Developing Visual Messages to Support Liquefied Petroleum Gas Use in Intervention Homes in the Household Air Pollution Intervention Network (HAPIN) Trial in Rural Guatemala



Hengstermann, Mayarí, Díaz-Artiga, Anaité, Otzóy-Sucúc, Roberto, Laura Maria Ruiz-Aguilar, Ana, Thompson, Lisa M ORCID: 0000-0002-8001-2057, Aravindalochanan, Vigneswari, Balakrishnan, Kalpana, Barr, Dana Boyd, Burrowes, Vanessa, Campbell, Devan
et al (show 85 more authors) (2021) Developing Visual Messages to Support Liquefied Petroleum Gas Use in Intervention Homes in the Household Air Pollution Intervention Network (HAPIN) Trial in Rural Guatemala. Health Education & Behavior, 48 (5). 651 - 669.

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Abstract

<jats:sec><jats:title>Background</jats:title><jats:p> Household air pollution adversely affects human health and the environment, yet more than 40% of the world still depends on solid cooking fuels. The House Air Pollution Intervention Network (HAPIN) randomized controlled trial is assessing the health effects of a liquefied petroleum gas (LPG) stove and 18-month supply of free fuel in 3,200 households in rural Guatemala, India, Peru, and Rwanda. </jats:p></jats:sec><jats:sec><jats:title>Aims</jats:title><jats:p> We conducted formative research in Guatemala to create visual messages that support the sustained, exclusive use of LPG in HAPIN intervention households. </jats:p></jats:sec><jats:sec><jats:title>Method</jats:title><jats:p> We conducted ethnographic research, including direct observation ( n = 36), in-depth ( n = 18), and semistructured ( n = 6) interviews, and 24 focus group discussions ( n = 96) to understand participants’ experience with LPG. Sixty participants were selected from a pilot study of LPG stove and 2-months of free fuel to assess the acceptability and use of LPG. Emergent themes were used to create visual messages based on observations and interviews in 40 households; messages were tested and revised in focus group discussions with 20 households. </jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p> We identified 50 codes related to household air pollution and stoves; these were reduced into 24 themes relevant to LPG stoves, prioritizing 12 for calendars. Messages addressed fear and reluctance to use LPG; preference of wood stoves for cooking traditional foods; sustainability and accessibility of fuel; association between health outcomes and household air pollution; and the need for inspirational and aspirational messages. </jats:p></jats:sec><jats:sec><jats:title>Discussion</jats:title><jats:p> We created a flip chart and calendar illustrating themes to promote exclusive LPG use in HAPIN intervention households. </jats:p></jats:sec>

Item Type: Article
Divisions: Faculty of Health and Life Sciences
Faculty of Health and Life Sciences > Institute of Population Health
Depositing User: Symplectic Admin
Date Deposited: 20 Jul 2021 09:37
Last Modified: 16 Oct 2021 21:10
DOI: 10.1177/1090198121996280
Open Access URL: https://doi.org/10.1177%2F1090198121996280
URI: https://livrepository.liverpool.ac.uk/id/eprint/3130686