Designing Public Health Messages for Youth, by Youth
______________________________________________
Leslie Robinson
Master of Design Thesis Project
Visual Communitation Design
Department of Art + Design
University of Alberta
Fall, 2009
ABSTRACT
This research explores the impact of active participation in
the design process for public health messages as a catalyst for
community-building and youth empowerment. This is demonstrated
through case studies whereby participants from four different
youth groups took part in design workshops to identify and
respond to critical public health issues. Through the nourishment
of creative expression in an active learning process participants
were equipped with knowledge and confidence, inspiring collective
design responses. Collaborations among youth groups and with
local artists informed the concepts for health messages and helped
to build community. Designs were tested and refined through
peer-to-peer communication and final messages were approved by
public health professionals before being reproduced as large-scale
outdoor paintings by the participants and local artists. Paintings
were shown to appeal to and resonate among fellow youth
audiences. A more sustainable impact, however, was shown as
messages and processes became embodied within the participants
and artists themselves, as they were empowered to become ongoing
agents of change. Initial guidelines and considerations for youthto-youth communication and sensitization were developed.
Dedication
To all the Ugandan youth who opened up their hearts and their
minds to design with me.
ACKNOWLEDGEMENTS
I thank the following people, all of whom contributed, in their own way, to this project:
My supervisor Bonnie Sadler Takach, my mentor and idol
Dr. Lory Laing, for her openness, support and enthusiasm
Dr. Joseph Konde-Lule for his hospitality, encouragement and research insights
My research assistants Sara Mutesi and Isabel Byanjeru for their commitment,
hard work and support
Joseph Raymond Nsereko, for introducing me to his students and helping
to facilitate workshops with them
Anne Musisi for volunteering to help with the project in Namuwongo
My Mom whose dedication and support brought her all the way to Uganda
I thank the following groups and their respective members for their contributions:
MUWRP Kayunga Youth Center Staff
Likicho Halimah, Michael Kaddu, Jackson Kakwangire, Patrick Kalibala,
Ali Kalumba, Jim Kikoba, Joseph Kizito, Moses Kyebagada, Alisat Mugoya,
Catherine Mashakalugo, Ruth Nakafeero, Andrew Nsamba and Henry Nsobya
TASO AIDS Challenge Youth Club (ACYC) Mulago
Lincoln Bukenya S., Joseph Kabanda, Anthony Kaddu, Vincent Kagwa,
Claire Pafrine Kogere, Sulaiman Hajji Mukomazi, Aidah Nalubowa, Maria Nalwadda,
Susan Namale, Mary Namubiru, Ritah Namwiza, Rhoda Nassuna, Ashiraf Seruwagi,
Mustafa Ssewada and Job Turyasingura
Art 4 Social Change group
Olivia Abimanyi, Dickson Birakwate, Alex JJagwe, Michael Richard Katagaya,
Florence Kyokoshaba, Enoch Magala, Leon Sebanyiga, Godfreys Jackson Ssebuuma,
Jackson Tumwebaze and Cissy Wakooli
Namuwongo Youth Group
David Masaba, Ronald Moyi, Brian Denis Musisi, Peter Nsubuga, Maron Odoi,
Brian Oketch, Richard Budeyo, Richard Sebazino and James Sekabuza
Margaret Trowell School of Industrial & Fine Arts students
Chrisogon Atukwasize, Alfred Isabirye, Kizito Mbuga, Isaac Mugabi,
Erik Mwandha, Charity Priscilla Namiyonga, Andrew Jackson Obol,
Rolands Tibirusy, Paul Ngata Wachira and students from lettering IFA 1222
The Health Communication Partnership (HCP)
Makerere University Walter Reed Project (MUWRP)
In particular Mark Breda and Moses Isabirye
The AIDS Support Organization (TASO)
In particular Emmy Ewiu, Rebecca Musoke and Tina Achilla
The Uganda Ministry of Health
In particular Dr. Paul Kagwa
Break-Dance Project Uganda
With a special thanks to Abramz Tekya and Abdul Muyingo
CONTENTS
1
Exploring
design question
and approaches
Personal statement
My ‘African experience’
Figure 1: Mapping the project process
1. Exploring design question and approaches
1 Introduction
1 Summary
1 Figure 2: Research phases
1
1
1
2
2
3
Approach
Project execution
Workshops
Data collection and analysis
Outcomes
Conclusion
4 Figure 3: Model for a community-driven design process
5 Background
5 Weaving of design and community
5 Figure 4: Situating the design approach
5
6
6
7
7
Graphic design
