10 research outputs found

    ‘Bottom up’ approach: A community-based intervention in fighting non-communicable diseases in urban informal settlements Kenya

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    Objective: The main objective of this study was to identify challenges faced by healthcare front-liners towards health promotion in the prevention and management of Non-Communicable Diseases (NCDs) amongst the urban 25 - 59-year olds living in urban informal settlements within Kamukunji, Nairobi County. Design: Using the design thinking methodology, this qualitative research aimed at exploring the use of an innovative communication strategy using community-based interventions as a new approach towards NCDs prevention and management. Setting: This study was carried out in two community units within California Ward, in Kamukunji Sub-county, one of the most populous sub-counties in Nairobi Participants: 7 CHVs, 6 Sub-county health officers and 3 Design Thinking practitioners were included in this study. Intervention: A ‘bottom-up approach’ of involving healthcare front-liners in communities in decision making about their health choices and what works best for them, is an unexplored area in health promotion programmes in Kenya. Towards this end, a co-design workshop conducted with the key stakeholders helped in framing and designing health promotion and communication messages that could have a major impact in the reduction of NCDs and related risk factors and increase health-seeking behaviour within the community. Results: The significance of the findings from this qualitative study identified major challenges which included irrelevant and poor health information, education and communication (IEC) material, poor health education and training methods and tools, socio-cultural barriers as well as limited health literacy levels amongst the community members. It was also observed that the current health promotion programmes used were designed and implemented by the National Government, who were not fully aware of the challenges faced at the grassroots. Conclusion: This paper argues that community engagement in designing health promotion programmes goes a long way in influencing healthbehaviour change among community members. &nbsp

    Building capacity towards what? Proposing a framework for the analysis of energy transition governance in the context of urban informality in Sub-Saharan Africa

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    There is an emerging scholarship that criticises the conceptualisation of urban informality from a deficit view and emphasises that informality constitutes a way of life, a practice in its own right. We argue that energy is part of the informal way of life and that energy transitions need to take into account the specificities of urban informality when used for policy. Acknowledging energy practices is necessary to improve the justice of energy transitions, including the urban poor in energy transitions without denying the legitimacy of slum dwellers’ ways of life. In this paper, we analyse energy governance in informal urban settlements as implemented by national governments, municipalities and non-governmental organisations, with case studies from Sub-Saharan Africa. We develop a policy analysis framework that assesses (1) the practices of problem definition; (2) the creation of policy options and strategy; (3) the mix of capacities mobilised; and (4) the type of instruments used. The framework is applied to three case studies of energy policies in informal settlements in Kenya, South Africa and Uganda. Results show a strong preference for regulation and technological fixes and do not create capacity to acknowledge and integrate the specific challenges of urban informality and informal ways of life in energy policy, hence falling short of addressing social justice in energy transitions

    Mediating household energy transitions through co-design in urban Kenya, Uganda and South Africa

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    Approaches to providing sustainable energy in cities have generated considerable interest in academic and policy circles. The development of this body of work, however, has not shed much light on the modes of intermediation that are needed to reconfigure urban energy systems towards sustainability in energy-poor countries. This paper focuses on the role of academics as knowledge intermediaries who can trigger cross-sector collaborations around innovations for a sustainable energy transition in African cities. The research presented here was generated by an interdisciplinary research team made up of partners in Kenya, Uganda and South Africa. The research partners set out to better understand how sustainable energy transitions can be achieved through collaborative efforts between community members, experts and policy actors in the three countries. This paper provides evidence-based reflections on how the research partners used participatory methods to facilitate solution co-design and knowledge co-production over a period of two years under the Leading Integrated Research for Agenda 2030 in Africa (LIRA 2030) program. A key knowledge outcome of the research partnership is an improved understanding of how transdisciplinary research across the sub-region can be used to unearth the socio-spatial, cultural and political dimensions of energy in relation to other urban services such as health and housing. Based on this understanding, the paper proposes transdisciplinary co-design as a promising approach to providing sustainable energy in urban informal settlements in Sub-Saharan Africa

    Design and Poverty : A Review of Contexts, Roles of Poor People, and Methods

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    Design is essential to fulfil unmet or under-served needs of resource-poor societies, supporting their social and human development. A great deal of design research has been undertaken in such low resource settings, and is discussed under different names, such as ‘community development engineering’, ‘humanitarian engineering’, ‘appropriate technology’, ‘design for development’, ‘design at the Base of the Pyramid’, etc. This has created an important need to know what has been examined and learnt so far and to plan for further investigation. To address this, we review a broad range of literature, with close examination of 30 design studies in this field. This reveals a multifaceted picture, showing a great diversity in investigation and reporting of attributes of context (income, rural and urban, design sectors, countries, and gender), the roles of poor people (consumers, producers, and co-designers), characteristics of research methods employed (e.g. descriptive and prescriptive, data collection methods, qualitative and quantitative aspects, and unit of analysis), and design topics. Based on the review results, we offer recommendations for further research, identifying concerns that researchers ought to have about this field and suggesting ways in which research in this field can be undertaken and reported
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