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'Our courage has grown': a grounded theory study of enablers and barriers to community action to address violence against women in urban India

Gram, Lu; Paradkar, Sukanya; Osrin, David; Daruwalla, Nayreen; Cislaghi, Beniamino; (2023) 'Our courage has grown': a grounded theory study of enablers and barriers to community action to address violence against women in urban India. BMJ Global Health , 8 (1) , Article e011304. 10.1136/bmjgh-2022-011304. Green open access

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Abstract

Transforming communities into supportive environments for women facing risks of violence requires community members to play an active role in addressing violence against women (VAW). We did a grounded theory study of enablers and barriers to community response to ongoing violence, sampling from programme areas of a non-governmental organisation (NGO)-led community mobilisation intervention in informal settlements in Mumbai, India. We held 27 focus group discussions and 31 semistructured interviews with 113 community members and 9 NGO staff, along with over 170 hours of field observation. We found that residents responded to violence in diverse ways, ranging from suicide prevention to couple mediation to police and NGO referral. Enabling and constraining factors fit into a social ecological model containing intrapersonal, immediate social network, and wider societal levels. We identified four themes interlinking factors: legitimacy of action, collective power, protection against risk and informal leadership. Legitimacy of action was negotiated in the context of individual disputes, making community members question not only whether VAW was 'wrong', but who was 'wrong' in specific disputes. Collective power through neighbourhood solidarity was key to action but could be curtailed by violent gang crime. Interveners in incidents of VAW turned out to need significant physical, social and legal protection against reprisal. However, repeat interveners could become informal leaders wielding influential prosocial reputations that incentivised and facilitated action. Our model integrates multiple perspectives on community action into one analytical framework, which can be used by implementers to ensure that community members receive encouragement, support and protection to act.

Type: Article
Title: 'Our courage has grown': a grounded theory study of enablers and barriers to community action to address violence against women in urban India
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1136/bmjgh-2022-011304
Publisher version: https://doi.org/10.1136/bmjgh-2022-011304
Language: English
Additional information: This work is licensed under a Creative Commons Attribution 4.0 International License. The images or other third-party material in this article are included in the Creative Commons license, unless indicated otherwise in the credit line; if the material is not included under the Creative Commons license, users will need to obtain permission from the license holder to reproduce the material. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/
Keywords: Injury, Mental Health & Psychiatry, Prevention strategies, Qualitative study, Humans, Female, Courage, Grounded Theory, Violence, Community Participation, Focus Groups
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute for Global Health
URI: https://discovery.ucl.ac.uk/id/eprint/10164149
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