Primary health care: applying the principles within a community-based participatory health research project that began in a Canadian women's prison.
OBJECTIVE
the purpose of this research was to determine the feasibility of engaging incarcerated women in community-based participatory research and to identify, by and with the women, the health concerns to be addressed.


METHODS
the integration of primary health care, community-based participatory research, a settings approach to health promotion and transformative action research guided the overall design of this study.


METHODS
Incarcerated women, correctional centre staff and academic researchers participated collaboratively. Setting. The study was conducted in the main short sentence (two years or less) minimum/medium security women's correctional centre in a Canadian province.


RESULTS
In-depth interviews were conducted with 16 incarcerated women; in-depth group interviews were facilitated with 16 correctional centre staff. Twenty-one themes, which emerged from participatory, inductive and content analysis of the data, were presented at a face-to-face meeting attended by 120 incarcerated women, 10 correctional centre staff and 5 academic researchers. Underlying values and principles for the project were identified prior to a discussion of the results. During the course of this meeting, the themes were converged into five major categories: addictions and mental health; HIV, hepatitis and infections; health care in prison; life skills and re-entry into society (including homelessness and housing); and children, family and relationships. Numerous suggestions for health interventions and participatory projects were generated, each relating to one of the five major categories.


CONCLUSIONS
this study was unique in that, to our knowledge, no other studies have utilized community-based participatory research methods in which incarcerated women played a role in designing the research questions and tools, collecting the data, analyzing the data, interpreting the data and authoring the publications and presentations. This study demonstrated that it is feasible for incarcerated women to engage in developing and utilizing community-based participatory research methods and that these methods can be grounded in a settings approach to whole prison health promotion.
Martin
Ruth Elwood
RE
Department of Family Practice, University of British Columbia, 300-5950 University Blvd, Vancouver, BC, V6T 1Z3, Canada. ruth.martin@familymed.ubc.ca
Murphy
Kelly
K
Chan
Rene
R
Ramsden
Vivian R
VR
Granger-Brown
Alison
A
Macaulay
Ann C
AC
Kahlon
Roopjeet
R
Ogilvie
Gina
G
Hislop
T Gregory
TG
D000293:Adolescent; D000328:Adult; D002170:Canada; D055812:Community-Based Participatory Research; D005240:Feasibility Studies; D005260:Female; D006301:Health Services Needs and Demand; D006801:Humans; D011320:Primary Health Care; D011329:Prisoners; D055815:Young Adult