Iccha Basnyat

The Radio Communication Project in Nepal: A Culture-Centered Approach to Participation

Considerable research has been conducted on the topic of entertainment-education (EE), the method of using entertainment platforms such as popular music, radio, and television programming to diffuse information, attitudes, and behaviors via role modeling. A significant portion of the recently published EE literature has used the case of the Radio Communication Project (RCP) in Nepal to demonstrate the effectiveness of EE and to argue that EE campaigns can indeed be participatory in nature. In this project, we apply the culture-centered approach to examine the discursive space created by the RCP and its claim of being participatory. A critical examination of RCP discourse brings forth an alternative lens for approaching EE and its participatory claim.

From press release to news: mapping the framing of the 2009 H1N1 A influenza pandemic.

Pandemics challenge conventional assumptions about health promotion, message development, community engagement, and the role of news media. To understand the use of press releases in news coverage of pandemics, this study traces the development of framing devices from a government public health agencys press releases to news stories about the 2009 H1N1 A influenza pandemic. The communication management of the H1N1 pandemic, an international news event with local implications, by the Singapore government is a rich locus for understanding the dynamics of public relations, health communication, and journalism. A content analysis shows that the evolution of information from press release to news is marked by significant changes in media frames, including the expansion and diversification in dominant frames and emotion appeals, stronger thematic framing, more sources of information, conversion of loss frames into gain frames, and amplification of positive tone favoring the public health agencys position. Contrary to previous research that suggests that government information subsidies passed almost unchanged through media gatekeepers, the news coverage of the pandemic reflects journalists’ selectivity in disseminating the government press releases and in mediating the information flow and frames from the press releases.

Managing peer relationships online - Investigating the use of Facebook by juvenile delinquents and youths-at-risk

While extensive research has been conducted on young peoples peer interaction via online communication, the focus has been on mainstream youths, with marginalized youth communities being understudied. To help address this inadequacy, the current study conducted interviews with Singaporean male juvenile delinquents (n=36) to understand the role of online communication in their peer interactions and the salient characteristics of such interactions. Our findings show that Facebook was the principal tool of online peer interaction. However, given the particular circumstances of juvenile delinquents, online social networking presents issues that may compromise efforts to rehabilitate them. These include extending the time and opportunities for unstructured and unsupervised peer socialization, peer endorsement of delinquent acts and the pressure of having to display group loyalty in the online space. Even after rehabilitation, youths who attempt to distance themselves from their delinquent peers are challenged by the persistence of their online social networks.

Lived experiences of street-based female sex workers in Kathmandu: implications for health intervention strategies

The lived experiences of women sex workers illustrate that sex work is frequently a manifestation of limited access to education, resources and jobs due to violence, oppression and patriarchy. However, some Nepalese sex workers reconstitute sex work as a viable form of work that provides food and shelter for their families and allows fulfillment of their duties as mothers. Through a culture-centred approach to research, which emphasis the voices of the marginalised and their own articulations of how marginalised spaces are negotiated, this paper offers an entry point to locating sex workers as active participants in their day-to-day lives. Thirty-five in-depth, semi-structured interviews were conducted with street-based female sex workers. Thematic analysis revealed the following three themes: (1) surviving through sex work, (2) financial security in sex work and (3) surviving sex work stigma. These findings have implications for health promotion involving members of this population. Lived experiences illustrate the need to move away from traditional, top-down, linear behaviour-change health campaigns to reconstitute health interventions within a participatory bottom-up approach that includes the voices of participants and is situated within their own context and needs.

Reframing Motherhood Through the Culture-Centered Approach: Articulations of Agency Among Young Nepalese Women

Based upon the culture-centered approach that foregrounds the relevance of interrogating the taken-for-granted assumptions that circulate in the dominant models of health communication on family planning, this article argues that traditional approaches to reproductive health campaigns are concerned with safe motherhood (e.g., fertility, birth spacing, hospital delivery) rather than with the processes through which women construct, negotiate, and maintain meanings of motherhood and health within their cultural contexts. In doing so, this traditional framework leaves out the broader sociocultural, political, and economic contexts of social structures that constrain and enable the possibilities for health in the realm of motherhood. The culture-centered approach notes the erasure of these voices of women from dominant epistemic structures, and seeks to interrupt knowledge production by co-constructing meanings of reproductive health through dialogues with women at the margins. Therefore, in-depth interviews were conducted to centralize experiences of the cultural participants, allowing alternative health meanings to emerge within their local contexts. In particular, highlighting narratives of young Nepalese women living under poverty, we are able to understand how women actively (re)construct meanings of motherhood within their localized cultural spaces.