Social design
Human-centered design
Participatory design
Toward community-driven design
8 Re-interpreting new stakeholder roles
8
9
11
11
Designer as facilitator, participants as co-designers
Designer as problem identifier
Designer as agent for change
‘Other stakeholder’ roles
12 Participatory approaches
12
12
13
13
Negotiating entry
Localizing the design process
Building community
Communication strategies
14 Participatory tools
15 Design question
15 Development of design question
15 Figure 5: Initial design question
16 Identification of an area for a design intervention
16 Public health
16 School of Public Health
17 Analysis of public health messages in Uganda
18 Pilot participatory design workshop with public health workers
19 Identification of a specific public health topic
20 Favorable responses
21 Resource-poor areas
21 Contextual analysis
22 Observation of painted messages on buildings in Uganda
23 Pilot collaboration with artists in Kabarole District
24 Project participants
24 Youth
24 Criteria for selecting youth groups
24 Informed consent
24 Transport reimbursement
25 Youth group profiles
26 Artists
26 In-class workshops
26 Recruitment of artists for subsequent collaborations
27 Artist profiles
31 Research question
31 From design question to research question
32 Figure 6: From design question to research question
33 Figure 7: Contextualizing the design question
2. Implementing design intervention and evaluation
2
Implementing
design intervention
and evaluation
34 Establishing partnerships
34 Mobilizing youth groups
34 MUWRP Kayunga Youth Center
34 TASO ACYC Mulago
35 Art 4 Social Change group
35 Namuwongo Youth Group
36 Collaborating with public health professionals
36 Hiring research assistants
37 Workshops
37 Workshop format
37 Providing health snacks
38 Selecting and creating design tools
39 Introductions
40 Understanding the project
41 Outlining weekly objectives
41 Defining rules and expectations
42 Feedback and way forward
43 Warm-up activities
45 Visual and conceptual exercises
47 Identifying the problems
48 Categorizing the problems
51 Contextualizing the problems
52 Facilitating youth group and artist exchanges
53 Critiquing the messages
54 Writing the messages
55 Testing the designs
56 Selecting the concepts to paint
57 Designing the messages
57 MUWRP Kayunga Youth Center
58 TASO ACYC Mulago
59 Art 4 Social Change group
60 Namuwongo Youth Group
61 Finding appropriate wall spaces
62 Finding paint sponsorship
63 Painting the messages
63 MUWRP Kayunga Youth Center
64 TASO ACYC Mulago
65 Art 4 Social Change group
66 Namuwongo Youth Group
67 Painted messages
67 MUWRP Kayunga Youth Center
68 TASO ACYC Mulago
69 Art 4 Social Change group
70 Namuwongo Youth Group
3. Analyzing data and reflecting on outcomes
3
Analyzing data
and reflecting on
outcomes
71 Evaluation methods
71 Discussions with community members and professionals
72 Post-workshop feedback
72 Participant focus groups
72 Artist focus group
72 Participant questionnaires
72 Audience responses
73 Answering the research question
73 Impact on youth participants
89 Impact on artists
94 Impact on youth audience
103 Discussion
103 Responses to the approach
103 Building community
104 Active participation
105 Peer-to-peer communication
106 Consensus-building
107 Personal stories
107 Artist
107 Kayunga participant
108 Namuwongo Youth Group member
108 Namuwongo Youth Group member
109 Challenges
109 Accessing genuine participant expression
110 Facilitating collaborations with local artists
111 Collaborating with ‘other stakeholders’
111 Adapting to ‘Ugandan time’
111 Being ‘white’
112 Dealing with social hierarchy
113 Initial guidelines and considerations
113 Mobilizing participants
113 Identification of public health issues
113 Choice of design tools
114 Creating a space for free expression
114 Establishing trust
114 Collaborating with local artists
114 Assessing messages
115 Limitations
116 Conclusion
116 Summary
116 Figure 8: Future research
117 Toward design as a process for embodied change
118 References
Appendix
1 | 120 Bibliography
2 | 125 Uganda National Council for Science and Technology approval
3 | 126 Uganda National Council for Science and Technology update
4 | 127 Arts, Science, Law Research Ethics Board (ASL REB) approval
5 | 128 Letter of invitation to pilot workshop in Kabarole District
6 | 129 Participant workshop informed consent form
