dc.contributor.author |
Shin, M.B. |
|
dc.contributor.author |
Garcia Funegra, Patricia Jannet |
|
dc.contributor.author |
Dotson, M.E. |
|
dc.contributor.author |
Valderrama, María |
|
dc.contributor.author |
Chiappe Gutierrez, Marina Angelica |
|
dc.contributor.author |
Ramanujam, N. |
|
dc.contributor.author |
Krieger, M. |
|
dc.contributor.author |
Ásbjörnsdóttir, K. |
|
dc.contributor.author |
Barnabas, R.V. |
|
dc.contributor.author |
Iribarren, S.J. |
|
dc.contributor.author |
Gimbel, S. |
|
dc.date.accessioned |
2022-08-15T20:11:10Z |
|
dc.date.available |
2022-08-15T20:11:10Z |
|
dc.date.issued |
2022 |
|
dc.identifier.uri |
https://hdl.handle.net/20.500.12866/12050 |
|
dc.description.abstract |
Introduction: Understanding community women's relational and financial empowerment in social entrepreneurship could be the key to scaling up community-based human papillomavirus (HPV) self-sampling programs in low- and middle-income countries. The Hope Project, social entrepreneurship in Peru, trains women (Hope Ladies) to promote HPV self-sampling among other women in their communities. This study aims to evaluate the Hope Ladies' relational and financial empowerment after participating in the program. Materials and Methods: We evaluated the Hope Ladies' experiences of empowerment in social entrepreneurship using a parallel convergent mixed methods design. The Hope Ladies participated in semi-structured in-depth interviews (n = 20) and an eight-questions five-point Likert scale survey that evaluated their relational (n = 19)/financial (n = 17) empowerment. The interview and the survey questions were developed using three empowerment frameworks: Kabeer's conceptual framework, International Center for Research on Women's economic empowerment indicators, and the Relational Leadership Theory. Deductive content analysis was used to evaluate the interviews with pre-determined codes and categories of empowerment. Descriptive statistics were used to analyze the survey results. Qualitative and quantitative data were integrated through a cross-case comparison of emergent themes and corresponding survey responses during the results interpretation. Results: All Hope Ladies reported experiencing increased empowerment in social entrepreneurship. Interviews: The women reported challenges and improvement in three categories of empowerment: (1) resources (balancing between household and Hope Lady roles, recognition from the community as a resource, camaraderie with other Hope Ladies); (2) agency (increased knowledge about reproductive health, improved confidence to express themselves, and ability to speak out against male-dominant culture); and (3) achievement (increased economic assets, improved ability to make financial decisions, and widened social network and capital, and technology skills development). Survey: All (100%) agreed/totally agreed an increase in social contacts, increased unaccompanied visits to a healthcare provider (86%), improved confidence in discussing reproductive topics (100%), improved ability to make household decisions about money (57% pre-intervention vs. 92% post-intervention). Conclusions: The Hope Ladies reported improved relational and financial empowerment through participating in community-based social entrepreneurship. Future studies are needed to elucidate the relationship between empowerment and worker retention/performance to inform the scale-up of HPV self-sampling social entrepreneurship programs. |
en_US |
dc.language.iso |
eng |
|
dc.publisher |
Frontiers Media |
|
dc.relation.ispartofseries |
Frontiers in Public Health |
|
dc.rights |
info:eu-repo/semantics/restrictedAccess |
|
dc.rights.uri |
https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es |
|
dc.subject |
Cervical cancer |
en_US |
dc.subject |
HPV self-sampling |
en_US |
dc.subject |
Social entrepreneurship |
en_US |
dc.subject |
Empowerment |
en_US |
dc.subject |
Community-based cancer screening |
en_US |
dc.subject |
Peru |
en_US |
dc.title |
Evaluation of Women's Empowerment in a Community-Based Human Papillomavirus Self-Sampling Social Entrepreneurship Program (Hope Project) in Peru: A Mixed-Method Study |
en_US |
dc.type |
info:eu-repo/semantics/article |
|
dc.identifier.doi |
https://doi.org/10.3389/fpubh.2022.858552 |
|
dc.relation.issn |
2296-2565 |
|