Joanna Morrison
Datos Biográficos
| ID | 3583162 |
|---|---|
| NOMBRE | Joanna Morrison |
| NOMBRES | Joanna |
| APELLIDO | Morrison |
| FIRMA | MORRISON J |
| AFILIACIONES | University College London |
| ORCID | 0000-0002-9241-8863 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 36 |
| TOTAL DE CITAS | 83 |
| TOTAL COMO AUTOR | 36 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2004 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 5 |
Frameworks to analyse accessibility of public recreational spaces for persons with disabilities
The global population currently struggles to meet the physical activity guidelines. This is exacerbated for persons with disabilities (PWD). Designing and evaluating facilities requires tools and frameworks that capture diversity and consider access beyond the physical environment. Through a rapid scoping review, we sought to describe peer-reviewed literature that developed or implemented frameworks (conceptual or analytical) to analyse access fo…
Sports-based mental health promotion for adolescents in rural Nepal
Adolescent mental health disorders are a leading contributor to the global burden of disease, particularly in low- and middle-income countries where access to care is limited. Sport offers a promising platform for mental health promotion, but evidence from rigorous evaluations in these settings is lacking. In Nepal we tested the feasibility of a mental health promotion intervention comprising football, dance and martial arts coaching and communit…
The feasibility of promoting recreational physical activity to manage type 2 diabetes in urban Bangladesh
Urbanisation has contributed to increased sedentary behaviour, which is a major risk factor for non-communicable diseases. In South Asia, the type 2 diabetes burden is rapidly increasing, and there is a need to understand the effect of different social categories, such as gender, socio-economic status, and diabetes status, in shaping opportunities to participate in physical activity. We used a rapid participatory qualitative research methodology …
Competing Priorities in Participatory Research With Adolescents
Participatory approaches to research with adolescents are often seen as inherently superior to other qualitative methods because of their potential to redress power imbalances and enhance engagement. In reality, implementing participatory approaches is resource intensive and a complex balancing act where compromises have to be made. In this article, we share our experiences of using participatory approaches for intervention development with adole…
How can sport promote adolescent mental health? A qualitative study from the rural plains of Nepal
Sport holds potential to deliver adolescent mental health promotion, which is particularly important in low resource settings where there is high burden but lack of access to specialist services. We conducted a qualitative study in rural plains Nepal to describe adolescent stressors and coping strategies and analyse the mechanisms through which sport may promote or undermine mental health. We collected data from 81 adolescents, caregivers, teache…
A cluster randomised controlled trial of community groups using Participatory Learning and Action to prevent and control diabetes and intermediate hyperglycaemia in rural Bangladesh
Community mobilisation through Participatory Learning and Action (PLA) has been shown to be effective for a range of health outcomes, including diabetes. Using a cluster randomised controlled trial we evaluated the impact of a PLA community mobilisation intervention for diabetes prevention and control when implemented in rural Bangladesh in 2021–2022 and adapted to the evolving context of the COVID-19 pandemic. 108 PLA groups held a minimum of 13…
The burden of common mental disorders and their association with diabetes in rural Bangladesh
Background: Type 2 diabetes mellitus (T2DM) and common mental disorders (CMDs), including depression and anxiety, are significant public health challenges, particularly in low- and middle-income countries (LMICs). However, evidence on the distribution and associations between T2DM and CMDs in rural LMIC populations remains limited. We aimed to examine this relationship in a sample of adults from rural Bangladesh. Methods: In this cross-sectional …
Adolescents with disabilities and caregivers experience of Covid-19 in rural Nepal
Introduction: Intersecting vulnerabilities of disability, low socio-economic status, marginalization, and age indicate that adolescents with disabilities in low-and middle-income countries were uniquely affected by the COVID-19 pandemic. Yet, there has been limited research about their experience. We conducted participatory research with adolescents with disabilities in rural, hilly Nepal to explore their experience of the pandemic and inform und…
Understanding multilevel barriers to childhood vaccination uptake among Internally Displaced Populations (IDPs) in Mogadishu, Somalia
ISRCTN-83,172,390. Date of registration: 03/08/2021
Contextual factors affecting the implementation of an anemia focused virtual counseling intervention for pregnant women in plains Nepal
It is important to understand gender norms, mobile access, and mobile literacy before implementing an mHealth intervention. The contextual barriers to implementation meant that we were not able to engage family members as much as we had hoped, and we were not able to minimize in-person contact with families. We recommend a flexible approach to mHealth interventions which can be responsive to local context and the situation of participants. Home v…