7 | 130 Student in-class workshop informed consent form
8 | 131 Student workshop informed consent form
9 | 132 Student consent form for acknowledgement of work
10 | 133 Research assistant confidentiality agreement
11 | 134 Participant questionnaire
12 | 135 Participant questionnaire results
13 | 136 Participant focus group questions
14 | 137 Artist focus group questions
15 | 138 Youth audience questionnaire
16 | 139 Letter to Kayunga Town Clerk requesting permission to paint messages
17 | 143 Letter to Ministry of Health requesting permission to paint messages
18 | 144 Certificates awarded to participants
19 | 148 Project expenditures
20 | 149 Application to conduct research involving human participants
21 | 169 CV
Personal statement | My ‘African experience’
PERSONAL STATEMENT
My ‘African experience’
I have a deep affinity for Africa. It fascinates and inspires me,
always pulling me back. In all its diversity, however, Africa should
not be generalized. So when I write of Africa, I always refer to
‘my African experience.’ The experience began in 2005 when I
volunteered as an art teacher in Senegal. Marked by this first
encounter, I was inspired to obtain a certificate in International
Cooperation from the Centre de formation à la coopération
interculturelle in Rivière-du-Loop, Québec to return to Africa to
work as a designer and instructor in Mali. What struck me most
in these first African experiences were the strengths of the people:
their solidarity, resilience and joie de vivre.
While living in Africa I recognized first-hand the urgent need for
effective and culturally appropriate visual communication strategies.
At the same time, however, as I observed and exchanged with the
locals, I learned from their knowledge, artistic traditions and
most significantly, from their community-centered ways of life.
My understanding of community evolved and I began to see the
promise of weaving community with design.
When I began my Master’s degree in 2007 I aspired to empower
communities to participate in the creation of visual strategies
that have the potential to inspire positive social change. I came
to focus on health through an opportunity to conduct research
in Uganda in connection with the Department of Health Sciences,
School of Public Health, University of Alberta. Once my project
logistics were in place, I began to work with four different youth
groups and soon thereafter a number of youth artists. Suddenly my
project became ‘our project’ with over 60 youth on board. Together,
over four months and through over 40 workshops, we identified
and explored the public health issues of greatest concern to the
youths themselves. In doing so we created a community of youth
designing for youth.
Personal statement | My ‘African experience’
This project was underpinned by my own belief that the
design process itself can be an effective means of community
empowerment, in particular, when paired with an appreciation
of local points of view, especially those of the young people
themselves. Participants of this project shared with me their
knowledge, personal stories, innovative ideas and a remarkable
sense of enthusiasm—they empowered me. I, myself, have
learned to be more resourceful, or to ‘hustle,’ as they say in Uganda.
I now have more ‘guts’—I have gained more confidence in my own
ability to collaborate with communities, gaining their respect and
trust. Finally, I have been humbled by the all-too-often untapped
potential of youth—especially those who are often labeled as
‘poor.’ Recently, I was in touch with members of the Namuwongo
Youth Group, a group of young men with whom I had the privilege
of working. Namuwongo is an area of Kampala that is known
locally as the ‘rich man’s slums.’ The group, which was founded as a
consequence of one of my workshops, was the driving force behind
a recent community outreach event that resulted in over 400 youth
getting tested for HIV. This achievement, although not my own,
is perhaps the one that makes me most proud.
In appreciation of the invaluable contributions of my participants,
to this project as well as my own learning, I have designed this
report with an important emphasis on what the youths themselves
have said in response to their experiences as a part of it. I did this
in keeping with my own belief that they should be given a voice.
