Episode 53

Gender Inequity: The Driver of Gender Based Violence

In this episode we celebrate International Women’s Day by revealing the hidden gender inequities that lead to gender-based violence and more importantly what can be done to instigate change.

It is the first of two episodes celebrating International Women’s Day and features a Kenyan community based participatory research project by Beate Ringwald (PhD student) from the Liverpool School of Tropical Medicine who worked in partnership with LVCT Health (including our guests) and 11 community co-researchers from Gitathuru village in Korogocho. The study aimed to strengthen community capacity to prevent intimate partner violence and HIV.

Veronica Mwania and Maria Muthoki take us through a participatory research journey, discussing the ways that they engaged co-researchers whilst considering and addressing power structures of inequity. They talk about how knowledge was generated through creativity, dialogue and awareness raising which was embedded and transferred to communities through drama, word of mouth and art.

More about our guests:

Maria Muthoki – Researcher, Kemri, LVCT, Infinite Insight (among others)

Maria Muthoki is a freelance researcher based in Nairobi, Kenya and has 14 of years of professional research experience. She has done both social and market research, involving mainly qualitative and sometimes quantitative methods. Maria Muthoki worked with LVCT Health, as part of the Accountability for Informal Urban Equity Hub (ARISE), to support this community-based participatory PhD study on the intersections of HIV and intimate partner violence in an informal settlement in Nairobi. She worked with a diverse group of community co-researchers from an informal settlement. While her main role was documentation and management of data, she also supported co-researchers to analyse data and disseminate findings. Maria loves talking to people and understanding their viewpoint on the studies that she conducts.

Veronicah Mwania - Independent Researcher, Kenya Medical Research Institute (KEMRI)

Veronica Mwania has a background in applied psychology and has been an independent researcher for 17 years in Kenya. She has worked for LVCT Health on various research studies, including the participatory study that we will be hearing about in this episode. She is currently working with the Kenya Medical Research Institute on a study involving mental health screening for adolescents who are living with HIV.

Veronica’s work in this project blended intersectionality and participatory research approaches working with a diverse group of community co-researchers who were equal partners in the research process. Intersectionality links theory and action – the formation of theory through practice by marginalised groups and the use of knowledge to challenge inequalities in everyday life. By applying a participatory health research approach, the team sought to mitigate the risk of their research being a closed space, reproducing unequal power structures, and being irrelevant. In line with participatory and intersectionality research guidelines, they paid attention to power, time, space, and diversity of knowledge; and promoted reflexivity, equity, and opportunities for collective action.

Useful links:

• A research journey that brought power theories to life: Lessons from Korogocho, Kenya | ARISE [Blog]

• The effects of the COVID-19 pandemic on community-based participatory research: Reflections from a study in an informal settlement in Nairobi, Kenya | ARISE

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The podcast covers wide ranging topics such as NTD’s, NCD’s, antenatal and postnatal care, mental wellbeing and climate change, all linked to community engagement and power dynamics.   

If you would like your own project or programme to feature in an episode, get in touch with producers of Connecting Citizens to Science, the SCL Agency.  

Transcript
Kim Ozano:

Hello listeners and welcome to the Connecting Citizens to Science Podcast.

Kim Ozano:

A podcast about connecting people and communities to science or research so that we can join forces together to catalyse sustainable

Kim Ozano:

This episode is all about celebrating women and celebrating equity.

Kim Ozano:

Let's meet our guests.

Kim Ozano:

We have Veronica Mwania who has a background in applied psychology and has been an independent researcher for 17 years in Kenya.

Kim Ozano:

She has worked for LVCT Health on various research studies, including the participatory study that we will be hearing about today.

Kim Ozano:

She is currently working with the Kenya Medical Research Institute on a study involving mental health

Kim Ozano:

We also have Mary Muthoki, who is also an independent researcher working at the Kenya Medical Research Institute

Kim Ozano:

She is an expert in social and market research and was also a researcher on the community-based

Kim Ozano:

So, let's start off by exploring what does International Women's Day mean for you, and why is it important?

Kim Ozano:

Veronica.

Veronica Mwania:

For me, International Women's Day special because I was raised in a family of working

Veronica Mwania:

My grandmothers, my mothers, my aunties were all working women.