Stakeholder perceptions on scaling-up community-led interventions for prevention and control of non-communicable diseases in Bangladesh
Research highlighted the need for a preventative community engagement strategy to address NCDs, and the potential to utilise existing cadres to scale-up community-led interventions. It will be important to work with key stakeholders to address gender issues and ensure flexibility and responsiveness to community concerns. We indicate areas for further implementation research to develop scaled-up models of community-led interventions to address NCD…
Consent through art
Obtaining informed consent can be challenging during peer research when the boundaries between researcher and participant are blurred. We developed a novel visual consent method with illiterate artists in Nepal who conducted peer interviews in their communities. Artists discussed and sketched images related to ethical principles to create a visual consent form. This improved comprehension about research ethics and developed the confidence of arti…
Changes in non-communicable diseases, diet and exercise in a rural Bangladesh setting before and after the first wave of Covid-19
Prevalence of non-communicable diseases (NCDs) is high in rural Bangladesh. Given the complex multi-directional relationships between NCDs, COVID-19 infections and control measures, exploring pandemic impacts in this context is important. We conducted two cross-sectional surveys of adults ≥30-years in rural Faridpur district, Bangladesh, in February to March 2020 (survey 1, pre-COVID-19), and January to March 2021 (survey 2, post-lockdown). A new…
Describing adolescents with disabilities’ experiences of Covid-19 and other humanitarian emergencies in low- and middle-income countries
BACKGROUND: The COVID-19 pandemic and other humanitarian emergencies exacerbate pre-existing inequalities faced by people with disabilities. They experience worse access to health, education, and social services, and increased violence in comparison with people without disabilities. Adolescents with disabilities are amongst those most severely affected in these situations. Using participatory research methods with adolescents can be more effectiv…
Equity impact of participatory learning and action community mobilisation and mHealth interventions to prevent and control type 2 diabetes and intermediate hyperglycaemia in rural Bangladesh
BACKGROUND: A cluster randomised trial of mHealth and participatory learning and action (PLA) community mobilisation interventions showed that PLA significantly reduced the prevalence of intermediate hyperglycaemia and type 2 diabetes mellitus (T2DM) and the incidence of T2DM among adults in rural Bangladesh; mHealth improved knowledge but showed no effect on glycaemic outcomes. We explore the equity of intervention reach and impact. METHODS: Int…
Learning from a diabetes mHealth intervention in rural Bangladesh
There is an urgent need for population-based interventions to slow the growth of the diabetes epidemic in low-and middle-income countries. We tested the effectiveness of a population-based mHealth voice messaging intervention for T2DM prevention and control in rural Bangladesh through a cluster randomised controlled trial. mHealth improved knowledge and awareness about T2DM but there was no detectable effect on T2DM occurrence. We conducted mixed…
Addressing anaemia in pregnancy in rural plains Nepal
Maternal anaemia prevalence in low-income countries is unacceptably high. Our research explored the individual-, family- and community-level factors affecting antenatal care uptake, iron folic acid (IFA) intake and consumption of micronutrient-rich diets among pregnant women in the plains of Nepal. We discuss how these findings informed the development of a home visit and community mobilisation intervention to reduce anaemia in pregnancy. We used…
Care-seeking and managing diabetes in rural Bangladesh
ISRCTN41083256 . Registered on 30/03/2016
Visual Participatory Analysis
This article contributes to the field of mixed methods by introducing a new method for eliciting participant perspectives of the quantitative results of randomized controlled trials. Participants are rarely asked to interpret trial results, obscuring potentially valuable information about why a trial either succeeds or fails. We introduce a unique method called visual participatory analysis and discuss the insights gained in its use as part of a …
Do Participatory Learning and Action Women’s Groups Alone or Combined with Cash or Food Transfers Expand Women’s Agency in Rural Nepal
Participatory learning and action women's groups (PLA) have proven effective in reducing neonatal mortality in rural, high-mortality settings, but their impacts on women's agency in the household remain unknown. Cash transfer programmes have also long targeted female beneficiaries in the belief that this empowers women. Drawing on data from 1309 pregnant women in a four-arm cluster-randomised controlled trial in Nepal, we found little evidence fo…
Developing a theory-driven contextually relevant mHealth intervention
In order to respond to the local needs of a community in Bangladesh, a process of formative research, drawing on behavioural theory helped in the development of awareness-raising and behaviour change mHealth messages through helping us to conceptualise and understand behaviour (for example by categorising behaviour into specific domains) and subsequently identify specific behavioural strategies to target the behaviour
