Evidence map›Paper›PMID 37992017›Full record

ArticlePLOS global public health2023

Understanding reticence to occupy free, novel-design homes: A qualitative study in Mtwara, Southeast Tanzania.

Judith Meta, Salum Mshamu, Salma Halifa, Arnold Mmbando, Hannah Sloan Wood, Otis Sloan Wood, Thomas Chevalier Bøjstrup, Nicholas P J Day, Jakob Knudsen, Steven W Lindsay and 3 more

Open access · goldAbstract read
In one paragraph

Article in PLOS global public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.4field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 2 citations in OpenAlex.

  1. Trial
  2. Article
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  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 6 institutions in 6 countries.

Judith MetaIndependent Consultant and Social Scientist, Mtwara, Tanzania.
Salum MshamuCSK Research Solutions, Mtwara, Tanzania.ORCID https://orcid.org/0000-0002-0008-7172
Salma HalifaCSK Research Solutions, Mtwara, Tanzania.
Arnold MmbandoIfakara Health Institute, Ifakara, Tanzania.
Hannah Sloan WoodRoyal Danish Academy, Architecture, Design, Conservation, Copenhagen, Denmark.ORCID https://orcid.org/0009-0000-1344-0353
Otis Sloan WoodRoyal Danish Academy, Architecture, Design, Conservation, Copenhagen, Denmark.ORCID https://orcid.org/0000-0002-5494-9540
Thomas Chevalier BøjstrupRoyal Danish Academy, Architecture, Design, Conservation, Copenhagen, Denmark.
Nicholas P J DayNuffield Department of Clinical Medicine, University of Oxford, Oxford, United Kingdom.
Jakob KnudsenRoyal Danish Academy, Architecture, Design, Conservation, Copenhagen, Denmark.ORCID https://orcid.org/0000-0002-5348-8439
Steven W LindsayDepartment of Biosciences, Durham University, Durham, United Kingdom.
Jacqueline DeenUniversity of Philippines, Manila, Philippines.ORCID https://orcid.org/0000-0001-8875-5026
Lorenz von SeidleinNuffield Department of Clinical Medicine, University of Oxford, Oxford, United Kingdom.
Christopher PellAmsterdam Institute for Global Health and Development (AIGHD), Amsterdam, the Netherlands.
Royal Danish Academy – Architecture, Design, Conservation · DKUniversity of Oxford · GBAmsterdam Institute for Global Health and Development · NLDurham University · GBIfakara Health Institute · TZUniversity of the Philippines Manila · PH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe population of Africa set to reach 2 billion by 2050. There is therefore great demand for housing across the continent. Research on modified novel designs for housing is a priority to ensure that these homes are not sites of infection for diseases transmission such as malaria. One trial to assess the protection afforded by novel design houses is underway in Mtwara Region, southeastern Tanzania. After constructing 110 of such homes across 60 villages, project staff encountered a certain reticence of the target population to occupy the homes and were faced with accusations of having nefarious intentions. This article explores these accusations, their impacts on home occupancy and lessons for future housing studies.

methodsThis qualitative study drew on in-depth interviews and focus group discussions with ten occupants of the intervention homes, six community leaders and a further 24 community members. Interviews were recorded, transcribed verbatim and translated to English for qualitative content analysis.

resultsIn communities around the Star Homes, during construction and handover, project staff were widely associated with 'Freemasons', a term used to practices, secrecy, and other conspiracy theories in rural Tanzania. These connections were attributed to other community members and explained in terms of knowledge deficit or envy, with others hoping to be allocated the home. The stories were embedded in assumptions of reciprocity and suspicions about study motives, linked to limited experience of research. The relationship between the accusations of freemasonry and reticence to occupy the houses was not straightforward, with project staff or relatives playing a role in decisions. The stakes were high, because the recipients of Star Homes were the poorest families in targeted communities.

conclusionThe results indicate the need for long-term and proactive community engagement, which focuses on building relationships and providing information through recognizable voices and formats. Given the stakes at play in housing interventions, research teams should be prepared for the social upheaval the provision of free new housing can cause.

Identifiers

PMID37992017
PMCPMC10664911
OpenAlexW4388895641

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.