Community-based health programmes: role perceptions and experiences of female peer facilitators in Mumbai's urban slums
Open accessAbstract
Community-based initiatives have become a popular approach to addressing the health needs of underserved populations, in both low- and higher-income countries. This article presents findings from a study of female peer facilitators involved in a community-based maternal and newborn health intervention in urban slum areas of Mumbai. Using qualitative methods we explore their role perceptions and experiences. Our findings focus on how the facilitators understand and enact their role in the community setting, how they negotiate relationships and health issues with peer groups, and the influence of credibility. We contextualize this within broader conceptualizations of peer-led health interventions and offer recommendations for similar community-based health initiatives.
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Other studies found that peers offered friendship, shared personal experience, used empathic skills to build rapport, and were perceived as respected members of the community.
“This is consistent with findings from other studies in which peers offered friendship, shared personal experience [42], and used empathic skills to build rapport [28, 43, 44] and were perceived respected members of the community [45].”
From Barefoot therapists: barriers and facilitators to delivering maternal mental health care through peer volunteers in Pakistan: a qualitative study (2016) · cites this paper as [43]
Peers, particularly from LMICs such as India, South Africa and Bangladesh, found the social aspect of volunteerism as one of motivators.
“Peers, particularly from LMICs such as India, South Africa and Bangladesh found the social aspect of volunteerism as one of motivators [49, 57].”
From Barefoot therapists: barriers and facilitators to delivering maternal mental health care through peer volunteers in Pakistan: a qualitative study (2016) · cites this paper as [49]
Other studies highlighted training and supervision as crucial to maintain community health volunteers' interest and motivation, to enhance their credibility, and for the success of the peer support role.
“The significance of training and supervision was also highlighted in other studies as crucial to maintain community health volunteers’ interest and motivation [48], to enhance their credibility [49] and for the success of the peer support role [28].”
From Barefoot therapists: barriers and facilitators to delivering maternal mental health care through peer volunteers in Pakistan: a qualitative study (2016) · cites this paper as [49]
Other studies have indicated similar factors as the driving force behind volunteering, including willingness to help others, increase in social and personal knowledge, better job prospects, and improved overall wellbeing.
“Other studies have also indicated similar factors as the driving force behind volunteering. Factors such as willingness to help others [53–56], increase in social and personal knowledge [49, 53], better job prospects [25] and improved overall wellbeing [28] are the common motivators reported by the peers in several studies.”
From Barefoot therapists: barriers and facilitators to delivering maternal mental health care through peer volunteers in Pakistan: a qualitative study (2016) · cites this paper as [49]
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- Authors
- Alcock, G. A., More, N. S., Patil, S., Porel, M., Vaidya, L., & Osrin, D.
- Affiliations
- University College London (GB)
- Society for Nutrition Education and Health Action (IN)
- Corresponding author
- Alcock, G. A.
- ORCID
- Venue
- Health Education Research
- Publisher
- Oxford University Press (OUP)
- Published
- 2009-08-03
- Volume
- 24
- Issue
- 6
- Pages
- 957-966
- ISSN
- 0268-1153 (ISSN-L)
- 1465-3648
- PMC
- PMC2777946
- OpenAlex
- W2109109572
- Cited by
- 41
- References
- 33
- Citations by year
- 2024: 2 · 2023: 3 · 2021: 3 · 2020: 1 · 2019: 2 · 2018: 3 · 2017: 4 · 2016: 4 · 2015: 3 · 2014: 3 · 2013: 5 · 2012: 3
- FWCI
- 4.84
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by-nc
- Locations
- Health Education Research (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Funders
- Wellcome Trust (081052)
- Topics
- Health Sciences › Health Professions › General Health Professions › Community Health and Development
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Public Health and Nutrition
- Social Sciences › Health › Public Health and Social Inequalities
- Keywords
- community health programs, maternal and newborn health, urban slums, role perception, credibility, peer relationships, underserved populations, Mumbai
- MeSH terms
- Female, Humans, India, Interviews as Topic, Maternal Welfare, Maternal-Child Health Centers, Peer Group, Poverty Areas, Role, Urban Population, Focus Groups, Community Networks
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