Main Article Content

Abstract

Background: Health risks associated with burning biomass and stress on forests caused by firewood demand have necessitated improved cookstove programs. This study aimed to introduce and assess the functionality and impact of an intervention rocket cookstove in a rural Rwandan village.


Method: This study used a mixed-method community-based participatory research (MMCBPR) design to introduce and test an intervention rocket cookstove. Interviews and focus groups were conducted to gather participants’ perspectives on using stoves and their perceived impact on quality of life. This study occurred over five years and culminated in three distinct phases.


 Results: Quantitative data showed that rocket stoves reduced firewood consumption by 30%–50% compared to traditional cooking methods. In addition, the qualitative data indicated widespread acceptance of the intervention concomitant with improved environmental health and quality of life outcomes. Participants reported improved health due to reduced smoke exposure, eye irritation, headaches, and an improved capacity for savings.


Conclusion: The longitudinal nature of this study provides insight into the complexities of MMCBPR in the Global South. The findings show that small interventions, such as an improved cookstove, can improve the quality of life of individuals in marginalized communities if researchers are willing to invest the time that MMCBPR requires. Suggestions for future studies, especially for researchers seeking to expand MMCBPR beyond the boundaries of public health in North America, are discussed.

Keywords

Community-based participatory research mixed methods research quality of life sub-Saharan Africa improved cookstoves

Article Details

How to Cite
Horton, L. (2022). Utilizing Mixed Methods Community-Based Participatory Research to Improve Environmental Health and Quality of Life Outcomes in Rural Rwanda. Pan-African Journal of Health and Environmental Science, 1(2), 17–38. https://doi.org/10.56893/ajhes.2022-v1i2.250

