'Why would they spend all this money and give us these items for free?': Exploring precarity and power in a cleaner cookstove intervention in rural Malawi.

Ardrey, Jane ORCID: 0000-0003-4558-5113, Jehan, Kate, Desmond, Nicola ORCID: 0000-0002-2874-8569, Kumbuyo, Caroline ORCID: 0000-0001-5707-0489, Nyirenda, Deborah ORCID: 0000-0002-5867-4687, Gordon, Stephen B, Mortimer, Kevin ORCID: 0000-0002-8118-8871 and Tolhurst, Rachel (2023) 'Why would they spend all this money and give us these items for free?': Exploring precarity and power in a cleaner cookstove intervention in rural Malawi. PLOS global public health, 3 (2). e0001537-.

PDF Why would they spend all this money and give us these items for free Exploring precarity and power in a cleaner cookstove in.pdf - Open Access published version Download (453kB) | Preview

Abstract

We carried out a qualitative study to gain a deeper understanding of the social context of the Cooking and Pneumonia Study (CAPS) and implications for implementation of clean cooking and similar interventions. Such initiatives are recognised as complex, power-laden processes, which has consequences for outcomes and uptake. However, understanding of how precarious livelihoods and unequal power differentials impact on trials of technology is limited and potentially hampers the achievement of the SDGs including SDG 7, Affordable and Clean Energy. An in-depth exploration of experiences and perceptions of cooking and cookstove use within CAPS was completed using qualitative methods and the participatory methodology Photovoice. Ten CAPS participants from each of five villages participated in Photovoice activities and five village representatives were interviewed. Twelve fieldworkers participated in gender specific focus groups and four were interviewed. A thematic content approach was used for data analysis. The analysis showed that economic and power inequity underpinned the complex social relationships within CAPS impacting on trial participation, perceptions of the cookstoves, and on the potential of the intervention to affect health and other benefits. Power can be understood as relational and productive within the research environment. This is illustrated by an analysis of the role of fieldworkers and community representatives who needed to negotiate resistance to trial compliance decisions, including 'satanic' rumours about cookstoves and blood-taking. Transformative approaches that challenge existing power inequities are needed to maximise the success and beneficence of cookstove and other health promoting interventions, and achievement of the SDGs.

Item Type:	Article
Uncontrolled Keywords:	Clinical Research, Clinical Trials and Supportive Activities, Behavioral and Social Science, 7 Affordable and Clean Energy
Divisions:	Faculty of Health and Life Sciences Faculty of Health and Life Sciences > Institute of Infection, Veterinary and Ecological Sciences
Depositing User:	Symplectic Admin
Date Deposited:	25 Apr 2023 14:24
Last Modified:	15 Mar 2024 17:02
DOI:	10.1371/journal.pgph.0001537
Related URLs:	Author Publisher
URI:	https://livrepository.liverpool.ac.uk/id/eprint/3169964