![]() ![]() In Photostory, we have developed an innovative approach to documenting and stimulating change in social actions, initially for use in the Stepping Stones Early Childhood Development (ECD) Programme. Photographs provide a visual insight which, through their description or dissemination, offer a means to assess knowledge at a specific point in time and to document the change and the development of ideas ( 5). Photo elicitation has provided an essentially qualitative research method widely used in the social and health sciences as an evidentiary tool ( 4). Photography has long been employed by the organization to inform the public of new developments in healthcare and medical technologies, to give a face to initiatives and projects that might otherwise seem unconnected, and to increase understanding of global health concerns ( 3). WHO recognizes the power of photographs to communicate-a power that transcends barriers of language, distance, and time. Photographs also provide a way to express health related needs and views without the need for complex language and scientific knowledge. Photographs provide a means to connect life experiences with scientifically based knowledge, so that people are “touched rather than indoctrinated” by health messages ( 2). Photography is seen as an important and effective means of involving people in activities that promote health ( 1). We were also able to demonstrate the added value of photographs in stimulating detailed discussion amongst community members on early child development.Ĭonclusion: Photostories can provide a systematic and rigorous methodology to stimulate engagement, monitor and measure change in community-based parenting interventions. ![]() The data provided the intervention team with local examples through which to engage parents in discussions on activities that stimulate effective child exploration and learning. At endpoint we observed a trend toward activities being provided for children at a level of difficulty higher than child's level of developmental. ![]() Parental engagement levels remained stable, toward being less actively engaged. In exploring change over the implementation process, at endpoint children were more likely to be observed as more engaged in their play activities ( p < 0.05). Using a rating system which measured both the structure of the tasks, and the emotional engagement of the child and parent, many activities and practices observed were evaluated as providing at least an adequate learning space. A total of 161 Photostories were collected (72 at baseline and 89 at endpoint). Results: We developed a systematic framework to support data capture, analysis, and data utilization using multistep iterative mixed method process. We explored role of Photostory approach in engaging community in process of stimulating positive ECD experiences. This paper utilized collected data to explore utility of rating framework to describe and measure behavior and to track change. We integrated Photostory process into routine visits undertaken during implementation of Stepping-Stones, an ECD intervention program. ![]() A standardized rating system was established to monitor levels of, and change in, community practices. A systematic format to capture, archive and evaluate photographic material was developed. Methodology: The Photostory method was built through a cyclical process to describe and explore early-childhood practices in central-India through photographs and stories. Objective: Paper describes development and adaptation of an integrated photostory approach documenting actions and stimulating positive change in Early Child Development (ECD). Photographs and narratives also engage decision makers, inspiring changes in policy and practice. 6Research and Development & Community Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Wardha, Indiaīackground: Capturing real-life practices through photographs provides an opportunity to create awareness and focus discussions on relevant issues in community.5School of Epidemiology in Public Health, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Wardha, India.4Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Wardha, India.3Educational Psychologist, Institute of Educational Development, Aga Khan University, Nairobi, Kenya.2School of Epidemiology in Public Health, Datta Meghe Institute of Medical Sciences, Wardha, India.1School of Epidemiology in Public Health & Community Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Wardha, India.Abhay Gaidhane 1 Penny Holding 2 Minal Shah 3 Manoj Patil 4 Shital Telrandhe 4 * Navnita Jadhav 4 Priti Kogade 4 Sonali Chaudhari 5 Quazi Syed Zahiruddin 6 ![]()
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