Sunday, August 30, 2009

Lessons Learned: Logistics

Since I’ve been back in the States, I’ve been making lists of what I should remember to do differently next time. I thought I would share for anyone who’s planning to do similar work in a similar place.

I’ll start with the most practical. One of the biggest surprises in Muhuru was how much time I spent figuring out how to do seemingly simple tasks. Without access to electricity, banks, and an office supply closet, I often felt lost.

7 Logistics changes I will make next time:

1) Take out plenty of cash ahead of time (a trip to the closest ATM took at least half a day).

2) Pay research staff every two weeks (not weekly); Getting correct change is not easy and not fun, so minimizing the frequency would help. For a little extra fee, I might also pay through MPESA (money transfer service associated with the cell phone company).

3) Give research staff cell phone airtime on a regular basis, and ask them to do as much scheduling and arranging logistics as possible (e.g., transportation for fieldwork). They were much better at it and more efficient… things happened much more quickly (and often less expensively) when negotiations were made in the local language.

4) Pack office supplies – tape, folders, paperclips, envelopes, etc…I’ll think ahead about what will make organization easier to make up for limited office and storage space.

5) Print and copy ahead of time.

6) Use text messages and written letters to invite people to meetings or events; communication over the phone was more difficult than in writing or in person, so scheduling based on only phone conversations often led to confusion.

7) Ask for ideas about logistical challenges (scheduling, planning, etc.) from people who are from the community before racking my brain to figure it all out. Often there were systems in place already and/or things to consider that never would have occurred to me.

Saturday, August 29, 2009

The Research Teams...Delayed Recognition

Because I had a hard time uploading photos and video in Muhuru, it was difficult to show you who was working on this project. My research team from Muhuru Bay and Egerton University collected all of the data for the qualitative and survey components.

For the qualitative phase, I hired 5 interviewers from Egerton and 5 interviewers from the Muhuru Community. For the survey phase, I hired 5 additional enumerators from Muhuru for a local team of 10.

A glance at some of their work...

Egerton University students translating part of the qualitative interviews, trying to figure out how to say "personal questions" in Dholuo, the local language in Muhuru.




Preparing for a focus group on the WISER site (before there was a roof on our "office"):


Conducting focus groups...but having to build the shelters first


The Muhuru Team traveled ALL OVER Muhuru by motorbike to conduct surveys...hours of riding, walking, coordinating with schools, and searching for homes.

Asking teachers to direct us to homes

Surveys under trees


All of us - Kanyakala ("together" in Dholuo)

Ero Kamano Ahinya!

Friday, August 28, 2009

Back Home...With Data

I am back in the U.S., unpacking and looking forward to analyzing data from the summer. Our hectic schedule with data collection and the DukeEngage program kept me from posting during the last month of fieldwork. So here are a few updates:

1) We completed 325 youth surveys and 324 caregiver surveys (we just couldn't catch that last mom at home!). We were excited to reach our goal - this number will give us enough statistical power to look at the relationships between mental health / family factors and HIV risk behavior. Our high-tech chart here kept us motivated...



2) After calculating some descriptive results from the survey, we held a community results meeting to share preliminary findings. The turn out was good, and people seemed genuinely interested. The meeting ended with a suprisingly animated debate about Voluntary Counseling and Testing...not directly related to our findings, but at least people are passionate about the issues.

3) I formed a Community Advisory Committee to help analyze the data and generate ideas for the intervention strategies we will begin designing over the next 6 months. The group includes health care workers, teachers, pastors, and leaders of community-based organizations that work on issues related to HIV. We held two training meetings covering the basics of HIV prevention, and we will now start a long-distance collaboration. The committee will provide feedback on analysis, generate intervention ideas, and plan for intervention piloting in 2010. Here is the committee at our final planning meeting: