Participatory action research: insights from Nepal

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Participatory action research: insights from Nepal

Welcome to the seminar!
Introducing our speakers
Presentations
Q&A

Shophika Regmi
Senior research manager, HERD International

Abriti Arjyal
Research manager, HERD International

Participatory action research to address gender norms and
power dynamics of female community health volunteers:
efforts to...

Background
• Female Community Health Volunteers (FCHVs) as close-to-
community providers – engaged in community-based prev...

Objective
To explore how participatory action research can support FCHVs in addressing the issues
related to gender norms ...

Methods
Observations Reflective workshop Interviews Group Discussions
Pre-
study
phase
FCHVs faced numerous
challenges sha...

Planning phase - Co-creation workshops
Problem tree analysis
Identified top problem:
Lack of recognition for FCHVs’
contri...

Intervention development: co-creation workshops
Script finalisation and pre-shooting preparation Community filming
Script ...

Findings- Immediate impact
Showcased the co-created video in the presence of
community people & local stakeholders
 All s...

Findings: Community involvement in research
Context-driven approach for identifying issues and co-creating solution
FCHVs ...

Findings- Community involvement in research
FCHVs shared mixed feelings of pride, fear and accomplishment in the co-creati...

Findings: Outcomes
Changes at individual level
Increase in self-confidence, communication skills and technical advancement...

Findings: Outcomes
Changes at family level
Improved understanding and support from their families for their work and dual
...

Findings: Outcomes
Changes at community level
Change in perception and increased understanding of their work including dua...

Findings: Video as an approach
FCHVs, stakeholders, and community people considered the video to be an innovative and
effe...

Findings
Despite efforts to create a just health system, existing gender norms and their challenges
continue to persist in...

Conclusion
• PAR approach supported co-creating a video – an
innovative and powerful tool.
• Video helped amplify the voic...

Contact: Abriti Arjyal - abriti.arjyal@herdint.com
THANK YOU
Participatory video Behind-the-scene video Blog post
Abriti A...

Shophika Regmi
HERD International
Nepal
Participatory action research for strengthening
health systems resilience:
lessons...

Presentation overview
• Background and context
• Learning site and PAR in
Nepal
• Key interventions and
outcomes
• Challen...

Nepal: decentralized health systems and governance context
• Adoption of new 2015 constitution introduced
federalization
•...

What is a learning site?
• Long-term, embedded platform for system reflection and co-learning
• Grounded in real-time enga...

PAR with embedded learning site
• A non-parrel, embedded approach
• Engages diverse stakeholders in all phases
• Researche...

ReBUILD’s
resilience
framework

Theory of change: Learning site

Participatory action research in a Learning Site
2025
Evaluation
of PAR-2
Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1
Coordinat...

Data sources
Qualitative
Resilience
Mapping
13 KIIs, 3 IDIs
Policy analysis
report
Quantitative -
HMIS
GMB
3 GMBs
workshop...

Interventions and outcomes
• Strengthening local governance
and accountability
• Enhancing evidence generation and use
• S...

Health sector governance and accountability
• Municipality leaders more engaged –
sensitized through participation in heal...

Data quality and evidence-informed plans
and decisions
• Capacity development of MHS team and
health workers on quality da...

Community engagement and inclusion
• Government-owned platforms created for
community health dialogue
• FCHVs and communit...

Multisectoral collaboration
• Formation of a multi-sectoral Health Committee
within the municipality for monitoring and re...

Principles and outcomes in learning site
Learning sites
Capacity
building
Embedded
support
Collaborat
ion
BUILDING HEALTH ...

Challenges in
implementation
• High staff turnover disrupted
continuity
• Budget constraints for community
engagement
• Po...

Lessons learnt
• PAR can be integrated into governance and institutional practice
• Embedded approaches are effective and ...

Thank you !

rebuildconsortium.com
@ReBUILDRPC
shophika.regmi@herdint.com
This project is funded with UK aid from the British people

Any questions?

www.rebuildconsortium.com
@ReBUILDRPC
Thank you
This project is funded with UK aid from the British people

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