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The Power Of Qualitative Research: Cultivating Autoethnography For Personal Awakening, Humanity, And Transformation, Kien Nguyen-Trung Dr May 2024

The Power Of Qualitative Research: Cultivating Autoethnography For Personal Awakening, Humanity, And Transformation, Kien Nguyen-Trung Dr

The Qualitative Report

This article is an autoethnography of how engaging with my previous autoethnographic article facilitated my recovery and self-growth. I wrote my previous piece (Nguyen-Trung, 2022) while stranded in Australia due to the COVID-19 pandemic, which prevented me from visiting my grandfather one last time before his passing in 2021. If my past autoethnography focused on the themes of death, grief, and loss, the current article’s autoethnography revolves around awakening, healing, and self-transformation. In this current article, I reflexively look back on my autoethnographic journey and reflect on how it impacted me as a grandchild and a human being on the …


Exploring The Use Of Diary Entries For Qualitative Researchers: Mitigating Challenges When Investigating Sensitive Topics On Indian Women, Pavitra Mishra, Amit Gupta May 2024

Exploring The Use Of Diary Entries For Qualitative Researchers: Mitigating Challenges When Investigating Sensitive Topics On Indian Women, Pavitra Mishra, Amit Gupta

The Qualitative Report

This study seeks to understand the challenges encountered by qualitative researchers while investigating sensitive topics. We make a valuable contribution to the existing literature on researcher well-being and the mitigation of potential adverse incidents during data collection in studies on sensitive topics. The researchers maintained a comprehensive diary while conducting a study on the sensitive topic of work-family conflict among Indian working women. The analysis of these diary entries revealed three primary categories of challenges: (a) emotional challenges encompassing emotional sustenance, self-awareness, the element of care, building rapport, reciprocity, breaking the connection, preparing for exit, and researcher exhaustion; (b) methodological …


The Role Of Emotions In Qualitative Analysis: Researchers’ Perspectives, Hilary Lustick, Xiaoye Yang, Abeer Hakouz Apr 2024

The Role Of Emotions In Qualitative Analysis: Researchers’ Perspectives, Hilary Lustick, Xiaoye Yang, Abeer Hakouz

The Qualitative Report

Qualitative research is an inherently social and relational endeavor that relies on and engages our emotions. Yet, researchers receive little guidance on how to engage emotions without being swayed by personal biases. Lustick (2021) developed a framework called “emotion coding” for systematically engaging thoughts and emotions in qualitative data analysis by asking what a chunk of data can teach us about ourselves, our participants, and our study. In this study, we interviewed 15 researchers who had tried using the emotion coding technique, about their impressions of this technique and the role of emotion in qualitative research overall. Framed by Goffman …


Co-Creando Rituales / Co-Creating Rituals To Hold Our Work As Anti-Oppressive Counselors And Researchers, Ana G. Reyes, Alexandria E. Capraro, Mónica Rodríguez Delgado Apr 2024

Co-Creando Rituales / Co-Creating Rituals To Hold Our Work As Anti-Oppressive Counselors And Researchers, Ana G. Reyes, Alexandria E. Capraro, Mónica Rodríguez Delgado

The Qualitative Report

Counselors and qualitative researchers have the honor of hearing peoples’ stories and thus have a great responsibility to explore and use clinical and research methodologies that are anti-oppressive, liberatory, and healing. Therefore, in 2019 we began a photovoice project alongside seven queer womxn of color (QWoC) that collaboratively explored their experiences of microaggressions in counseling. Through this journey, we recognized that to be fully present with the “co-researchers’” (participants’) narratives and experiences, we needed to remain attuned and grounded. We engaged in what we now call “rituals” before research team meetings to support our work as counselors and anti-oppressive researchers …


My Journey In Researching Depression Among Black People: Experiences Of A Researcher In A Sensitive Study, Brightness L. Kgatla Apr 2024

My Journey In Researching Depression Among Black People: Experiences Of A Researcher In A Sensitive Study, Brightness L. Kgatla

The Qualitative Report

The interest in qualitative research on mental health within Black communities is rapidly growing. However, there are still debates on the conceptualization of depression among the Black community. This paper focuses on the researcher’s experiences as a young Black South African experiencing depression, and their reflections on interpretivist qualitative research focused on the realities of Black South African youth experiencing depression. The paper highlights the importance of reflexivity in a qualitative study and how the topics researched by a Black South African experiencing depression which is still considered a taboo within some parts of the Black community. If a researcher …


