A Participatory Comic Book Workshop to Improve Youth-Friendly Post-Rape Care in a Humanitarian Context in Uganda: A Case Study.
Journal
Global health, science and practice
ISSN: 2169-575X
Titre abrégé: Glob Health Sci Pract
Pays: United States
ID NLM: 101624414
Informations de publication
Date de publication:
21 Jun 2023
21 Jun 2023
Historique:
received:
03
03
2022
accepted:
18
04
2023
medline:
26
6
2023
pubmed:
23
6
2023
entrez:
22
6
2023
Statut:
epublish
Résumé
Graphic medicine formats, such as comic books in which health information is presented alongside images, may be a useful learning tool to improve post-rape care and youth-friendly service provision among health care providers in humanitarian contexts. We describe the development and pilot-testing of a workshop using a comic book to improve youth-friendly post-rape care with providers in Bidi Bidi refugee settlement, Uganda. We conducted 6 focus groups with refugee young men (n=3) and women (n=3) aged 16-24 years and 28 in-depth individual interviews (refugee youth: n=12; health care providers: n=8; elders: n=8). Findings informed the development of a workshop that included a participatory comic book on sexual and gender-based violence (SGBV) and youth, SGBV stigma, youth-friendly health care, and post-exposure prophylaxis. Comic book illustrations specifically addressed health care confidentiality and examples of being a supportive health care provider. Then, we conducted a 1-day workshop with health care providers (n=20) that included structured activities addressing SGBV impacts and related stigma and included comic book discussions. Open-ended survey data were collected 8 weeks after the workshop to explore health care providers' experiences with the workshop, perceived impact of the intervention on their work, and support required to implement youth-friendly services for SGBV survivors. Qualitative data were analyzed using thematic approaches. Open-ended response data indicated that: comic book methods were informative and interactive; health care providers felt more empowered to offer youth-friendly services and spaces; and health care providers want additional SGBV training and institutional support for youth-friendly spaces and community engagement. A comic book intervention has the potential to meaningfully engage health care providers in humanitarian contexts to provide youth-friendly health care, acquire skills for engaging in SGBV prevention, create youth-friendly clinic spaces, and identify health care and community SGBV prevention needs.
Sections du résumé
BACKGROUND
BACKGROUND
Graphic medicine formats, such as comic books in which health information is presented alongside images, may be a useful learning tool to improve post-rape care and youth-friendly service provision among health care providers in humanitarian contexts. We describe the development and pilot-testing of a workshop using a comic book to improve youth-friendly post-rape care with providers in Bidi Bidi refugee settlement, Uganda.
PROGRAM DEVELOPMENT AND PILOTING
UNASSIGNED
We conducted 6 focus groups with refugee young men (n=3) and women (n=3) aged 16-24 years and 28 in-depth individual interviews (refugee youth: n=12; health care providers: n=8; elders: n=8). Findings informed the development of a workshop that included a participatory comic book on sexual and gender-based violence (SGBV) and youth, SGBV stigma, youth-friendly health care, and post-exposure prophylaxis. Comic book illustrations specifically addressed health care confidentiality and examples of being a supportive health care provider. Then, we conducted a 1-day workshop with health care providers (n=20) that included structured activities addressing SGBV impacts and related stigma and included comic book discussions. Open-ended survey data were collected 8 weeks after the workshop to explore health care providers' experiences with the workshop, perceived impact of the intervention on their work, and support required to implement youth-friendly services for SGBV survivors. Qualitative data were analyzed using thematic approaches. Open-ended response data indicated that: comic book methods were informative and interactive; health care providers felt more empowered to offer youth-friendly services and spaces; and health care providers want additional SGBV training and institutional support for youth-friendly spaces and community engagement.
IMPLICATIONS
CONCLUSIONS
A comic book intervention has the potential to meaningfully engage health care providers in humanitarian contexts to provide youth-friendly health care, acquire skills for engaging in SGBV prevention, create youth-friendly clinic spaces, and identify health care and community SGBV prevention needs.
Identifiants
pubmed: 37348945
pii: GHSP-D-22-00088
doi: 10.9745/GHSP-D-22-00088
pmc: PMC10285726
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© Logie et al.
Références
BMC Med Educ. 2016 Aug 12;16(1):204
pubmed: 27520824
Glob Health Action. 2021 Jan 1;14(1):1940763
pubmed: 34402763
BMC Med Ethics. 2021 Sep 23;22(1):127
pubmed: 34556099
Med Humanit. 2012 Jun;38(1):21-7
pubmed: 22282425
Int J Environ Res Public Health. 2018 Jul 26;15(8):
pubmed: 30049940
Confl Health. 2021 Dec 24;15(1):96
pubmed: 34952621
PLoS One. 2018 Jul 6;13(7):e0199300
pubmed: 29980147
BMJ Glob Health. 2018 May 03;3(2):e000682
pubmed: 29736272
Eval Program Plann. 2021 Jun;86:101918
pubmed: 33578229
Lancet HIV. 2020 Dec;7(12):e844-e852
pubmed: 33275917
Reprod Health Matters. 2008 May;16(31):122-31
pubmed: 18513614
J Interpers Violence. 2020 Mar;35(5-6):1415-1441
pubmed: 29294671
Glob Public Health. 2006;1(3):249-63
pubmed: 19153910
BMJ. 2019 Apr 1;365:l1083
pubmed: 30936067
BMC Public Health. 2021 Mar 16;21(1):508
pubmed: 33726682
BMJ. 2010 Mar 03;340:c863
pubmed: 20200064
BMC Med Educ. 2021 Jan 21;21(1):66
pubmed: 33478483
BMC Health Serv Res. 2018 Mar 27;18(1):216
pubmed: 29587727
BMC Health Serv Res. 2018 Oct 22;18(1):809
pubmed: 30348166
J Med Humanit. 2020 Dec;41(4):573-578
pubmed: 32809157
Sex Reprod Health Matters. 2020 Dec;28(1):1722404
pubmed: 32075551
BMC Public Health. 2018 Jun 19;18(1):769
pubmed: 29921257
Reprod Health. 2021 Jun 27;18(1):135
pubmed: 34176511
Int J Womens Health. 2021 Jul 24;13:727-741
pubmed: 34335058
Confl Health. 2013 Jul 03;7:14
pubmed: 23819561
J Adolesc Health. 2008 Jan;42(1):3-10
pubmed: 18155024