| Literature DB >> 35606015 |
Bintu Mansaray1,2, Laura Dean3, Phil Tubb4, Kunhi Lakshmi Josyula5, Linet Okoth6, Ivy Chumo7, Jane Waritu8, Andrea Klingel9, Farzana Manzoor10, Bachera Aktar10, Surekha Garimella11, Shrutika Murthy11, Rachel Tolhurst12, Lana Whittaker12, Linsay Gray13, Ross Forsyth13, Helen Elsey14, Linda Waldman15, Sally Theobald4.
Abstract
COVID-19 brings uncertainties and new precarities for communities and researchers, altering and amplifying relational vulnerabilities (vulnerabilities which emerge from relationships of unequal power and place those less powerful at risk of abuse and violence). Research approaches have changed too, with increasing use of remote data collection methods. These multiple changes necessitate new or adapted safeguarding responses. This practice piece shares practical learnings and resources on safeguarding from the Accountability for Informal Urban Equity hub, which uses participatory action research, aiming to catalyse change in approaches to enhancing accountability and improving the health and well-being of marginalised people living and working in informal urban spaces in Bangladesh, India, Kenya and Sierra Leone. We outline three new challenges that emerged in the context of the pandemic (1): exacerbated relational vulnerabilities and dilemmas for researchers in responding to increased reports of different forms of violence coupled with support services that were limited prior to the pandemic becoming barely functional or non-existent in some research sites, (2) the increased use of virtual and remote research methods, with implications for safeguarding and (3) new stress, anxiety and vulnerabilities experienced by researchers. We then outline our learning and recommended action points for addressing emerging challenges, linking practice to the mnemonic 'the four Rs: recognise, respond, report, refer'. COVID-19 has intensified safeguarding risks. We stress the importance of communities, researchers and co-researchers engaging in dialogue and ongoing discussions of power and positionality, which are important to foster co-learning and co-production of safeguarding processes. © Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.Entities:
Keywords: COVID-19; health policy; public health
Mesh:
Year: 2022 PMID: 35606015 PMCID: PMC9125381 DOI: 10.1136/bmjgh-2021-008122
Source DB: PubMed Journal: BMJ Glob Health ISSN: 2059-7908
Figure 1Responses to questions on a safe and supportive environment in the 2020 Accountability for Equity in Urban Health (ARISE) partnership survey.
Figure 2Responses to questions on the Accountability for Equity in Urban Health (ARISE) hub’s response to the COVID-19 pandemic in the 2020 ARISE partnership survey.
The four Rs: recognise, respond, report, refer: supporting global health research to address issues of abuse and neglect, and examples from ARISE
| Recommendations from our learning | Examples from our partnership | |
| Recognise | Set up an open access hub with a repository of helpful information, resources and training material that can be used and adapted in different contexts. | An information hub has been established at Liverpool School of Tropical Medicine* and examples of country-specific resources from ARISE are being added. Additional resources can be found on |
| Respond | Where there are limitations in service provision, explore options for psychological first aid and training for researchers and co-researchers to support responses. | Members of the ARISE team in India have been involved in the implementation of a telephone helpline to provide counselling to callers, as part of civil society efforts to address community needs in the pandemic. |
| Report | Implement continual training and reflection on how to keep everyone safe; ensure there are diverse reporting mechanisms, including different cadres of staff for complainants to report to, and ensure that reports are received and dealt with in a timely and appropriate way. | The shared reporting form ( |
| Refer | Make sure that the research team are aware of local/regional referral organisations by conducting mapping exercises, with all team members knowing how to directly refer and link those in need with appropriate services. Team members should be aware that ‘formal’ services may be overstretched, and that there may be quality or access concerns. | ARISE co-researchers and communities with support of community advisory boards at APHRC, Kenya, have mapped existing formal and informal support structures. The structures are updated as necessary due to the dynamic nature of support networks (see case study 1). |
*https://www.lstmed.ac.uk/safeguarding/safeguarding-information-point
ARISE, Accountability for Informal Urban Equity; SGBV, sexual and gender-based violence.
Figure 3The Canadian Women’s Association’s ‘Violence at Home Signal for Help’.
The four Rs: recognise, respond, report, refer: supporting global health research to respond to vulnerabilities in virtual interactions
| Actions | Examples from our partnership | |
| Recognise | Build rapport through repeat phone interviews. | In Bangladesh, the ARISE research team found that conducting multiple short interviews on consecutive days, rather than a single long interview, was better for building rapport remotely. Participants were found to be more comfortable in sharing their experiences on sensitive issues like SGBV after a couple of sessions. Repeat interviews with a single participant also allowed researchers to better understand the participant and identify and refine approaches to explore more in-depth information. |
| Respond | Ensure that participants have information about safeguarding leads and how to contact them. | ARISE teams in all study sites texted the number of the safeguarding lead to participants ahead of the virtual interviews, so they had it stored in their phones in advance, if required. |
| Report | Engage the community and co-researchers in identification of potential safeguarding issues and appropriate support provision. | The safeguarding lead at APHRC regularly shares (anonymised) emerging safeguarding issues to the team. This has enabled co-researchers to be proactive in recognising and reporting safeguarding issues. Consequently, this has prompted researchers to respond promptly. |
| Refer | As in | As in |
ARISE, Accountability for Informal Urban Equity; SGBV, sexual and gender-based violence.