Figure 1
Mapping the project process
Partnerships
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This diagram is a visual overview of the project, tracing it back to past influences,
then moving forward from its early conception to completion. Five phases, based on the
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1. Exploring design question and approaches | Introduction | Summary
INTRODUCTION
1
Exploring
design question
and approaches
Figure 2
Research phases
Phase 1 (Edmonton, Alberta)
Exploring design question and approaches,
establishing project logistics
Phase 2 (Uganda)
Identifying an area for a design intervention,
identifying potential partnerships and assessing
potential approaches to producing messages
Phase 3 (Edmonton, Alberta)
Data analysis and development of design
question to research question
Phase 4 (Uganda)
Implementing design intervention and
evaluation
Phase 5 (Edmonton, Alberta)
Analyzing data and reflecting on outcomes
Summary
This thesis project explores the impact of active participation
of community members in the process of designing public health
messages, in particular for youth in resource-poor communities.
Through the experiences and perspectives of youth participants, a
participatory design process is shown— one that inspired collective
responses to youth-identified public health issues and resulted in
the reproduction of messages as large-scale outdoor paintings.
Approach
Participatory design is an approach that places the end-user at
the core of the design process, privileging local points of view and
facilitating outcomes that come from within the community. In
this context, the designer acts as a facilitator, introducing design
knowledge to members of the audience — participants —who in
turn are invited to act as co-designers. Culturally appropriate and
human-centered design solutions are achieved through active and
open participation. The impact on the community, however, can go
much deeper as knowledge and experiences are embodied in the
participants themselves.
Project execution
This project was executed over five phases. An initial six-week
trip to Uganda (phase 2) was made to identify an area for a design
intervention, establish local partnerships and explore potential
approaches to producing messages. Later in Uganda (phase 4),
over a period of five months, the design intervention was
implemented. For a detailed description of the five project
phases please refer to figure 2.
Workshops
Members of four youth groups (about 50 participants in total)
were invited to take part in workshops aimed at identifying the
public health issues of highest relevance, exploring responses and
finally designing messages directed at fellow youth. Emerging
messages were assessed through a process that was both dialogic
and didactic—through peer-to-peer communication and group
critiques. Finally, participants selected the most effective messages
through discussions and, in some cases, voting. Selected messages
were reproduced as large-scale outdoor paintings. Topics included
transactional love, cross-generational sex and HIV testing.
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 1
1. Exploring design question and approaches | Introduction | Summary
Data collection and analysis
Data was collected through discussions with community
members and professionals, focus groups, questionnaires, audience
interviews, notes (taken by research assistants), video and
audio recordings of workshop activities and general observation.
Frequency counts of quantitative data were compiled and analyzed
and content analysis was performed on qualitative data. Project
outcomes are presented in regards to project participants, artists
and audience members.
Outcomes
After participating in the workshops, youth participants reported
increased levels of self-confidence relative to their abilities to
design messages, transfer their acquired public health knowledge
and, in general, express themselves. Participants also reported
increased feelings of self-worth, pride and accomplishment as
well as the feeling of membership in a larger community and
support system. They gained an increased awareness of public
health issues as well as the realization that they are not alone
in their personal struggles. Many of them now consider themselves
to be peer leaders with a responsibility to make positive use of
their acquired skills.
Artists gained practical design experience including learning to
work collaboratively with project stakeholders. Most significantly,
they gained the understanding that they can effectively apply their
skills to address issues in public health, a field to which they had
very little or no prior exposure.
Members of the audience found the paintings to be appealing and
easy to understand. They perceived that they were created within
the community and they felt that the messages have the potential
to increase awareness or lead to behavioral change. Many shared
stories about people they knew who were influenced by the
messages, for example, to go for HIV testing, or to change their
attitudes about certain sexual behaviors. They appreciated the
messages and they expressed interest in taking part in similar
projects.
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 2
1. Exploring design question and approaches | Introduction | Summary
Conclusion
This project has focused on a human-centered design approach
that begins at the identification of public health problems by the
participants themselves. Problems are explored though consensusbuilding and active participation, empowering participants to
instigate a dialogue within their community. Attention is drawn
to the potential of participatory design as a community-driven
process—one that is humble enough to give way to the abilities,
creativity and concerns of the participants, and patient enough to
equip them with knowledge and confidence. Initial guidelines for
youth-to-youth communication and sensitization are presented.