The Emotional Impact Of Sensitive Topics: An Autoethnographic Account Of An Ovarian Cancer Research, Dinah A. Tetteh Apr 2024

The Emotional Impact Of Sensitive Topics: An Autoethnographic Account Of An Ovarian Cancer Research, Dinah A. Tetteh

The Qualitative Report

Growing evidence suggests that qualitative research about sensitive topics is emotional work with varied unanticipated risks for researchers. This autoethnographic essay adds to the extant literature by discussing the complexities added when the research topic is sensitive, and the researcher has not personally experienced the topic under study. I reflect on and analyze epiphanies in my research with 28 ovarian cancer survivors in northwest Ohio and southern Michigan in the United States, including how I processed the death of some participants. I suggest that practicing active listening, reflexivity, and flexibility can help manage limitations of a research project of this …


Photovoice: A Method To Interrogate Positionality And Critical Reflexivity, H. Shellae Versey Feb 2024

Photovoice: A Method To Interrogate Positionality And Critical Reflexivity, H. Shellae Versey

The Qualitative Report

Photovoice is a visual method for interrogating subjective perspectives. Rather than solely relying on investigator-developed tools, photovoice allows participants to inform research by “showing” their lived realities through photographs, resulting in a more collaborative, inclusive, and community-informed process. Though applicable to a wide range of social science research, photovoice remains relatively underutilized, especially as a tool for interrogating reflexivity. Given its power to reveal the unseen, this paper considers the potential for photovoice as a self-reflexive tool by turning the lens towards the investigator. Though typically used by the researcher to enhance transparency and navigate power differentials in community-based participatory …


On Restorative Validity: Reorienting Inquiry Toward Peace, Justice, And Healing, Giovanni P. Dazzo Feb 2024

On Restorative Validity: Reorienting Inquiry Toward Peace, Justice, And Healing, Giovanni P. Dazzo

The Qualitative Report

This work begins with a simple premise: (re)imagining a healing and restorative space for inquiry. Drawing on the work of John H. Stanfield II (2006), who first suggested the restorative functions of qualitative inquiry, this manuscript forms the basis for an axiologically-actuated conceptual model, restorative validity, which asks what it would take to (re)humanize researcher and researched alike. Beginning with the knowledge of co-researchers in our collective, the formulation of this framework was organized to understand the importance of orienting our research and ourselves toward relationships, justice, and liberation. After this review, I discuss a series of reflexive questions, rooted …


Sexuality Research During A National Lockdown: Reflexive Notes And Lessons From My Ph.D. Fieldwork, Tshepo B. Maake Mr Feb 2024

Sexuality Research During A National Lockdown: Reflexive Notes And Lessons From My Ph.D. Fieldwork, Tshepo B. Maake Mr

The Qualitative Report

The COVID-19 pandemic presented challenges for qualitative researchers since many countries had to implement lockdown policies to control the spread of the virus. Within the South African context, research on sexual minority identities and experiences is automatically sensitive and risky given the extent of intolerance and high regard for heteronormative ideologies and beliefs that continually exclude sexual minorities from the “normal.” The sensitivity is intensified during a national lockdown since there is an excessive reliance on digital public spaces to recruit participants and conduct interviews. Based on the experience of Ph.D. fieldwork, this paper pays attention to a sexuality researcher’s …


Reflection, Reflexivity, Learning And The Influence Of Formalised And Experiential Piano Training, Dorothy Li Jan 2024

Reflection, Reflexivity, Learning And The Influence Of Formalised And Experiential Piano Training, Dorothy Li

The Qualitative Report

This autoethnographic study examines how music learning is influenced by teachers and socio-cultural environments and how this influences not only our musical journeys but the way we view our lives, of the progress we have made, the goals in which we hope to achieve, and the way we perceive we will achieve them. This study explores how my musical background, understanding, learning, music-making abilities, and skills have shaped my present beliefs, attitudes and identity as a musician, educator, and researcher. Focusing on teacher pedagogy and practice, the study reveals how prevailing teacher-centred and didactic approaches to teaching impact the perspectives …


Navigating Rigor: An Autoethnographic Exploration Of Templating And Crystallization, Heather Stewart Dr, Harsh Suri, Deborah Delaney, Vishal Rana Dr Nov 2023

