  • Weiser SD; Kenya Medical Research Institute (KEMRI), Nairobi, Kenya.
  • Young SL; Department of Obstetrics, Gynecology & Reproductive Sciences, University of California San Francisco, San Francisco, CA, 94115, USA.
Heliyon ; 10(11): e32058, 2024 Jun 15.
Article em En | MEDLINE | ID: mdl-38873679
ABSTRACT

Background:

Greater social capital is associated with positive health outcomes and better HIV management. The ways by which social capital may influence household water insecurity (HHWI), a critical determinant of health among persons living with HIV, remain underexplored. Further, despite the importance of reliable water access and use for health and agricultural productivity, few studies have described the strategies smallholder farmers living with HIV use to manage water insecurity.

Objective:

We qualitatively explored how an agricultural intervention (provision of a treadle pump for irrigation) influenced HHWI coping strategies through its impacts on social capital among smallholder farmers living with HIV in western Kenya.

Method:

In 2018, we purposively recruited participants from the Shamba Maisha study, a randomized agricultural intervention (NCT02815579) that provided irrigation pumps to improve treatment outcomes and food security among smallholder farmers living with HIV in western Kenya (n = 42). Participants shared their experiences with water insecurity through go-along and photo-elicitation interviews. Data were thematically analyzed using inductively developed codes.

Results:

Participants described diverse strategies for coping with agricultural water insecurity. Dimensions of social capital such as feelings of belonging, connectedness, and trust influenced the use of the treadle water pump and other water access behaviors. For instance, participants reported borrowing or sharing water pumps with friends and neighbors if they felt they had a good rapport. In addition, participants indicated a willingness to engage in collective activities, such as supporting the operation of the irrigation pump during planting, when they felt sufficiently connected to a larger group. Overall, individuals in the intervention arm described greater social cohesion, reciprocity, and community connectedness than those in the control arm.

Conclusion:

The impact of an agricultural intervention on water access and use was described as being modified by social capital among female smallholder farmers living with HIV. Findings suggest that social capital may create an enabling environment for implementing strategies that improve the management and reduce the burden of HIV. Measuring these strategies and their associations with HIV outcomes may strengthen our understanding of resilience among female smallholder farmers living with HIV. The development of a coping strategies index and its use in a longitudinal study could help to identify pathways through which social capital influences health and the effectiveness of livelihood interventions.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Ano de publicação: 2024 Tipo de documento: Article