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 3
Figure 3
Model for a community-driven design process
Partnerships
Events
Data collection
This diagram provides a visual overview of the project process synthesized and
broken down into three stages. Each stage is further broken down into research and
design activities. The result is not a step-by-step procedure, but rather a set of often
Evaluating the design response
co-existing components that together provide a workable model for a community-driven
Methods used and responses
Answering the question
design process.
Impact of project on youth participants, artists and audience members
Discussion
Responses to the approach, challenges, initial guidelines and limitations
Establishing partnerships
Youth groups, public health professionals, community members and research assistants
Workshops
Introductory activities
Warm-up activities
Visual and conceptual exercises
Identifying and exploring problems
Collaborating with artists
Designing the messages
Painting the messages
Identifying and adapting design approaches
Weaving of design and community
Re-interpreting new stakeholder roles
Designer, participants and ‘other stakeholders’
Identification of an area for a design intervention
Public health issues among youth in resource-poor areas
Design question
Development of design question
Research question
From design question to research question
Identifying and selecting project participants
Youth groups in Uganda
Visual Communication Design | Department of Art + Design | Masters of Design Thesis Project | Leslie Robinson | 4
2
and reflecting on
Implementing
design intervention
1
Exploring
design question
and approaches
3
Analyzing data
Conclusion
Toward design as a process for embodied change
and evaluation
outcomes
1. Exploring design question and approaches | Background | Weaving of design and community
BACKGROUND
Weaving of design and community
Graphic design
Graphic designers help to achieve communication goals via
analysis and interpretation of client needs. They plan, structure
and communicate information and ideas, appeal to emotions or
facilitate orientation, by creating or combining images and text
for distribution to specific publics. Efficiency and high esthetic
standards are hallmarks of work by professional designers, who
frequently act as consultants on design strategy. Consideration
of the public good is a bonus.
—Walter Jungkind (2006)
Walter Jungkind is Professor Emeritus and a Fellow of the Society
of Graphic Designers of Canada (GDC). The above definition of the
graphic design profession was presented by Jungkind to the GDC
at their general meeting in 2006 following a rigorous inquiry
and report involving leading design theorists and practitioners.
(Jungkind, 2006)
This project explores the belief that it is essential to take into
account the public good.
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Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 5
pr
1. Exploring design question and approaches | Background | Weaving of design and community
Social design
Rethinking and reinterpreting design in ways that look beyond
designer-client relations and their consequent connections
(or disconnections) to consumers challenges the design profession
status quo. There is, however, a preoccupation among a growing
number of design theorists and researchers to challenge this
outlook, repositioning design, placing the ‘public good’ as its core.
This shift can be recognized within a number of related ‘movements.’
They operate through ideologies or approaches that include
‘alternative design,’ ‘good design,’ ‘socially responsible design,’
‘social design’ and ‘design for social change.’ (Bonsiepe, 2006;
Buchanan, 2001a; Forlizzi & Lebbon, 2002; Frascara, 2002;
Margolin, 2007; Nieusma, 2004)
All of these terms point to design that can help to fulfill the
fundamental needs of society. Design’s potential is used to
influence people’s knowledge, attitudes and behaviors to help
strengthen the human condition, in particular for people who
are struggling in various political, social, economic, and cultural
circumstances around the world.
Human-centered design
Human-centered design is fundamentally an affirmation of
human dignity.
—Richard Buchanan (2001b, p. 37)
‘Human-centered,’ ‘user-centered’ and ‘people-centered’ all
describe a design approach that is informed by the perspectives
and preferences of end-users—those who are destined to interact
with the designed communication. Once a user group is identified
as the intended audience, its knowledge or experience is sought,
either indirectly or directly, to inform the design solution. Accessing
user expression helps to establish resonance and ultimately results
in design solutions that reflect, to various extents, the needs and
desires of the end-user. (Buchanan, 2001b, Frascara, 1997)
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 6
1. Exploring design question and approaches | Background | Weaving of design and community
Participatory design
By implicating end-users—participants—in the design process,
participatory design moves beyond simply consulting users,
directly placing them at the core of the design process. In this
context, the designer acts as a facilitator, introducing design
knowledge to participants, who in turn are invited to act as
co-designers. This approach facilitates the creation of visual
messages for people, by people, priviledging local circumstances
and points of view. More ideology than method, participatory
design is not a step-by-step procedure, but rather a set of guidelines that must be implemented intelligently and carefully,
requiring a high level of responsiveness to contextual realities.
