Stage | Description of Stage |
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1 – Ethics approval | We applied for ethical approval from both our host institution and the local ethics board(s) in Uganda in order to conduct the photovoice study. We engaged regularly with the review boards to update them with any changes to the project protocol. |
2 - Selection of participants | Once ethical approval was granted we selected participants in a participatory manner, by consulting with key stakeholders. We used purposive sampling to select a diverse range of participants. |
3 – Topic selection | We held a joint meeting with CHWs and study facilitators to decide upon the topic that was to be the central focus of the project. In the case of this study, CHWs selected to explore experiences of delivering primary ear and hearing care in the community. |
4 – Training of participants in the use of cameras and obtaining informed consent. | This stage involved technical training of CHWs in the use of cameras, as well as how to obtain informed consent. |
5 - Photograph elicitation and subsequent interviews | This stage was conducted in a cyclical manner and completed once a month, over a three month period until data saturation. |
6 - Sorting and grouping of photographs | Photographs were grouped and sorted into themes. This was first done individually and then as a group. |
7 – Dissemination and sharing of findings | Findings were shared with the wider community, through a community workshop. |