Navigating Rigor: An Autoethnographic Exploration Of Templating And Crystallization, Heather Stewart Dr, Harsh Suri, Deborah Delaney, Vishal Rana Dr

The Qualitative Report

In this autoethnographic exploration, we engage in a dialogic investigation to examine how templating and crystallization shape rigor in qualitative research. The use of templates in qualitative research has been widely used as a means of enhancing rigor in organizational research design yet comes with caveats especially when wanting to push boundaries. With the interplay of templates and crystallization, the researcher is encouraged to apply iterative and reflexive modes. The aim here is to inspire and invite researchers to pursue the multiplicity offered by qualitative methodologies and expand the discipline through authentic, trustworthy, and credible approaches. To explore the development …


The Case For Computational Competence And Transversal Skills: Using Digital Tools And Spaces For Qualitative Research, Elizabeth M. Pope, António Pedro Costa Oct 2023

The Case For Computational Competence And Transversal Skills: Using Digital Tools And Spaces For Qualitative Research, Elizabeth M. Pope, António Pedro Costa

The Qualitative Report

When digital tools or spaces are involved in the design and implementation of qualitative research projects, the researcher is faced with the need to develop another type of competence, computational. Digital tools and spaces are growing avenues which facilitate data collection and analysis in new ways, such as through online surveys, videoconferencing platforms, social media sites, and qualitative data analysis software (QDAS). To utilize these tools, researchers need both computational competence and transversal skills. These skills allow the researcher (or research team) to transfer their knowledge of designing and implementing qualitative research to the digital realm, assuring trustworthiness and ethical …


Knowing Me, Knowing Them: Using Penned Illustrations With Known Participants, Lewis Barrett-Rodger, Sally Goldspink, Hilary Engward Aug 2023

Knowing Me, Knowing Them: Using Penned Illustrations With Known Participants, Lewis Barrett-Rodger, Sally Goldspink, Hilary Engward

The Qualitative Report

In practice-based studies, participants are often known to the researcher as part of their professional realm. This can result in the researcher bringing preconceptions of the participants to the study, which may influence the findings. In this paper, we demonstrate how researchers can utilise reflexivity and imaginative curiosity to expose often unconsidered presuppositions about such participants using penned illustrations. We suggest that penned illustrations of known participants should be undertaken to unpack preconceptions of the known participants creatively and imaginatively. This paper provides an applied demonstration of how penned illustrations can be used in a hermeneutic phenomenological study, along with …


The Dilemma Of Socrates’ Position: Interview Methods And Feminist Empirical Bioethics, Michiel De Proost Jul 2023

The Dilemma Of Socrates’ Position: Interview Methods And Feminist Empirical Bioethics, Michiel De Proost

The Qualitative Report

There is a growing body of bioethics research that addresses the importance of adapting empirical, predominantly qualitative, methods to generate debate on ethical arguments. However, there is an absence of illustrative work examining how this could be realised from a feminist perspective. This article, seeking to address the research gap, examines interview methods through a reflexive lens. Drawing on the doctoral research I conducted through interviews with women who were interested in social egg freezing (i.e., healthy women freezing their eggs in anticipation of future infertility), I describe how I encountered a dilemma because of my gendered positionality and the …


Assessing The Learning Of Qualitative Research Through A Critical Reflective Essay, Elida Cena, Stephanie Burns May 2023

Assessing The Learning Of Qualitative Research Through A Critical Reflective Essay, Elida Cena, Stephanie Burns

The Qualitative Report

Despite a longstanding commitment to the notion of reflection as an integral part of qualitative research, there are few explicit learning tools or published assignment guides to aid understanding of this important aspect of student learning. Reflection both as a researcher and within the context of an educational perspective can be challenging; however, creating reflective assignments can help students consolidate and assess the learning of qualitative research skills in practice. This article describes a critical reflective assignment highlighting the challenges, rewards, and reflections on designing and conducting an interview process as part of a qualitative research methods module with postgraduate …


Researcher’S Reflexivity In A Study Of Gender And Vulnerable Children In Eswatini Schools, Dr Ncamsile D. Motsa Apr 2023

Researcher’S Reflexivity In A Study Of Gender And Vulnerable Children In Eswatini Schools, Dr Ncamsile D. Motsa