(Carroll, 2006; Bennett et al, 2006; Nieusma, 2004; Sanders, 2002)
Toward community-driven design
When discussing participatory design, it is important to note that
levels of participation vary and often in response to power relations
between the community, designer and in some cases the supporting
organization. The term ‘community-driven,’ is borrowed from the
literature of community development and planning where it is often
used to describe community-building trends that are grounded
in the principle that communities should take responsibility
and action in order to control their own futures. (Sanoff, 2000)
By appropriating this term, ‘community-driven design’ describes
participatory design that assures a high level of community
activation—whereby change is instigated by the people.
Since participation is contextual, how it is played out varies in
every situation. Levels of participation can range from ‘pseudo
participation’ to ‘genuine participation.’ The former includes acts
of informing and manipulation whereas the later is characterized
by partnership and citizen empowerment. (Sanoff, 2000)
Achieving ‘genuine participation’ requires a balance of power
that favors the community—one that demonstrates that they
will see a benefit, an immediate return for their contribution.
(Frascara, 2004a)
‘Community-driven design’ requires the “passing down of an active
role” whereby participants come to own the design intervention,
transforming themselves as agents of change. (Conversation with
Jorge Frascara, November 5, 2007)
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 7
1. Exploring design question and approaches | Background | Re-interpreting new stakeholder roles
Re-interpreting new stakeholder roles
Designer as facilitator, participants as co-designers
Rethinking the design process to include the active participation
of end-users requires a reinterpretation of the designer’s role.
Designers often rely on their own intuition and assumptions when
designing for ‘other’ audiences. This practice can be misleading
and even harmful, especially in cases where designers are striving
to communicate messages that confront sensitive and often culturespecific issues that address fundamental human needs. Cultures are full
of subtleties and designers should be careful not to make assumptions.
They must position themselves to learn what the community embraces
and respects. (Conversation with Jorge Frascara, October 27, 2007)
Designers need to discover ways of stepping outside of their own
experience in order to search for insights into the lives of the
community with whom they are designing. Frascara states that
designers “need to transform self-expression into resourcefulness
and inventiveness regarding the visual language in order to be able
to speak the language of the public being addressed.” (2002, p. 37)
By opening up the design process to the participants, the designer’s
role shifts. As facilitator, a designer’s knowledge of a particular design
approach is shared, transferring the role of design to participants.
With guidance from the designer, participants express their own
valuable viewpoints and knowledge, determining which ideas are
realized, and potentially the forms through which they are presented.
Designers can provide guidance, for example, by teaching image
generation techniques such as painting or collaging, or conducting
idea-generating exercises, such as brainstorming or mind-mapping.
Such approaches help to encourage user expression and the flow
of communication between the designer and the participants is
multi-directional—designers also learn, informing their facilitation
approaches. This open framework allows participants to take ownership
of the problem, empowering them to actively and effectively take
part in the solution. By learning some design techniques and by
co-developing communications, such as posters or paintings, they
are not only contributing to the message, they are embodying the
processes and the information—becoming ongoing agents of change.
(Bennett et al, 2006; Frascara, 2002)
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 8
1. Exploring design question and approaches | Background | Re-interpreting new stakeholder roles
Designer as problem identifier
Designers are often approached by industry to solve design
problems by creating graphics, devices, systems and spaces, not
always considering the social worth of their personal contributions.
In order for designers to take on a more active and responsible role
in society, “it is necessary to consider the discovery and definition
of physical and cultural problems as an essential part of design.”
(Frascara, 2002, p. 36) By thinking of the visual artifacts of design
as only a “means for people to act, to realize their wishes and
satisfy their needs” (p. 33), design can be repositioned to begin
with deliberate problem identification, followed by intentional
problem-solving.
The following is an example of a design project that began with
the designer’s recognition of a social need.
Kate Wells’ Siyazama AIDS project in South Africa
The Siyazama project of the Zulu women of rural KwaZulu-Natal
grew from a designer’s identification of a particular cultural and
health problem. The initiative was led by Kate Wells from the
Department of Design Studies at the Durban Institute of Technology.