Exploring the equity impact of a maternal and newborn health intervention
Participatory learning and action led to increased knowledge, confidence to act, and acceptability of recommended practices. The equitable behavioural effects were facilitated by the accessibility, relevance, and engaging format of the intervention across socioeconomic groups, and by reaching-out to parts of the population usually not accessed. A PLA approach improved health behaviours across socioeconomic strata in rural communities, around issu…
Organising Concepts of 'Women's Empowerment' for Measurement
Findings from a cluster randomised trial of unconditional cash transfers in Niger
Unconditional cash transfers (UCTs) are used as a humanitarian intervention to prevent acute malnutrition, despite a lack of evidence about their effectiveness. In Niger, UCT and supplementary feeding are given during the June-September "lean season," although admissions of malnourished children to feeding programmes may rise from March/April. We hypothesised that earlier initiation of the UCT would reduce the prevalence of global acute malnutrit…
Formative qualitative research to develop community-based interventions addressing low birth weight in the plains of Nepal
Objective To explore the factors affecting intra-household food allocation practices to inform the development of interventions to prevent low birth weight in rural plains of Nepal. Design Qualitative methodology using purposive sampling to explore the barriers and facilitating factors to improved maternal nutrition. Setting Rural Dhanusha District, Nepal. Subjects We purposively sampled twenty-five young daughters-in-law from marginalised groups…
Evidence-based policy-making
Organising Concepts of 'Women's Empowerment' for Measurement
Revisiting the patriarchal bargain
Although power struggles between daughters-in-law and mothers-in-law in the South Asian household remain an enduring theme of feminist scholarship, current policy discourse on 'women's economic empowerment' in the Global South tends to focus on married women's power over their husband; this neglects intergenerational power dynamics. The aim of this study was to describe and analyze the processes involved in young, married women's negotiations of …
Validating an Agency-based Tool for Measuring Women's Empowerment in a Complex Public Health Trial in Rural Nepal
Despite the rising popularity of indicators of women's empowerment in global development programmes, little work has been done on the validity of existing measures of such a complex concept. We present a mixed methods validation of the use of the Relative Autonomy Index for measuring Amartya Sen's notion of agency freedom in rural Nepal. Analysis of think-aloud interviews (n = 7) indicated adequate respondent understanding of questionnaire items,…
Community-based capital cash transfer to support orphans in Western Kenya
Various types of ‘cash transfer’ are currently receiving much attention as a way of helping orphans and vulnerable children in Africa. Drawing on a qualitative study conducted in Western Kenya, this paper points to the strategy of community-based capital cash transfers (CCCT) as a particularly promising method of supporting orphans and carers. Qualitative data were obtained from 15 orphans and 26 caregivers in Bondo District, Kenya, beneficiaries…
Equity impact of participatory learning and action community mobilisation and mHealth interventions to prevent and control type 2 diabetes and intermediate hyperglycaemia in rural Bangladesh
BACKGROUND: A cluster randomised trial of mHealth and participatory learning and action (PLA) community mobilisation interventions showed that PLA significantly reduced the prevalence of intermediate hyperglycaemia and type 2 diabetes mellitus (T2DM) and the incidence of T2DM among adults in rural Bangladesh; mHealth improved knowledge but showed no effect on glycaemic outcomes. We explore the equity of intervention reach and impact. METHODS: Int…
Visual Participatory Analysis
This article contributes to the field of mixed methods by introducing a new method for eliciting participant perspectives of the quantitative results of randomized controlled trials. Participants are rarely asked to interpret trial results, obscuring potentially valuable information about why a trial either succeeds or fails. We introduce a unique method called visual participatory analysis and discuss the insights gained in its use as part of a …
Girls’ Menstrual Management in Five Districts of Nepal
Discriminatory practices related to menstruation affect the social, mental and physical wellbeing of girls in many low-and middle-income countries. We conducted mixed methods research in five districts of Nepal to explore how menstruation affected girls’ ability to fully participate in school and community life. We conducted 860 structured interviews, 26 group interviews and 10 focus group discussions with schoolgirls in rural areas,14 semi-struc…
Reaching the poor with health interventions
BACKGROUND: Efforts to end preventable newborn deaths will fail if the poor are not reached with effective interventions. To understand what works to reach vulnerable groups, we describe and explain the uptake of a highly effective community-based newborn health intervention across social strata in Asia and Africa. METHODS: We conducted a secondary analysis of seven randomised trials of participatory women's groups to reduce newborn mortality in …
