Understanding reticence to occupy free, novel-design homes: A qualitative study in Mtwara, Southeast Tanzania.


Journal

PLOS global public health
ISSN: 2767-3375
Titre abrégé: PLOS Glob Public Health
Pays: United States
ID NLM: 9918283779606676

Informations de publication

Date de publication:
2023
Historique:
received: 19 04 2023
accepted: 23 09 2023
medline: 22 11 2023
pubmed: 22 11 2023
entrez: 22 11 2023
Statut: epublish

Résumé

The population of Africa set to reach 2 billion by 2050. There is therefore great demand for housing across the continent. Research on modified novel designs for housing is a priority to ensure that these homes are not sites of infection for diseases transmission such as malaria. One trial to assess the protection afforded by novel design houses is underway in Mtwara Region, southeastern Tanzania. After constructing 110 of such homes across 60 villages, project staff encountered a certain reticence of the target population to occupy the homes and were faced with accusations of having nefarious intentions. This article explores these accusations, their impacts on home occupancy and lessons for future housing studies. This qualitative study drew on in-depth interviews and focus group discussions with ten occupants of the intervention homes, six community leaders and a further 24 community members. Interviews were recorded, transcribed verbatim and translated to English for qualitative content analysis. In communities around the Star Homes, during construction and handover, project staff were widely associated with 'Freemasons', a term used to practices, secrecy, and other conspiracy theories in rural Tanzania. These connections were attributed to other community members and explained in terms of knowledge deficit or envy, with others hoping to be allocated the home. The stories were embedded in assumptions of reciprocity and suspicions about study motives, linked to limited experience of research. The relationship between the accusations of freemasonry and reticence to occupy the houses was not straightforward, with project staff or relatives playing a role in decisions. The stakes were high, because the recipients of Star Homes were the poorest families in targeted communities. The results indicate the need for long-term and proactive community engagement, which focuses on building relationships and providing information through recognizable voices and formats. Given the stakes at play in housing interventions, research teams should be prepared for the social upheaval the provision of free new housing can cause.

Identifiants

pubmed: 37992017
doi: 10.1371/journal.pgph.0002307
pii: PGPH-D-23-00654
pmc: PMC10664911
doi:

Types de publication

Journal Article

Langues

eng

Pagination

e0002307

Informations de copyright

Copyright: © 2023 Meta et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

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Auteurs

Judith Meta (J)

Independent Consultant and Social Scientist, Mtwara, Tanzania.
CSK Research Solutions, Mtwara, Tanzania.

Salum Mshamu (S)

CSK Research Solutions, Mtwara, Tanzania.
Nuffield Department of Clinical Medicine, University of Oxford, Oxford, United Kingdom.

Salma Halifa (S)

CSK Research Solutions, Mtwara, Tanzania.

Arnold Mmbando (A)

Ifakara Health Institute, Ifakara, Tanzania.
Department of Biosciences, Durham University, Durham, United Kingdom.

Hannah Sloan Wood (HS)

Royal Danish Academy, Architecture, Design, Conservation, Copenhagen, Denmark.

Otis Sloan Wood (OS)

Royal Danish Academy, Architecture, Design, Conservation, Copenhagen, Denmark.

Thomas Chevalier Bøjstrup (TC)

Royal Danish Academy, Architecture, Design, Conservation, Copenhagen, Denmark.

Nicholas P J Day (NPJ)

Nuffield Department of Clinical Medicine, University of Oxford, Oxford, United Kingdom.
Mahidol-Oxford Tropical Medicine Research Unit (MORU), Bangkok, Thailand.

Jakob Knudsen (J)

Royal Danish Academy, Architecture, Design, Conservation, Copenhagen, Denmark.

Steven W Lindsay (SW)

Department of Biosciences, Durham University, Durham, United Kingdom.

Jacqueline Deen (J)

University of Philippines, Manila, Philippines.

Lorenz von Seidlein (L)

Nuffield Department of Clinical Medicine, University of Oxford, Oxford, United Kingdom.
Mahidol-Oxford Tropical Medicine Research Unit (MORU), Bangkok, Thailand.

Christopher Pell (C)

Amsterdam Institute for Global Health and Development (AIGHD), Amsterdam, the Netherlands.
Department of Global Health, Amsterdam UMC, location University of Amsterdam, Amsterdam, the Netherlands.
Amsterdam Public Health Research Institute (Global Health | Health Behaviours & Chronic Diseases Research), Amsterdam, the Netherlands.

Classifications MeSH