Discussion

While this chapter focuses on the added value of community involvement in research through the use of CBPR principles, the authors also recognize that there are challenges to adhering to these principles for many academic researchers. While this chapter focuses on the intersections of CBPR and HIV, the effectiveness of participatory methodologies has also been discussed in relation to other health issues and social determinants of health, including violence against women and girls22 and in rural and international development. Intimate partner violence against women is discussed by Steven Coughlin in chapter 14 in this volume.

Ultimately, if social justice efforts in HIV prevention and CBPR take hold, health workforce development will involve ensuring that individuals from underserved communities become a substantial part of the research and prevention workforce, as they are well placed to analyse what happened to them and advise others on how they might learn from their own experiences. These efforts may serve not just to eliminate disparities in HIV but also for other conditions associated with morbidity and mortality. Some of the most meaningful results of the CBPR process are not the research findings themselves, but rather the facilitation of empowerment that occurs within the communities and residents involved.

 
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