The Qualitative Report

Qualitative researchers come into the research field embodied with all their background experiences and interpretations of the phenomenon they are studying. These all have a bearing on the study undertaken. Reflexivity therefore becomes imperative, not only in the knowledge and data generating process, analysis, and interpretation but also in legitimizing qualitative studies. This paper explores the significance of reflexivity as a critical and crucial strategy in qualitative studies. I do this by unpacking the partial, positioned, and effective perspectives that I brought into research that sought to explore vulnerable children’s gender constructions in three (3) rural schools in Eswatini. In …


Rigor And Reliability Of Qualitative Research Conducted In Various Languages: Fundamentals And Their Application, Shweta Jain Verma Dr., Puja Gulati, Vishav Kumar Dhiman, Jeyaraj Durai Pandian Mar 2023

Rigor And Reliability Of Qualitative Research Conducted In Various Languages: Fundamentals And Their Application, Shweta Jain Verma Dr., Puja Gulati, Vishav Kumar Dhiman, Jeyaraj Durai Pandian

The Qualitative Report

Lack of a common language between researcher and participants, especially when participants speak different languages, complicates and makes the qualitative research process more difficult. Since language is the vehicle through which meaning is eventually communicated to the reader, interpretation and translation are essential to qualitative research. The researcher must adopt the principal tenets of cross language research to extrapolate the knowledge to all the spheres for a methodologically reliable and valid framework that is culturally sensitive in this situation. The purpose of the article is to acquaint qualitative researchers, including physician-researchers, with the fundamentals of qualitative study being carried out …


On The Outside Looking In: Difficulties In Obtaining The Opinions Of Muslim Religious Leaders’ Views On Domestic Violence Experienced By Married Muslim Women, Muhammed Suleman Dr Jan 2023

On The Outside Looking In: Difficulties In Obtaining The Opinions Of Muslim Religious Leaders’ Views On Domestic Violence Experienced By Married Muslim Women, Muhammed Suleman Dr

The Qualitative Report

In this paper I discuss the difficulties I faced in getting access to respondents in a qualitative study on the opinions of Muslim religious leaders on domestic violence experienced by Muslim married women. This in turn highlighted the need for me to reflect carefully on my own assumptions about my insider status and take into account how prospective participants identify me as a researcher. For the study on which I am reflecting, I chose an interpretive research paradigm which falls under the umbrella of qualitative research. This research paradigm was necessary as it places emphasis on context and nuanced meanings …


Hiv-Seropositive Patients’ Experiences With Social Workers: A South African Hiv+ Social Worker’S Reflective Log, Delarise Maud Mulqueeny Dec 2022

Hiv-Seropositive Patients’ Experiences With Social Workers: A South African Hiv+ Social Worker’S Reflective Log, Delarise Maud Mulqueeny

The Qualitative Report

Social workers play a pivotal role in HIV-seropositive patients’ treatment and care within South African public antiretroviral treatment (ART) programs. This article is a reflective log of an HIV-seropositive social worker’s observations and reflections on her positionality during a study on HIV-seropositive patients’ experiences of the public ART program in eThekwini, KwaZulu-Natal, South Africa. The primary investigator (PI) utilized various tools and techniques including reflexive bracketing, participatory action research and a reflexive diary to navigate a sensitive study. This was while being cognizant of the fluidity of her insider/outsider positionality. The disclosure of the PI’s HIV-seropositive status culminated in all …


Crossing The Gender Chasm For Productive Field Engagement, Raghunandan Reddy Dec 2022

Crossing The Gender Chasm For Productive Field Engagement, Raghunandan Reddy

The Qualitative Report

The paper aims to demonstrate that while researcher’s background could be a factor in gaining access to research participants and to the organization, other elements like trustworthiness, reflexivity, and engaged participant listening help in overcoming gender barriers in interviewing the research participants. This paper is a reflexive account of field experience as a part of doctoral research aimed at establishing that not only could gender barriers to access to research participants be overcome, but also that a gender-outsider positionality offers insights into women’s workplace experiences that are shaped through the discourses and practices of managerialism. The field experience highlighted the …


Negotiating The Insider/Outsider Researcher Position Within Qualitative Disability Studies Research, Elizabeth C. Mohler Ms, Debbie Rudman Jun 2022

