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

Meta, Judith; Mshamu, Salum; Halifa, Salma; Mmbando, Arnold; Wood, Hannah Sloan; Wood, Otis Sloan; Bøjstrup, Thomas Chevalier; Day, Nicholas P J; Knudsen, Jakob; Lindsay, Steven W; Deen, Jacqueline; von Seidlein, Lorenz; Pell, Christopher

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.

Citation

Meta, J., Mshamu, S., Halifa, S., Mmbando, A., Wood, H. S., Wood, O. S., …Pell, C. (2023). Understanding reticence to occupy free, novel-design homes: A qualitative study in Mtwara, Southeast Tanzania. PLOS Global Public Health, 3(11), Article e0002307. https://doi.org/10.1371/journal.pgph.0002307

• Journal Article Type: Article
• Acceptance Date: Sep 23, 2023
• Online Publication Date: Nov 22, 2023
• Publication Date: Jan 1, 2023
• Deposit Date: Dec 20, 2023
• Publicly Available Date: Dec 20, 2023
• Journal: PLOS global public health
• Electronic ISSN: 2767-3375
• Publisher: Public Library of Science
• Peer Reviewed: Peer Reviewed
• Volume: 3
• Issue: 11
• Article Number: e0002307
• DOI: https://doi.org/10.1371/journal.pgph.0002307
• Public URL: https://durham-repository.worktribe.com/output/1965743
• PMID: 37992017