Abstract
Objective: (1) To introduce photovoice, a participatory action research methodology, for use by MCH program managers to enhance community health assessments and program planning efforts, (2) to enable community people to use the photovoice methodology as a tool to record, reflect, and communicate their family, maternal, and child health assets and concerns, and (3) to educate community leaders about family, maternal, and child health issues from a grassroots perspective. Methods: Photovoice is based upon the theoretical literature on education for critical consciousness, feminist theory, and community-based approaches to documentary photography. Picture This Photovoice project took place in Contra Costa, an economically and ethnically diverse county in the San Francisco Bay area. Sixty county residents of ages 13–50 participated in 3 sessions during which they received training from the local health department in the techniques and process of photovoice. Residents were provided with disposable cameras and were encouraged to take photographs reflecting their views on family, maternal, and child health assets and concerns in their community, and then participated in group discussions about their photographs. Community events were held to enable participants to educate MCH staff and community leaders. Results: The photovoice project provided MCH staff with information to supplement existing quantitative perinatal data and contributed to an understanding of key MCH issues that participating community residents would like to see addressed. Participants' concerns centered on the need for safe places for children's recreation and for improvement in the broader community environment within county neighborhoods. Participants' definitions of family, maternal, and child health assets and concerns differed from those that MCH professionals may typically view as MCH issues (low birth weight, maternal mortality, teen pregnancy prevention), which helped MCH program staff to expand priorities and include residents' foremost concerns. Conclusions: MCH professionals can apply photovoice as an innovative participatory research methodology to engage community members in needs assessment, asset mapping, and program planning, and in reaching policy makers to advocate strategies promoting family, maternal, and child health as informed from a grassroots perspective.
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REFERENCES
Wang CC, Burris M. Photovoice: Concept, methodology, and use for participatory needs assessment. Health Educ and Behav 1997;24(3):369–87.
Wang CC. Photovoice: A participatory action research strategy applied to women's health. J Women's Health 1999;8(2):185–92.
Wang C, Burris M, Xiang YP. Chinese village women as visual anthropologists: A participatory approach to reaching policy-makers. Soc Sci Med 1996;42:1391–1400.
Freire P. Pedagogy of the oppressed. New York: Seabury, 1970.
Wallerstein N, Bernstein E. Empowerment education: Freire's ideas adapted to health education. Health Educ Q 1988;15(4):379–94.
Smith DE. The everyday world as problematic. Boston: Northeastern University Press, 1987.
Ewald W. Portraits and dreams: Photographs and stories by children of the Appalachians. New York: Writers and Readers 1985.
Ewald W. I dreamed I had a girl in my pocket. New York: DoubleTake Books, 1996.
Hubbard J. Shooting back: A photographic view of life by homeless children. San Francisco, CA: Chronicle Books, 1991.
Spence J. Cultural sniping: The art of transgression. London: Routledge, 1995.
Wolper A. Making art, reclaiming lives: The artist and homeless collaborative. In: Felshin N, editors, But is it art? The spirit of art as activism. Seattle, WA: Bay Press. 1995:251–82 (chapter 9).
Wang C, Burris M. Empowerment through photo novella: Portraits of participation. Health Educ Q 1994;21(2):171–86.
Wang C, Yuan YL, Feng ML. Photovoice as a tool for participatory evaluation: The community's view of process and impact. J Contemp Health 1996;4:47–9.
Wang CC, Wu KY, Zhan WT, Carovano K. Photovoice as a participatory health promotion strategy. Health Promot Int 1998;13(1):75–86.
Bowers AA. People with serious mental illnesses using photovoice: Implications for participatory research and community education. Paper presented at the American Public Health Association Annual Meeting, Chicago, 1999.
Wang CC, Cash J, Powers LS. Who knows the streets as well as the homeless?: Promoting personal and community action through photovoice. Health Promot Pract 2000;1(1):81–89.
Killion CM, Wang CC. Linking African American mothers across life stage and station through photovoice. J Health Care Poor Underserved 2000;11(3).
May M. Sounding the alarm: East bay's teenage ‘Town Criers’ use cameras to bring new focus to AIDS. San Francisco Chronicle November 25, 2001, A1.
Lopez EDS. Quality of life needs among rural African American breast cancer survivors from eastern North Carolina: Blending the methods of photovoice and grounded theory. PhD Dissertation, University of North Carolina at Chapel Hill, 2002.
Strack RW, Magill C, McDonagh K. Engaging youth through photovoice. Health Promot Prac 2003;5(1):49–58.
Wang CC, Morrel-Samuels S, Hutchison P, Bell L, Pestronk RM. Flint photovoice: community-building among youth, adults, and policy makers. Am J Public Health 2004; forthcoming.
Maternal and Child Health Branch, California Department of Health Services. California Maternal and Child Health County Data Book. Martinez, California, January, 1999.
Wang CC, Redwood-Jones Y. Photovoice ethics. Health Educ Behav 2001;28(5):560–72.
Minkler M, Hancock T. Community-driven asset identification and issue selection. In: Minkler N., Wallerstein N, editors, Community-based participatory research for health. San Francisco: Jossey-Bass, 2003: 135–54 (chapter 7).
Kretzmann J, McKnight J. Building communities from the inside out: A path toward finding and mobilizing a community's assets. Evanston, IL: Center for Urban Affairs and Policy Research, 1993.
Spears L. Picturing concerns: The idea is to take the messages to policy-makers and to produce change. Contra Costa Sunday Times April, 1999.
Plummer K. Documents of life: An introduction to the problems and literature of a humanistic method. London: Allen and Unwin, 1983.
Grason HA, Guyer B. Public MCH program functions framework: Essential public health services to promote maternal and child health in America: State applications. Baltimore, MD: Child and Adolescent Health Policy Center, Johns Hopkins University, 1995.
Wagner M. The public health versus clinical approaches to maternity services: The emperor has no clothes. J Public Health Policy 1998;19(1):25–33.
Declercq E. “Changing childbirth” in the United Kingdom: Lessons for US health policy. J Health Politics, Policy, and Law 1998;23(5):833–59.
Pierce JR, Blackburn CP. The transformation of a local health department. Public Health Rep 1998;113, 152–59.
Collier J, Collier M. Visual anthropology: Photography as a research method. Albuquerque: University of New Mexico, 1986.
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Wang, C.C., Pies, C.A. Family, Maternal, and Child Health Through Photovoice. Matern Child Health J 8, 95–102 (2004). https://doi.org/10.1023/B:MACI.0000025732.32293.4f
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DOI: https://doi.org/10.1023/B:MACI.0000025732.32293.4f