References

  1. Adkins, E., Tyler, E., Wang, J., Siriri, D., & Modi, V. (2010). Field testing and survey evaluation of household biomass cookstoves in rural sub-Saharan Africa. Energy for sustainable development, 14(3), 172-185. https://doi.org/10.1016/j.esd.2010.07.003
  2. Creswell, J. W. (2022). A concise introduction to mixed methods research (2nd ed.). Sage.
  3. Creswell, J. W., & Plano Clark, V. L. (2018). Designing and Conducting Mixed Methods Research (3rd ed.). Sage.
  4. DeJonckheere, M., Lindquist-Grantz, R., Toraman, S., Haddad, K., & Vaughn, L. M. (2019). Intersection of mixed methods and community-based participatory research: A methodological review. Journal of Mixed Methods Research, 13(4), 481-502. https://doi.org/10.1177/1558689818778469
  5. Desai, M. A., Mehta, S., & Smith, K. (2004). Indoor smoke from solid fuels. Assessing the environmental burden of disease at national and local levels. Environmental Burden of Disease Series, 4, 675-740.
  6. Fullerton, D. G., Bruce, N., & Gordon, S. B. (2008). Indoor air pollution from biomass fuel smoke is a major health concern in the developing world. Transactions of the Royal Society of Tropical Medicine and Hygiene, 102(9), 843-851. https://doi.org/10.1016/j.trstmh.2008.05.028
  7. Gifford, M. L. (2010). A global review of cookstove programs. University of California, Berkeley.
  8. Horton, L. (2017). Toward capabilities-based environmental leadership: A case study from Kanembwe, Rwanda. University of Central Arkansas.
  9. Horowitz, C. R., Robinson, M., & Seifer, S. (2009). Community-based participatory research from the margin to the mainstream. Circulation, 119(19), 2633-2642. https://doi.org/10.1161/circulationaha.107.729863
  10. Israel, B.A., Eng, E., Schulz, A.J., & Parker, E.A. (2013). Introduction to methods for CBPR for health. In B.A. Israel, E. Eng, A.J. Schulz, and E. A. Parker (Eds.), Methods for community-based participatory research for health (2nd ed., pp. 3-38). John Wiley & Sons, Inc.
  11. Lucero, J., Wallerstein, N., Duran, B., Alegria, M., Greene-Moton, E., Israel, B., Kastelic, S., Magarati, M., Oetzel, J., Pearson, C., Schulz, A., Villegas, M., & White Hat, E. R. (2018). Development of a mixed methods investigation of process and outcomes of community-based participatory research. Journal of mixed methods research, 12(1), 55-74. https://doi.org/10.1177/1558689816633309
  12. Maier, S. D., Beck, T., Francisco Vallejo, J., Horn, R., Söhlemann, J. H., & Nguyen, T. T. (2016). Methodological approach for the sustainability assessment of development cooperation projects for built innovations based on the SDGs and life cycle thinking. Sustainability, 8(10). https://doi.org/10.3390/su8101006
  13. Mazimpaka, E. (2012). Woodfuel in Rwanda: Impact on energy, poverty and the environment. University of Cape Town, Cape Town, South Africa.
  14. Minkler, M., Vásquez, V. B., Tajik, M., & Petersen, D. (2008). Promoting environmental justice through community-based participatory research: The role of community and partnership capacity. Health Education & Behavior, 35(1), 119-137. https://doi.org/10.1177/1090198106287692
  15. National Institute of Statistics of Rwanda (NISR) [Rwanda], Ministry of Health (MOH) [Rwanda], and ICF International. (2015). Rwanda Demographic and Health Survey 2014-15. Rockville, MD, USA.
  16. National Institute of Statistics of Rwanda (NISR) [Rwanda], Ministry of Health (MOH)
  17. [Rwanda], and ICF International. 2016. Rwanda Demographic and Health Survey 2014-
  18. , District Profile Chart Book, Western Province. NISR, MOH, and ICF International,
  19. Ndayambaje, J. D. (2013). Trees and woodlots in Rwanda and their role in fuelwood supply. Wageningen University.
  20. Ndayambaje, J. D., & Mohren, G. (2011). Fuelwood demand and supply in Rwanda and the role of agroforestry. Agroforestry systems, 83(3), 303-320. https://doi.org/10.1007/s10457-011-9391-6
  21. Official Gazette, (2010). Declassification of Kanembwe Forest. No 26 of 28/06/2010.
  22. Official Gazette, (2015). Law governing the organisation of the community-based health insurance scheme. No 03/2015 of 02/03/2015.
  23. Official Gazette, (2020). Prime minister’s order related to the community-based health insurance scheme subsidies. No 034/01 of 13/01/2020.
  24. Plano Clark, V.L., & Ivankova, N.V. (2016). Mixed methods research: A guide to the field (3rd ed.). Sage. https://doi.org/10.4135/9781483398341
  25. Roden, C. A., Bond, T. C., Conway, S., & Pinel, A. B. O. (2006). Emission factors and real-time optical properties of particles emitted from traditional wood burning cookstoves. Environmental science & technology, 40(21), 6750-6757. https://doi.org/10.1021/es052080i
  26. Shalowitz, M. U., Isacco, A., Barquin, N., Clark-Kauffman, E., Delger, P., Nelson, D., Quinn, A.,Wagenaar, K. A. (2009). Community-based participatory research: A review of the literature with strategies for community engagement. Journal of Developmental & Behavioral Pediatrics, 30(4), 350-361. https://doi.org/10.1097/dbp.0b013e3181b0ef14
  27. Thaxton, M. (2009). Integrating Population, Health, and Environment in Rwanda: Population Reference Bureau.
  28. Understanding Social Security, (2018). Rwanda Social Security Board.
  29. Wallerstein, N., & Duran, B. (2010). Community-based participatory research contributions to intervention research: The intersection of science and practice to improve health equity. American Journal of Public Health, 100(S1), S40-S46. https://doi.org/10.2105/ajph.2009.184036
  30. Windsor, L.C. (2013). Using concept mapping in community-based participatory research: A mixed methods approach. Journal of mixed methods research, 7(3), 274-293. https://doi.org/10.1177/1558689813479175
  31. World Health Organization. (2010). WHO guidelines for indoor air quality: Selected pollutants. Bonn, Germany: The WHO European Centre for Environment and Health, Bonn Office.