Negotiating The Insider/Outsider Researcher Position Within Qualitative Disability Studies Research, Elizabeth C. Mohler Ms, Debbie Rudman

The Qualitative Report

The subjectivity of qualitative researchers can be a contribution to qualitative research which at the same time requires commitment to on-going critical reflexivity regarding one’s positionality. More specifically, we address how to navigate the possibility that researcher subjectivity can culminate in role-confusion when the researcher is highly familiar with the research setting or research participants, when positioned as an “insider.” We do this by adopting a critical paradigm approach that investigates the efficacy of “unlearning” as a strategy for challenging one’s assumptions as a researcher, particularly those assumptions that challenge the co-construction of knowledge that extends from research presuppositions. Drawing …


Soundtracking: Method(Ological) Development Via Intuitive Feminist Inquiry, Maria P. Rybicki-Newman, Earle Reybold Apr 2022

Soundtracking: Method(Ological) Development Via Intuitive Feminist Inquiry, Maria P. Rybicki-Newman, Earle Reybold

The Qualitative Report

How does one be different, methodologically, and/or socially without being ignored, invalidated, or even erased? This is a conundrum for qualitative researchers who are with tasked with valuing difference within socio-political education systems fixed on ideas of truth, rightness, and validity. To explore these tensions, we provide an authentic and transparent illustration of how intuition, an often-invalidated way of knowing, instigated the development of a novel method(ology), soundtracking. Proceeding from an embodied, engaged feminist perspective, we re-conceptualized reflexive praxis as critical, compassionate, and actionable. We explored method(ological) development via layered reflexivity: self, epistemological witness, and social contexts. Through our inquiry …


Studying South African Black Gay Men’S Experiences: A First-Time Researcher’S Experience Of Reflexivity In A Qualitative Feminist Study, Tshepo B. Maake Dec 2021

Studying South African Black Gay Men’S Experiences: A First-Time Researcher’S Experience Of Reflexivity In A Qualitative Feminist Study, Tshepo B. Maake

The Qualitative Report

Qualitative research on gay experiences in South African society is slowly gaining momentum. However, it is accompanied by serious ethical implications and positionality dilemmas that should be considered in carrying out such research. Black gay researchers’ discussions of reflexivity in research that focuses on gay identities and realities in South Africa remain minimal. This paper focuses on a first-time gay male researcher’s experience of being reflexive in a qualitative feminist study on the realities of Black gay men in mining workplaces. It highlights the importance of reflexivity and how it is enacted by a gay researcher who studies a gay …


Qualitative Insider Research In A Government Institution: Reflections On A Study Of Policy Capacity, Bobby Cameron Nov 2021

Qualitative Insider Research In A Government Institution: Reflections On A Study Of Policy Capacity, Bobby Cameron

The Qualitative Report

Embarking on a qualitative Ph.D. research project in public administration is often daunting for novice researchers. For those students who consider adopting an emic or insider approach for their research, the ethical, methodological, and analytical challenges that lay ahead may seem insurmountable at times. In this article, I reflect on my experience as a Ph.D. student completing qualitative research with my colleagues to study policy capacity in a provincial government in Canada. I review how I constructed an ethical framework by integrating policy from Research Ethics Boards and government. Throughout the article, I deal primarily with ethical considerations and the …


Informing Without Conforming: Applying Two Frameworks To Enrich Autoethnography, Annmarie Dull Nov 2021

Informing Without Conforming: Applying Two Frameworks To Enrich Autoethnography, Annmarie Dull

The Qualitative Report

This article explores my experiences using two frameworks to guide the design, implementation and reporting of an autoethnography. I used Hughes, Pennington, and Makris’ (2012) framework for translating autoethnography to the American Educational Research Association (AERA) Standards for reporting empirical research to inform the structure, design, and process for the autoethnography, and Milner’s (2007) framework for researchers to examine seen, unseen, and unforeseen dangers to guide my reflection, support reflexivity, and examine the development of a dynamic positionality. In this article, I illustrate how using these frameworks enhanced the rigor and reflexivity of my autoethnographic research.


Navigating Methodological Concerns At The Data Collection Stage: Lessons From A Qualitative Indian-Irish Adoption Study, Sahana Mitra Dr., Valerie O'Brien Dr. Aug 2021

Navigating Methodological Concerns At The Data Collection Stage: Lessons From A Qualitative Indian-Irish Adoption Study, Sahana Mitra Dr., Valerie O'Brien Dr.

