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Health Education Research, Vol. 16, No. 5, 567-578, October 2001
© 2001 Oxford University Press

Revealing the hidden ‘troubles’ in Northern Ireland: the role of participatory rapid appraisal

Anne Lazenbatt, Una Lynch and Eileen O'Neill,1

School of Nursing and Midwifery, Medical Biology Centre and
1 School of Dentistry, Royal Victoria Hospital, The Queen's University of Belfast, Belfast BT9 7BL, UK

Our objectives were to explore the use of rapid participatory appraisal (RPA) in defining the health and social needs of women, and to formulate joint action plans between the residents and service providers. RPA included review of existing data, focus groups and questionnaire. The study was set in the Ardoyne area of North Belfast. A response rate of 85% was obtained. Priorities identified reflected holistic definition of health and included issues relating to physical environment, social supports, as well as traditional epidemiological data. The use of RPA in this study has demonstrated a greater insight into unmet health and social needs in the area. It has exposed the level and extent of poverty, such as poor nursery provision for the under 5s, lack of safe play areas, fuel poverty for the elderly person, high dependence on prescription drugs such as valium and antidepressants, as well as lack of access to specific services due to political boundaries.


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