Veronica Mwania:

They were empowered, and as I grew up and went into research, which I believe it was my calling and I managed to go into other

Veronica Mwania:

I am really passionate about empowering women and young girls.

Kim Ozano:

That's great to hear and it's wonderful and we celebrate you on this International Women's Day as well.

Kim Ozano:

Maria, thank you for joining the podcast.

Kim Ozano:

We're really pleased to have you here.

Kim Ozano:

So what does International Women's Day mean for you?

Maria Muthoki:

I think it's a day to remind ourselves that women need support because often women, some women have achieved a lot

Maria Muthoki:

But a woman cannot often do that without neglecting her family.

Maria Muthoki:

So women need support from both genders so if you have a female boss or a male boss, they should

Kim Ozano:

I guess it's recognising that the fight for equity for women is not just about

Kim Ozano:

So in relation to that, maybe you could tell us a bit about the work that you've been doing in Kenya at the moment.

Kim Ozano:

I understand it was with the Liverpool School of Tropical Medicine and was around gender-based violence.

Kim Ozano:

Tell us a bit more about it.

Maria Muthoki:

We were doing a community based participatory study.

Maria Muthoki:

It was about uh, intersection of HIV and intimate partner violence.

Maria Muthoki:

So we looked at several things, mostly was about the power that, women have uh, uh, or don't have often when in such a community where

Maria Muthoki:

We were looking at how that affected now their partnerships, partnerships, and the GBV.

Maria Muthoki:

Often some women had to stay in situations that where they were being sexually, uh, abused or, uh, uh, physically

Maria Muthoki:

We were looking at how can these women also get power for themselves, so that with that power,

Maria Muthoki:

Now, this is very important because while involving the community helps us to know, now how can we help those

Maria Muthoki:

They know some of the practical ways that their lives can be changed because we don't understand the area, because we don't live there.

Maria Muthoki:

But when you participate to them, you see some of the solutions that can be found there because you have experts on the ground.

Kim Ozano:

Thank you very much.

Kim Ozano:

That really helps me to understand and it sounds like it's a very sensitive area where you are discussing a lack

Kim Ozano:

Veronica, could you outline the practical elements?

Kim Ozano:

How did the study take place?

Kim Ozano:

Maria said that, you know, you worked with women as co-researchers, but maybe you can give me a little bit more

Veronica Mwania:

We were very intentional about looking for people who are marginalised and people who are just not the normal people.

Veronica Mwania:

The first thing we did, we went into the community, learned a lot about the community.

Veronica Mwania:

We had to have meetings, which we attended for a while, not just one meeting, we had two or three meetings before that would

Veronica Mwania:

I remember like the first meeting we had, the people on the ground, our core researchers, were expecting us to just hand

Veronica Mwania:

When they started understanding the nature of the study and what we are looking for and the first thing that they

Veronica Mwania:

You value us, you think about us.

Veronica Mwania:

You are not just here to collect data.

Veronica Mwania:

You are here to really find out the truth about what is happening on the ground.

Veronica Mwania:

We recruited people from a representation of different people in the community, like young women who are mentors from LVCT who

Veronica Mwania:

We also wanted a representation of a Muslim person because the first thing we did was the mapping of the community,

Veronica Mwania:

We had 11 co-researchers over a period of one year.

Kim Ozano:

It's really interesting you were able to communicate the care and empathy you had for the

Kim Ozano:

Veronica, as the research took place over a year, the relationships between the co-researchers,

Veronica Mwania:

We worked together.

Veronica Mwania:

Different people from different walks of life representing different groups of people in the community, work together in harmony.

Veronica Mwania:

Respectful.

Veronica Mwania:

One of the things that was very important for us is confidentiality.

Veronica Mwania:

Everybody knew that they were part of this research, but nobody knew why the other person was selected.

Veronica Mwania:

The religious leader did not know.

Veronica Mwania:

We managed to keep confidentiality of people's identity.

Veronica Mwania:

For instance, none of the co-researchers knew that this person is a lesbian or this one is a sex worker,

Maria Muthoki:

The disclosure of identities was an issue because some of them feared being found out.

Maria Muthoki:

So we tried to make them feel safer about disclosure, but that was a risk.