Structural Violence in Health Care: Lived Experience of Street-Based Female Commercial Sex Workers in Kathmandu

Thirty-five in-depth, semi-structured interviews were conducted with female, street-based, commercial sex workers in Kathmandu, Nepal. The framework of structural violence guided this study in identifying the structural context that impacts the female sex workers’ lives and may cause harm to their health. Structural violence in health care was revealed through thematic analysis as (a) discrimination, (b) forced choice, and (c) limitations to health information sources. Lived experiences highlight how the sex workers engaged with structural limitations in health care access, services, and utilization. Structural violence conveys a message about who is entitled to health care and what a society emphasizes and expects regarding acceptable health behavior. Examining the structural violence highlighted how the sex workers negotiated, understood, and engaged with structural limitations in health care access, services, and utilization.

Seeking and Processing Information for Health Decisions Among Elderly Chinese Singaporean Women

Information behavior includes activities of active information seeking, passive acquisition of information, and information use. Guided by the Elaboration Likelihood Model, this study explored elderly Singaporean women’s health information behavior to understand how they sought, evaluated, and used health information in everyday lives. Twenty-two in-depth interviews were conducted with elderly Chinese women aged 61 to 79. Qualitative analysis of the interview data yielded three meta-themes: information-seeking patterns, trustworthiness of health information, and peripheral route of decision making. Results revealed that elderly women took both systematic and heuristic approaches to processing information but relied on interpersonal networks to negotiate health choices.

Critical literacy, self-protection and delinquency: the challenges of participatory media for youths at-risk

While pedagogy is predominantly viewed from the perspective of classroom instruction, educators worldwide invariably play a critical pastoral role of shaping the personal development of their students and nurturing in them life skills. With the avid use of participatory media by young people in peer interaction, educators need to be aware of the attendant risks and opportunities so that they may offer counsel and render appropriate advice. To this end, through interviews with 36 Singaporean male juvenile delinquents and youths-at-risk, this study explores how these youths utilise participatory media in their peer interaction. The findings indicate that for this vulnerable youth population, participatory media such as social networking sites can become a platform through which they are unwittingly drawn into criminal behaviour and post-rehabilitation, participatory media may offer an insidious route to recidivism. Participatory media complicates peer interaction by presenting risk factors such as network transparency, negative peer modelling, network seepage and network persistence, all of which have implications for these youths sliding further into delinquency and criminal activity. This article concludes with recommendations on the strategies which youths-at-risk can employ to avoid the risks of participatory media.

Negotiating Biomedical and Traditional Chinese Medicine Treatments Among Elderly Chinese Singaporean Women

In this article we examine how elderly Chinese Singaporean women navigated between biomedicine and traditional Chinese medicine in their practices of maintaining well-being. We interviewed 36 elderly women to understand their negotiation of medical choices in the interplay of structure, culture, and personal agency. Our findings show that participants made situational decisions under structural and cultural influences, such as family members’ changing expectations and interpretations of medical practices, institutional preferences for biomedicine, and the patients’ negotiating position between biomedicine and traditional Chinese medicine. Participants demonstrated their capacity to enact agency through their examination of the effects and side effects of each medical system and through their integrative use of different medical treatments, depending on the purpose. Through our findings, we unveil contextual meanings of health among elderly women and the unique coexistence of traditional and modern medical practices within the context of Singapore.

Beyond biomedicine: health through social and cultural understanding

This article argues that traditional approaches to reproductive health are concerned with safe motherhood. In the discourse of reproductive health, safe motherhood is defined as the ability to bear and raise children, and to plan and space births for safe pregnancy, focusing strictly on the biological abilities of women [Reproductive Health Matters, 2005, 13: 34]. This fails to account for how women construct, negotiate and maintain their health within their own cultural context. To understand how social context influences meanings of health, in-depth interviews were conducted with young Nepalese women living in poverty. Centralizing womens voices not only creates opportunities for exploring how local context shapes meanings of health but also allows alternative health meanings of the cultural participants to emerge. In particular, by highlighting narratives we are able to understand how women actively (re)construct dominant meanings of reproductive health and in turn act upon meanings that are socially and culturally relevant.