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Health Education Research Advance Access originally published online on August 3, 2009
Health Education Research 2009 24(6):957-966; doi:10.1093/her/cyp038
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© 2009 The Author(s).
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/2.0/uk/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Community-based health programmes: role perceptions and experiences of female peer facilitators in Mumbai's urban slums

Glyn A. Alcock1,*, Neena Shah More2, Sarita Patil2, Maya Porel2, Leena Vaidya2 and David Osrin1

1 University College London Centre for International Health and Development, Institute of Child Health, London WC1N 1EH, UK
2 Society for Nutrition, Education and Health Action (SNEHA), Mumbai 400017, India

* Correspondence to: G. A. Alcock. E-mail: g.alcock{at}ich.ucl.ac.uk

Community-based initiatives have become a popular approach to addressing the health needs of underserved populations, in both low- and higher-income countries. This article presents findings from a study of female peer facilitators involved in a community-based maternal and newborn health intervention in urban slum areas of Mumbai. Using qualitative methods we explore their role perceptions and experiences. Our findings focus on how the facilitators understand and enact their role in the community setting, how they negotiate relationships and health issues with peer groups, and the influence of credibility. We contextualize this within broader conceptualizations of peer-led health interventions and offer recommendations for similar community-based health initiatives.

Received on March 13, 2009; accepted on July 9, 2009


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