Veronica Mwania:

We also managed to communicate and discuss about respect as a group, and so we developed, guiding

Veronica Mwania:

Each time we had a meeting, we had to go through what, uh, what the rules were.

Veronica Mwania:

Like, respect one another, share your opinion freely, listen to one another.

Veronica Mwania:

All this is something that the whole group worked together to formulate it's not an alien thing; we brought it from outside

Veronica Mwania:

We observed those rules and they guided us and the whole year we worked really well, even after exiting

Veronica Mwania:

Maybe one other thing we also did, we created a safe place where, of course we understand that the community is an informal

Veronica Mwania:

We had a, a way of verifying.

Veronica Mwania:

We had members of the core researchers who would go assess the problem and see if it's valid and if it's

Veronica Mwania:

The emphasis also on part of the risk was how, after we've exited, they're going to go back to their state.

Veronica Mwania:

If you were unemployed or you didn't have something coming in, how would you handle it?

Veronica Mwania:

We had to discuss it openly and see how they're going to manage and cope with the situation after the project is over.

Kim Ozano:

So you've recruited co-researchers from different marginalised groups within an informal

Kim Ozano:

Veronica, can you tell us about some of the methods, uh, that were involved over that year and what did they show?

Veronica Mwania:

So some of the methods we actually did, Qualitative interviews, we did focus group discussion with community members

Veronica Mwania:

We had a focus group with people living with HIV.

Veronica Mwania:

We had a focus group with sex workers, community health volunteers, people living with disability, young people.

Veronica Mwania:

The method was focused with discussion really.

Veronica Mwania:

We also had in-depth interviews that we conducted with organisations, especially stakeholders that are working within the community.

Veronica Mwania:

So we wanted to see how we can link stakeholders also together and see how they can work together to fight intimate

Kim Ozano:

So what did the study find and, uh, how has the, the work been disseminated?

Veronica Mwania:

Okay, so the, actually we, it was quite interesting, the findings were for quite interesting, but we

Veronica Mwania:

For instance, if it's in a marriage relationship, you find everybody will think the man is supposed to be

Veronica Mwania:

If, um, someone is not gaining something from, you know, that is monetary, then the relationship cannot work.

Veronica Mwania:

You find women are taken advantage of by different people because of the hard economic situations in the community.

Veronica Mwania:

This is a woman, she's a mother, she's married, but her husband, of course, cannot afford to cater for all their needs.

Veronica Mwania:

So you find the neighbour, who is probably the landlord, they have not paid rent, so the neighbour who is the

Veronica Mwania:

Then she takes her children to school and she doesn't have enough money to pay school fees, the principle all

Veronica Mwania:

When the women go to work, they go for casual work.

Veronica Mwania:

The managers at the workplace, the industry, would want to have, again, a sexual relationship so that they can get a job.

Veronica Mwania:

So you find for women, including the person selling vegetables, the boda boda rider, that is the mode of transport they use is motorbike.

Veronica Mwania:

The list goes on.

Veronica Mwania:

We call them boda boda here, you don't have money again, the woman will have to give her body to, to get transport.

Veronica Mwania:

The woman will have to give her body to the religious leader in case she's looking for a child

Veronica Mwania:

I mean, the cycle just goes on and on.

Veronica Mwania:

It was quite an eyeopener even for our co-researchers as we continue to analyse, because we worked with them, collected data together,

Veronica Mwania:

Even as they went through the whole process, the thing that we know we left in Korogocho is the ownership, they owned the project and

Veronica Mwania:

So because of that, they have continued to work together to disseminate the findings to the community members.

Veronica Mwania:

They talk to their neighbours, telling them about intimate partner violence, the importance of where to report

Veronica Mwania:

Maybe Maria would like to add how we disseminated the finding?

Maria Muthoki:

Several of our researchers gave us stories now, as an informal way, that they helped their friends and neighbors,

Maria Muthoki:

They gave them information about whatever they learned in our sessions, plus now the dramas that they put on.

Maria Muthoki:

We disseminated to the people in power in the community itself.

Maria Muthoki:

So the chief, the police, and other people around.

Maria Muthoki:

Some of our researchers are community volunteers.

Maria Muthoki:

They deal a lot with the community.

Maria Muthoki:

The information they got, they used it, they keep using it, even now, on the community.

Maria Muthoki:

We had an FM station, where we did some interviews on them.