The Qualitative Report

This paper was written to describe the experiences of the researchers in designing cross-cultural research on the culturally sensitive topic of adoptive parenthood, a field in which there is a dearth of literature. Taking the experience and examples from an Indian-Irish study on domestic adoptive parenthood, the paper details the steps as to how the researchers used their own relationship with adoption, and the different cultural contexts to which they belonged, as a starting point in designing and implementing this research. The discussion utilizes a conceptual framework involving insider-outsider positioning, reflexivity and five philosophical assumptions (ontology, epistemology, methodology, axiology, and …


Conducting Field Work With Microfinance Programs’ Participants In A Non-Western Setting: A Reflexive Account, Mohammad Shahjahan Chowdhury Jul 2021

Conducting Field Work With Microfinance Programs’ Participants In A Non-Western Setting: A Reflexive Account, Mohammad Shahjahan Chowdhury

The Qualitative Report

While volumes of procedural guidelines are available on how to conduct fieldwork, in practice a researcher encounters various challenges and dilemmas in the field. This paper presents a holistic view of the puzzles this researcher encountered in gaining access, negotiating positionality, application of the pre-determined methodology, and ensuring ethics during his fieldwork with microfinance program participants in a non-Western setting. This paper contributes to the fieldwork literature by enhancing a researcher’s understanding of the unanticipated challenges.


Reflexivity Through A Yoga Class Experience: Preparing For My Health Promotion Without Borders Excursion To Mongolia, Shelby L. Deibert, Stephen D. Ritchie, Bruce Oddson, Ginette Michel, Emily J. Tetzlaff May 2021

Reflexivity Through A Yoga Class Experience: Preparing For My Health Promotion Without Borders Excursion To Mongolia, Shelby L. Deibert, Stephen D. Ritchie, Bruce Oddson, Ginette Michel, Emily J. Tetzlaff

The Qualitative Report

In this paper, I (S. L. Deibert) share my story of discovering the relationship between reflexivity, autoethnography, and yoga through a meaningful experience. Yoga has been an important influence on my physical and mental well-being for over a decade, but I did not consider its implications in my academic life until I was asked to write a reflexive assignment for a course. The task was exploring who I am in connection to my master’s thesis project; the challenge was finding a starting point for my reflexive journey of self-discovery. Frustrated by the latter, I turned to yoga for refuge; instead …


External Disruptions To Qualitative Data Collection: Addressing Risks Relating To Brexit And Researcher-Participant Rapport, Shukru Esmene, Nick Kirsop-Taylor Mar 2021

External Disruptions To Qualitative Data Collection: Addressing Risks Relating To Brexit And Researcher-Participant Rapport, Shukru Esmene, Nick Kirsop-Taylor

The Qualitative Report

In this paper we present the importance of detailing the contextual conditions of a qualitative study to highlight any potential participant-researcher tensions. We emphasize the importance of understanding context in rich detail to expose societal complexities while maintaining positive participant-research rapport. Through two cases, this paper considers that bracketing, reflexivity, and transparency can be applied to form appropriate strategies to deal with external disruptions to qualitative fieldwork. The cases draw on Brexit’s impact on two studies conducted in the United Kingdom. In so doing, we argue that time, relevance, and the individuals involved can coalesce to express varied influences on …


Negotiating With Gatekeepers: Reflexivity In Exploring Turkish Men’S Engagement In Domestic Violence Perpetrator Interventions In The Uk, Zeynep Turhan Phd, Claudia Bernard Phd Aug 2020

Negotiating With Gatekeepers: Reflexivity In Exploring Turkish Men’S Engagement In Domestic Violence Perpetrator Interventions In The Uk, Zeynep Turhan Phd, Claudia Bernard Phd

The Qualitative Report

This article explores methodological and ethical challenges and complexities in negotiating access with gatekeepers in research that examines Turkish perpetrators’ engagement in domestic violence interventions in the UK. This research presents the examples and conceptual information about the process of working with gatekeepers based on the sensitive research topic. This paper draws on the first author’s own experiences and the emotional impact of undertaking such sensitive research where community leaders held patriarchal beliefs. It also argues that there are challenges in building trust and rapport with gatekeepers which are related to gender power relations; stigmatisation in the community; ideologies around …