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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 |
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