This paper describes the methodology used for Cresswell's "PRA Investigation into the Health and Social Needs of People Living in Danesmoor". The project took 34 days to complete, consisting of 54 individual interviews, two group interviews and eight groups of school children. The PRA approach is described, outlining its relevance to the work with this community in the UK. PRA methods used are listed with their application in "community assessment of health and social needs as undertaken in Danesmoor". Implications for professionals working in the area are considered and the future potential use of PRA explored. Further research is suggested around why there is poor uptake of certain key services.
Participatory Rapid Appraisal: An Investigation into the Health and Social Needs of People Living in Danesmoor - Volume 1
The aim of this study was to identify the health and social problems in relation to Danesmoor, an area in North Derbyshire with high unemployment. PRA techniques were used to collect qualitative information from three main sources : key community people, community members, professionals working in the area. Questions were asked regarding people's perceptions of the area, the health and social problems, existing care service provision and "magic wand" - "within reason what would benefit individuals, families and the community as a whole". This report presents the findings under the groups of people interviewed (eg single mothers, children, health visitors, doctors, playgroup leader), giving direct quotations and their suggested magic wand solution to the problems. Lack of communication and coordination between various service providers is identified as a key issue. Finally an "overall magic wand" (solution to common problems) and a plan of action were made.
Unemployment and health: the development of the use of PRA in identified communities in Staveley, North Derbyshire
This study in Staveley, an area with high unemployment, aimed to: i) identify & enable people to address the personal risk factors for cardio-vascular diseases ii) enable unemployed workers to discuss health difficulties specific to unemployment iii) promote a greater understanding of the specific health needs of unemployed people Unemployed people and 200 children were interviewed, then key people in the professions of education, health, social services, police, clergy and housing. Video, photos and mapping were used and people "had an opportunity to test their own health by filling in a health profile questionnaire". The various groups' different perceptions of the problems and suggested solutions are analysed. There is a need for "an informed, integrated, inter-agency approach with the involvement of unemployed people in order to respond effectively to the problems of unemployment".
Summary of a one-day workshop for PLA practioners organised by the charities evaluation services and Oxfam UK and Ireland.
A case study of the use of PLA by North Derbyshire Community Health Service is given and also issues and techniques relating to the use of interviews are considered, including suggested guidelines for interviewers, the use of local people to gather data, interviewing skills, the use of group exercises vs. individual interviews. Finally, a team interviewing and diagramming exercise used at the workshop is outlined.
The contributions of academics and practioners from Africa, Asia, Latin America, the USA and Europe, are extended versions of a selection of papers presented at the International Symposium on Participatory Research in Helath Promotion, Liverpool 17-21 September 1993.
The proceedings of a workshop focussing on three topics: rigour and integrity in PRA work, PRA training quality and funding and related pressures for compromises.
Annex 2 provides a case study of the community consultation methodology used by the Groundwork Trust in the community of Gellidog. Annex 3 outlines the Teenage Sexual Health Research Project being carried out in Wester Hailes using a participatory methodology. Finally there is an updated list of the PA network in Scotland.
Report of a participatory health needs assessment carried out on the Roundshaw Estate by a team of residents, health, housing and youth service workers, which focused specifically on residents views on well-being on the estate and their suggestions for improving the quality of life there. The report includes a section evaluating and reflecting on the process used, which examines amongst other aspects, reactions of the community members and also the Participatory Appraisal Team to the process.