eprintid: 10124527
rev_number: 18
eprint_status: archive
userid: 608
dir: disk0/10/12/45/27
datestamp: 2021-03-22 12:02:37
lastmod: 2021-11-30 23:06:15
status_changed: 2021-03-22 12:02:37
type: article
metadata_visibility: show
creators_name: Morrison, J
creators_name: Arjyal, A
title: A funfair without the candy floss: engaging communities to prevent diabetes in Nepal
ispublished: pub
divisions: UCL
divisions: B02
divisions: D01
keywords: Art, Community engagement, Non-communicable diseases, Participatory action research, Type 2 diabetes
note: © 2021 The Authors. Published by Elsevier Ltd on behalf of The Royal Society for Public Health. This is an
open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
abstract: OBJECTIVES: The World Health Organization estimates that 422 million people have diabetes, three-quarters of whom live in low- and middle-income countries. Global action plans to address non-communicable diseases (NCDs) recognise the centrality of community engagement to create an enabling environment within which to address risk factors. STUDY DESIGN: In this article, we describe and critically reflect on a cocreated community engagement approach to address type 2 diabetes in the southern plains of Nepal. We coproduced the engagement approach with 40 artists from the Janakpur Women's Development Centre to create an environment for dialogue about diabetes and NCD risk between artists and the general public. METHODS: We used participatory action research to produce contextually relevant interactive methods and materials. Methods included artists' peer research to inform creative workshops, a drama performed in 19 villages and a two-day funfair in a public park. We used qualitative and participatory methods to analyse the effect of this engagement and reflect on lessons learned. RESULTS: Around 2000 people saw the drama, and around 4000 people attended the funfair. Community dialogue about prevention of diabetes was facilitated by drama and through games and songs at the funfair. Artists grew confident to interact with their peers and drama audiences about the causes of diabetes and prevention strategies. Despite crowds at the funfair, it was difficult to reach women because the venue was often used by men and boys, and patriarchal norms prevent women from free movement. Village interactions were able to engage a more mixed audience. CONCLUSION: Innovative, asset-based community engagement about diabetes and other NCDs at scale is possible through locating, building on and strengthening community resources to address local health issues. Engagement could be enhanced by considering the gendered nature of community engagement spaces and by increasing opportunities for interaction between artists and the general public through more intimate and large-scale events.
date: 2021-04
date_type: published
official_url: https://doi.org/10.1016/j.puhe.2021.01.012
oa_status: green
full_text_type: pub
language: eng
primo: open
primo_central: open_green
verified: verified_manual
elements_id: 1853994
doi: 10.1016/j.puhe.2021.01.012
pii: S0033-3506(21)00033-0
lyricists_name: Morrison, Joanna
lyricists_id: JMORR15
actors_name: Morrison, Joanna
actors_id: JMORR15
actors_role: owner
full_text_status: public
publication: Public Health
volume: 193
pagerange: 23-25
event_location: Netherlands
citation:        Morrison, J;    Arjyal, A;      (2021)    A funfair without the candy floss: engaging communities to prevent diabetes in Nepal.                   Public Health , 193    pp. 23-25.    10.1016/j.puhe.2021.01.012 <https://doi.org/10.1016/j.puhe.2021.01.012>.       Green open access   
 
document_url: https://discovery.ucl.ac.uk/id/eprint/10124527/1/Morrison%20Mela%20PH%202021.pdf