Effect of a participatory intervention with women's groups on birth outcomes in Nepal
Community participation
Community-based capital cash transfer to support orphans in Western Kenya
Various types of ‘cash transfer’ are currently receiving much attention as a way of helping orphans and vulnerable children in Africa. Drawing on a qualitative study conducted in Western Kenya, this paper points to the strategy of community-based capital cash transfers (CCCT) as a particularly promising method of supporting orphans and carers. Qualitative data were obtained from 15 orphans and 26 caregivers in Bondo District, Kenya, beneficiaries…
Evidence-based policy-making
Women's groups practising participatory learning and action to improve maternal and newborn health in low-resource settings
Dorian's 'look
In his exploration of ‘the phenomenon of the look’ in Being and Nothingness (Sartre 1969, p. 268), Jean-Paul Sartre suggests that the self is split into two by the look of the other, such that ‘my being-as-object or being-for-others is profoundly different from my being-for-myself’ (1969, p. 273). In this article, I suggest that Sartre’s ‘duality’ of the looked-upon self is relevant to celebrity studies discourse which holds that the celebrity is…
Disabled women's attendance at community women's groups in rural Nepal
There is strong evidence that participatory approaches to health and participatory women's groups hold great potential to improve the health of women and children in resource poor settings. It is important to consider if interventions are reaching the most marginalized, and therefore we examined disabled women's participation in women's groups and other community groups in rural Nepal. People with disabilities constitute 15% of the world's popula…
Reaching the poor with health interventions
BACKGROUND: Efforts to end preventable newborn deaths will fail if the poor are not reached with effective interventions. To understand what works to reach vulnerable groups, we describe and explain the uptake of a highly effective community-based newborn health intervention across social strata in Asia and Africa. METHODS: We conducted a secondary analysis of seven randomised trials of participatory women's groups to reduce newborn mortality in …
Validating an Agency-based Tool for Measuring Women's Empowerment in a Complex Public Health Trial in Rural Nepal
Despite the rising popularity of indicators of women's empowerment in global development programmes, little work has been done on the validity of existing measures of such a complex concept. We present a mixed methods validation of the use of the Relative Autonomy Index for measuring Amartya Sen's notion of agency freedom in rural Nepal. Analysis of think-aloud interviews (n = 7) indicated adequate respondent understanding of questionnaire items,…
Findings from a cluster randomised trial of unconditional cash transfers in Niger
Unconditional cash transfers (UCTs) are used as a humanitarian intervention to prevent acute malnutrition, despite a lack of evidence about their effectiveness. In Niger, UCT and supplementary feeding are given during the June-September "lean season," although admissions of malnourished children to feeding programmes may rise from March/April. We hypothesised that earlier initiation of the UCT would reduce the prevalence of global acute malnutrit…
Formative qualitative research to develop community-based interventions addressing low birth weight in the plains of Nepal
Objective To explore the factors affecting intra-household food allocation practices to inform the development of interventions to prevent low birth weight in rural plains of Nepal. Design Qualitative methodology using purposive sampling to explore the barriers and facilitating factors to improved maternal nutrition. Setting Rural Dhanusha District, Nepal. Subjects We purposively sampled twenty-five young daughters-in-law from marginalised groups…
Girls’ Menstrual Management in Five Districts of Nepal
Discriminatory practices related to menstruation affect the social, mental and physical wellbeing of girls in many low-and middle-income countries. We conducted mixed methods research in five districts of Nepal to explore how menstruation affected girls’ ability to fully participate in school and community life. We conducted 860 structured interviews, 26 group interviews and 10 focus group discussions with schoolgirls in rural areas,14 semi-struc…
Revisiting the patriarchal bargain
Although power struggles between daughters-in-law and mothers-in-law in the South Asian household remain an enduring theme of feminist scholarship, current policy discourse on 'women's economic empowerment' in the Global South tends to focus on married women's power over their husband; this neglects intergenerational power dynamics. The aim of this study was to describe and analyze the processes involved in young, married women's negotiations of …
Do Participatory Learning and Action Women’s Groups Alone or Combined with Cash or Food Transfers Expand Women’s Agency in Rural Nepal
Participatory learning and action women's groups (PLA) have proven effective in reducing neonatal mortality in rural, high-mortality settings, but their impacts on women's agency in the household remain unknown. Cash transfer programmes have also long targeted female beneficiaries in the belief that this empowers women. Drawing on data from 1309 pregnant women in a four-arm cluster-randomised controlled trial in Nepal, we found little evidence fo…
