Simon Mariwah

Taking the long view : temporal considerations in the ethics of children's research activity and knowledge production.

Children are increasingly engaged in the research process as generators of knowledge, but little is known about the impacts on childrens lives, especially in the longer term. As part of a study on childrens mobility in Ghana, Malawi and South Africa, 70 child researchers received training to conduct peer research in their own communities. Evaluations at the time of the project suggested largely positive impacts on the child researchers: increased confidence, acquisition of useful skills and expanded social networks; however, in some cases, these were tempered with concerns about the effect on schoolwork. In the follow-up interviews 2 years later, several young Ghanaian researchers reported tangible benefits from the research activity for academic work and seeking employment, while negative impacts were largely forgotten. This study highlights the unforeseeable consequences of research participation on childrens lives as they unfold in unpredictable ways and underscores the temporal nature of childrens engagement in research.

The impact of gender and physical environment on the handwashing behaviour of university students in Ghana

Objectives  To establish levels of handwashing after defecation among students at the University of Cape Coast in Ghana, and to test hypotheses that gender and washroom environment affect handwashing behaviour.

Who bears the cost of ‘informal mhealth’? Health-workers’ mobile phone practices and associated political-moral economies of care in Ghana and Malawi

Africa’s recent communications ‘revolution’ has generated optimism that using mobile phones for health (mhealth) can help bridge healthcare gaps, particularly for rural, hard-to-reach populations. However, while scale-up of mhealth pilots remains limited, health-workers across the continent possess mobile phones. This article draws on interviews from Ghana and Malawi to ask whether/how health-workers are using their phones informally and with what consequences. Health-workers were found to use personal mobile phones for a wide range of purposes: obtaining help in emergencies; communicating with patients/colleagues; facilitating community-based care, patient monitoring and medication adherence; obtaining clinical advice/information and managing logistics. However, the costs were being borne by the health-workers themselves, particularly by those at the lower echelons, in rural communities, often on minimal stipends/salaries, who are required to ‘care’ even at substantial personal cost. Although there is significant potential for ‘informal mhealth’ to improve (rural) healthcare, there is a risk that the associated moral and political economies of care will reinforce existing socioeconomic and geographic inequalities.