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The Nature of Qualitative Studies Video

Overview of Qualitative Research Methods

The Nature of Qualitative Studies - apologise, but

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Background

Refugees fleeing conflict often experience poor mental health due to experiences in their country of origin, during displacement, and in new host environments. We undertook a rapid qualitative study between March and May to understand the local prioritisation of problems facing Congolese refugees living in two refugee settings in Uganda and Rwanda.

The Nature of Qualitative Studies

Thirty free list interviews were conducted in each setting, followed by 11 key informant interviews in Uganda and 12 in Rwanda. Results from all interviews were thematically analysed following a deductive process by the in-country research teams. Priority problems relating to mental and psychosocial health explored in key informant interviews include discrimination and inequity; alcohol and substance abuse; and violence and gender-based violence. Our findings strongly resonate with models of mental health and psychosocial wellbeing that emphasise their socially determined and contextually embedded nature.

Therefore, our findings foreground that one consequence of living in situations of pervasive adversity caused by experiences of discrimination, inequity, and violence is poor mental health and https://amazonia.fiocruz.br/scdp/blog/purpose-of-case-study-in-psychology/a-rare-and-complex-anatomic-variation-artery.php wellbeing. This understanding reinforces the relevance of feasible and acceptable intervention approaches that aim to strengthening familial and community-level social relationships, building upon existing community resources to promote positive mental health and psychosocial wellbeing among Congolese refugees in these settings.

The Nature of Qualitative Studies

These include protracted situations where refugees have been living in insecure settings for generations [ 2 ]. Mental health is impacted by a complex interplay of social determinants [ 3 ], which play out in unique ways in the social ecology of refugee settings.

Introduction

This includes structural conditions of adversity such as insecure asylum status, restricted opportunities to work or pursue education, and limited access to services, all of which can compound pre-displacement exposure to conflict or traumatic events and exacerbate psychological distress and mental health problems [ 456 ].

Displaced The Nature of Qualitative Studies also face adversity due to loss of or separation just click for source family, the erosion of social https://amazonia.fiocruz.br/scdp/blog/work-experience-programme/the-thin-line-between-love-and-hate.php mechanisms and community networks, and potential cultural or linguistic barriers to negotiating health services [ 7 ].

Refugee settings compound this adversity by establishing social, economic and political systems that may challenge the long established social and cultural norms that governed and shaped everyday life in their communities before they became refugees [ 8 ]. For example, in some settings refugees face restrictions on the right to work, to cultivate land, or pursue higher education. Such conditions diminish the agency of refugees and may The Nature of Qualitative Studies dependency on outside institutions. They alsoplace demands on social and cultural norms over generations, which can impact on the way refugees relate to one another, and can increase the risks of violence and discrimination [ 89 ].

Conceptual frameworks aid our understanding of the complex and cyclical relationships between the ecology of refugee settings - including familial, social, community, and structural context such as conditions of poverty and disadvantage - and mental health and psychosocial wellbeing.

The Nature of Qualitative Studies

These include frameworks that foreground conditions of adversity that arise through daily stressors such as difficulties accessing basic necessities of food and shelter [ 1011 ] and the impact of losing personal, familial, and social resources essential for mental wellbeing [ 12 ]. The ecological model [ 13 ] emphasise the micro- meso- and macro-level settings in which humans are The Nature of Qualitative Studies, directly and indirectly influencing individuals through continuous individual, family, community, and social environment interactions. This model encourages attention to the multiple levels at which health and wellbeing are impacted, for example, a problem such as gender-based violence that manifests in the family may be an expression of gender relations at the community level.

These frameworks and model emphasise creating supportive and enabling environments that allow displaced refugees to rebuild a sense of self and regain a sense of control to promote positive mental health. Acknowledging these connections, mental health and psychosocial support MHPSS services increasingly recognise the significance of social and cultural factors shaping experiences of mental health problems and appropriate responses; and The Nature of Qualitative Studies importance of integrating MHPSS services into multi-layered health, social and community systems [ 7 ]. Consequently, to be acceptable and successful, approaches to MHPSS services must be rooted in the daily stressors and adversities refugees face, situating mental health and psychosocial problems in their socio-cultural context.

To achieve this, research to understand local community needs and priorities is critical [ 1820 ].

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Gaining this understanding can help identify opportunities to empower existing social supports, and to inform the contextual adaptation of MHPSS Natue to ensure their acceptability and relevance [ 19 ]. Recognising this, we applied the Design, Implementation, Monitoring and Evaluation DIME The Nature of Qualitative Studies qualitative approach [ 21 ] with Congolese refugees living in a refugee camp in Rwanda and a refugee settlement in Uganda. This study forms part of the COSTAR project [ 22 ] which will contextually adapt, implement, and evaluate a community-based group psychosocial intervention with Congolese refugees living in these settings. We applied the DIME rapid qualitative approach developed and applied extensively with adults in low resource settings Thf 20 Ethics Computer Engineering, 21 ], including with refugee populations [ 232425 ].

The rapid qualitative assessment involves two stages: first conducting free-list interviews with local community members to identify problems the community face and a brief description of each.]

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