The objective was to foster the expression of concerns about
HIV/AIDS by rural crafts women, empowering them to speak
out about an epidemic threatening their own survival. Wells’
involvement began, however, as an intervention to improve the
women’s beadwork techniques in order to improve their economic
circumstances. In doing so, Wells became increasingly aware of
the women’s confusion and ignorance about HIV/AIDS as well as
the epidemic’s repercussions on the community. This led Wells to
propose a series of workshops to which the women agreed. As the
women started to learn about the disease they began to express
their understandings and emotions through beadwork. Although
the initial intervention to improve the quality of the beadwork
was highly successful in its own right, the project soon expanded
into an exploration of beadwork as a means to simultaneously
cope and create awareness about what the women referred to as
“Slim’s disease.” (Wells et al, 2004, p. 75)
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 9
1. Exploring design question and approaches | Background | Designer as problem identifier
The women used beadwork, which is rooted in their culture,
passed down from generation to generation, to express their
new knowledge of HIV/AIDS. As a result their designs became
sexually explicit. As suggested by Wells, “the shift in beadwork
design occurred spontaneously as a consequence of changing
world-views occasioned by the information provided by the
HIV/AIDS workers. In turn, the designs resulting from the
knowledge of HIV/AIDS then changed the women’s world-view,
setting up a cycle of learning that transformed both their worldview and their designs.” (Wells et al, 2004, p. 77)
This project exemplifies how capitalizing on community knowledge
and traditions while transferring knowledge can lead to an
appropriate design solution that is understood by people through
representations of their own inherent and cultural language.
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 10
1. Exploring design question and approaches | Background | Re-interpreting new stakeholder roles
Designer as agent for change
When designer and viewer are actively involved in a shared
dialogue, both become active participants in the creation and
interpretation of the visual message. As a result, the designer is
empowered, shifting from a decorator of messages to an agent
who has influence on the social implications of delivering a
visual dialogue.
—Jodi Forlizzi & Cherie Lebbon (2002, p. 4)
Participatory designers should be less concerned with form and
instead focus on facilitating the flow of dialogue in order to inspire
a “reaction.” (Conversation with Jorge Frascara, October 17, 2007)
This is not to say that form is irrelevant, but rather that it should
reflect local norms. It should be clear to the community that
the visuals were generated within community—without design
expertise applied. In the end, the designer should have an effect on
the visual while allowing the message to come from the participants.
(Conversation with Clinton Carlson, October 16, 2007)
‘Other stakeholder’ roles
Conventional design practice is understood within the context
of a client-designer paradigm. End-users, when called upon in
various human-centered approaches, inform or enhance the
paradigm. In participatory design, the active participation of
end-users can blur the client-designer model. In some cases, for
example, the participants are the clients, but in other scenarios,
a supporting organization might be perceived as the client.
There might even be additional stakeholders such as funding
organizations or governing bodies. It is important to acknowledge
that there are almost always ‘other stakeholders.’ The roles of
these stakeholders vary, in relation to both the designer and
the participants.
Participatory design interventions are not widespread. Groups that
could benefit most from this approach, including non-governmental
organizations, citizen groups and heath organizations, rarely do.
One likely reason is the restrictive budgets of these organizations.
It is also likely that the majority of these organizations are unaware
of the potential role that design, in particular, participatory design,
could play in supporting their initiatives. It is evident that more
needs to be done to find ways to connect designers with, or transfer
design knowledge to, these social change organizations. A critical
step will be increasing awareness within civil society of the
opportunities available through design. (Martinson & Chu, 2003)
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 11
1. Exploring design question and approaches | Background | Participatory approaches
Participatory approaches
Participatory design is not a single procedure or ingredient.
It is a commitment regarding power and inclusion.
— John M. Carroll (2006, p. 18)
The following are approaches that can contribute to implementing
participatory design.
Negotiating entry
Participatory approaches should be effective in bridging gaps
between project stakeholders and their inherent ‘differences.’
For example, an outsider, such as a ‘Western’ designer must be
careful not to enter into an African community threatening to
‘westernize’ it. Designers must negotiate entry into these countries
with respect, understanding and “critical empathy.” Designers
should be careful not to assume that their own understandings,
values and technologies are superior or more appropriate than
those of the community. They must acknowledge that all are ‘equal’
and that community members have their own knowledge to offer.
