The study used photovoice as a Community Based Participatory Research method using photography to identify the challenges affecting maternal health in rural communities in Uganda. This included holding discussions to further explore the challenges and streamline feasible solutions, and to disseminate the findings to stakeholders. The study was carried out in Ssisa sub-county, Wakiso district, which is a rural area in central region Uganda.
Participants were trained to use cameras to capture aspects and situations in their community regarding maternal health challenges being faced for 5 months. Monthly meetings were held between the youth and research team to discuss the photos taken during each period.
The study established that the community faced several challenges in accessing maternal health services. These included long distance to health facilities, inadequate transport, waiting for long hours at health facilities, poor health worker attitudes, and absence of health workers at facilities. Several socio-determinants of health affected maternal health in the community were also identified.
The youth photovoice photographers benefited by becoming more knowledgeable about maternal health, and increasing their capacity to address community problems.
Delays in receiving care
Photographer: John Sserwadda
Photographer: Anthony Mpanga
Limited use of contraceptives
Photographer: Roger Mubiru
Low male involvement
Photographer: Annet Nakayima
No relief from household chores during pregnancy
Photographer: John Sserwada