Maria Muthoki:

The FM station is based in the community, so I'm sure it impacted the community.

Kim Ozano:

Tell us a bit more about the dramas.

Kim Ozano:

What was the aim of the drama and how was it delivered?

Maria Muthoki:

The aim was, uh, to show how intimate partner violence may occur.

Maria Muthoki:

Sometimes, some scenarios are not seen as intimate partner violence by some people.

Maria Muthoki:

So we wanted to show the different ways that it can happen.

Maria Muthoki:

It can occur that even the woman can be the instigator and the one causing the abuse and how now money is involved in the whole agenda.

Veronica Mwania:

I would just like to add to what Maria was saying about intimate partner violence being normalised to the extent that

Veronica Mwania:

Then to some extent even, these issues are normalised until even our own co-researchers were surprised to realise that

Veronica Mwania:

They acted out the scenarios, the normal spin scenarios that may occur in the community, and so they prepared a nice kit that

Veronica Mwania:

It was a very good way of disseminating the findings.

Veronica Mwania:

The other thing we did that we forgot to mention is we had a local painter who painted also the scenarios of the nine things

Veronica Mwania:

Our core researchers each have copies of the thing, a painting, that they're able to use to illustrate the

Kim Ozano:

It sounds like the creative de dissemination was really very important for this project and I can imagine it also helped

Kim Ozano:

So really great to hear that and I'm glad you added that.

Kim Ozano:

Maria, we are would like to end the episode by asking you what is your one piece of advice that you would

Maria Muthoki:

In a community, I think, community participatory research, I think that is a big thing.

Maria Muthoki:

Involve the community you are going to research or you're dealing with.

Maria Muthoki:

That way you get a lot of information from them, how to help them, because as an outsider, you would never understand what they need.

Maria Muthoki:

Also have men as part of whatever you're doing, because you will create empathy on their side.

Maria Muthoki:

If we can do that, that would really help.

Maria Muthoki:

We're not adversaries we can support each other to support women.

Maria Muthoki:

The man can do something to be a part of it.

Maria Muthoki:

I saw the men in the group change after the discussions, they seemed more empathetic, so they become a support system for the women.

Kim Ozano:

Thank you very much.

Kim Ozano:

Were there some recommendations for our global listeners around what can be done to try to address this gender inequity?

Veronica Mwania:

I think the first thing that we learned, when you work together with the community members, you see

Veronica Mwania:

For instance, they didn't even know how we were talking about power and power imbalances and they did not even know the

Veronica Mwania:

They're caught up in the day-to-day survival living, and so their minds will not go beyond their community.

Veronica Mwania:

So you find they're not really exposed to a lot of information.

Veronica Mwania:

Then there's a lot of exploitation also from outside, people who are coming to work with communities, sometimes you may not

Veronica Mwania:

So I think the best thing, even as we're disseminating to other global platforms, it's good to disseminate the information also

Kim Ozano:

Thanks very much for that.

Kim Ozano:

It's really about working with communities to jointly find local solutions that are relevant for that context and it sounds like the

Veronica Mwania:

The other piece of advice is, we also think about when we exit the community, how we can plan to empower the community

Kim Ozano:

I think that's really important in terms of when you plan community-based projects, I think quite often we think about

Kim Ozano:

So I think that's really a key message there for our listeners.

Kim Ozano:

So thank you for helping us celebrate International Women's Day with such important, strong messages

Kim Ozano:

To our listeners, please like, rate, share and subscribe.

Kim Ozano:

We have another episode coming for International Women's Day, so do tune in and thank you Veronica, and thank you, Maria for joining us.

About the Podcast

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Connecting Citizens to Science
Researchers and scientists join with communities and people to address global challenges

About your host

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Kim Ozano

Research and Development Director at SCL and co-founder and host of the ‘Connecting Citizens to Science’ (CCS) podcast. Kim is a health policy and systems researcher with over 15 years’ experience of designing, delivering and evaluating health and development projects in the Global South and UK. She is an implementation health research specialist, as can be seen from her publications and work at the Liverpool School of Tropical Medicine, where she remains an Honorary lecturer.
Kim creates space in Connecting Citizens to Science for researchers and communities to share their experience of co-production to shape policy and lasting positive change.