Developing a theory-driven contextually relevant mHealth intervention
In order to respond to the local needs of a community in Bangladesh, a process of formative research, drawing on behavioural theory helped in the development of awareness-raising and behaviour change mHealth messages through helping us to conceptualise and understand behaviour (for example by categorising behaviour into specific domains) and subsequently identify specific behavioural strategies to target the behaviour
Exploring the equity impact of a maternal and newborn health intervention
Participatory learning and action led to increased knowledge, confidence to act, and acceptability of recommended practices. The equitable behavioural effects were facilitated by the accessibility, relevance, and engaging format of the intervention across socioeconomic groups, and by reaching-out to parts of the population usually not accessed. A PLA approach improved health behaviours across socioeconomic strata in rural communities, around issu…
Organising Concepts of 'Women's Empowerment' for Measurement
Visual Participatory Analysis
This article contributes to the field of mixed methods by introducing a new method for eliciting participant perspectives of the quantitative results of randomized controlled trials. Participants are rarely asked to interpret trial results, obscuring potentially valuable information about why a trial either succeeds or fails. We introduce a unique method called visual participatory analysis and discuss the insights gained in its use as part of a …
Learning from a diabetes mHealth intervention in rural Bangladesh
There is an urgent need for population-based interventions to slow the growth of the diabetes epidemic in low-and middle-income countries. We tested the effectiveness of a population-based mHealth voice messaging intervention for T2DM prevention and control in rural Bangladesh through a cluster randomised controlled trial. mHealth improved knowledge and awareness about T2DM but there was no detectable effect on T2DM occurrence. We conducted mixed…
Addressing anaemia in pregnancy in rural plains Nepal
Maternal anaemia prevalence in low-income countries is unacceptably high. Our research explored the individual-, family- and community-level factors affecting antenatal care uptake, iron folic acid (IFA) intake and consumption of micronutrient-rich diets among pregnant women in the plains of Nepal. We discuss how these findings informed the development of a home visit and community mobilisation intervention to reduce anaemia in pregnancy. We used…
Care-seeking and managing diabetes in rural Bangladesh
ISRCTN41083256 . Registered on 30/03/2016
Changes in non-communicable diseases, diet and exercise in a rural Bangladesh setting before and after the first wave of Covid-19
Prevalence of non-communicable diseases (NCDs) is high in rural Bangladesh. Given the complex multi-directional relationships between NCDs, COVID-19 infections and control measures, exploring pandemic impacts in this context is important. We conducted two cross-sectional surveys of adults ≥30-years in rural Faridpur district, Bangladesh, in February to March 2020 (survey 1, pre-COVID-19), and January to March 2021 (survey 2, post-lockdown). A new…
Describing adolescents with disabilities’ experiences of Covid-19 and other humanitarian emergencies in low- and middle-income countries
BACKGROUND: The COVID-19 pandemic and other humanitarian emergencies exacerbate pre-existing inequalities faced by people with disabilities. They experience worse access to health, education, and social services, and increased violence in comparison with people without disabilities. Adolescents with disabilities are amongst those most severely affected in these situations. Using participatory research methods with adolescents can be more effectiv…
Equity impact of participatory learning and action community mobilisation and mHealth interventions to prevent and control type 2 diabetes and intermediate hyperglycaemia in rural Bangladesh
BACKGROUND: A cluster randomised trial of mHealth and participatory learning and action (PLA) community mobilisation interventions showed that PLA significantly reduced the prevalence of intermediate hyperglycaemia and type 2 diabetes mellitus (T2DM) and the incidence of T2DM among adults in rural Bangladesh; mHealth improved knowledge but showed no effect on glycaemic outcomes. We explore the equity of intervention reach and impact. METHODS: Int…
Adolescents with disabilities and caregivers experience of Covid-19 in rural Nepal
Introduction: Intersecting vulnerabilities of disability, low socio-economic status, marginalization, and age indicate that adolescents with disabilities in low-and middle-income countries were uniquely affected by the COVID-19 pandemic. Yet, there has been limited research about their experience. We conducted participatory research with adolescents with disabilities in rural, hilly Nepal to explore their experience of the pandemic and inform und…
Medicine (25 obras) · Sociology (17 obras) · Environmental health (15 obras) · Psychology (15 obras) · Qualitative research (14 obras) · Global Maternal and Child Health (13 obras) · Political science (13 obras) · Nursing (12 obras) · Psychological intervention (12 obras) · Economic growth (11 obras)