Designers should show that they also expect to learn from the
community. This is the only way to achieve a social/cultural
relationship that is balanced. (Conversations with Dr. Ali Abdi,
October 15, 2007 and Jorge Frascara, November 5, 2007)
Localizing the design process
To achieve a balanced partnership between the designer and
the community, the relationship must be negotiated and shaped
around the local setting and its circumstances. Designers must
become aware of the histories, cultures and unique particularities
of the local community and acknowledge them in the design
process as participants identify with what is reflective of their own
experiences. Creating opportunities for participants to share their
stories and perspectives helps to build trust—a critical step toward
establishing an effective and ‘equal’ relationship. (Bennett et al,
2006; Kodama & Minh Chau, 2002; Thomas, 2006)
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 12
1. Exploring design question and approaches | Background | Participatory approaches
Building community
“Building social capital” is the primary goal in community-building
strategies. (Sanoff, 2000, p. 7) The following are guidelines outlined
by Sanoff that can help to build community and consequently help
to establish a climate for effective participatory design (2000):
—participants should be involved in goal-setting strategies
—individual strategies should be developed for each group
—groups should be of manageable size
—community values should be reinforced to help build human
and social capital
—strategic partnerships should be created with other organizations
—it should be understood that there is not only one solution to a
problem; solutions should be based on facts and attitudes
—it should be understood that professional decisions are not
necessary better than those of the participants
Communication strategies
The following are summarized communication approaches adapted
from Kodama and Minh Chau, authors of ‘Community Participation
in Development’ (2002). The objective of these strategies is to help
participants relate at a personal level to the issues being explored
as part of the design intervention. By internalizing knowledge and
processes through engaged activity (while having fun) participants
learn through experiencing. Making an activity appealing and fun
goes along way to attracting participants to get involved. Another
advantage of these approaches is that they facilitate learning
not only between the facilitator and the participant, but from
participant to participant as well.
Community outreach
This approach takes participants out into the community to talk
with people on the streets in order to find out current views and
understandings related to the design intervention.
Peer-to-peer communication
Participants share knowlege and experiences with members of the
audience. As peers, they have easy access to their audience.
Active learning approach
This ‘learning-by-doing’ approach includes the use of games,
exercises, role-plays and brainstorming activities. (Kodama &
Minh Chau, 2002)
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 13
1. Exploring design question and approaches | Background | Participatory tools
Participatory tools
Materials are not just a “given” to be incorporated in the
designer’s calculation but are part of the design problem.
—Dennis P. Doordan (2003, p. 3)
Special participatory design tools can help the designer to access
user expression at a more profound level. These tools can utilize
techniques such as collaging, story telling, mind-mapping, etc.
and can be experienced through games, exercises and focus-groups,
among other activities. Although there are approaches to draw
from, there is no universal approach to creating participatory
tools, as they must be conceived relative to each specific design
intervention in order to be most effective. (Sanders, 2002)
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 14
1. Exploring design question and approaches | Design question | Development of design question
DESIGN QUESTION
Development of design question
The design question was continuously re-articulated in response
to new knowlege and experiences. As research progressed the
design question evolved and focus narrowed. For example, as
public health became a focus, as partnerships were established,
and later as youth were chosen as the user-group, the question
shifted accordingly. The following diagram, figure 5, illustrates
the beginning of this process. Later, on page 31, another diagram,
figure 6, relates how the ‘design question’ developed into the
‘research question.’
Figure 5:
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Initial design question
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 15
1. Exploring design question and approaches | Area for a design intervention | Public health
IDENTIFICATION OF AN AREA FOR A DESIGN INTERVENTION
In conventional design practice, design services are usually sought
by a ‘client’ in order to solve an identified communication problem.
In design research this role is often reversed, as the design researcher
actively seeks out a problem, or an area for a design intervention.
For this study, such an area was sought to provide an opportunity
to implement a participatory design project in a resource-poor
community. Rather than seeking out ‘clients,’ however, partnerships
with mutual interests were sought.
Public health
An initial interest in HIV/AIDS posters from around the world
inspired the consideration of public health as a broad entry point for
identifying a topic for a design intervention. In addition, inspiration
was drawn from case studies through which community participation
approaches were applied in response to the epidemic. (Bennett, 2006;
Kodama & Minh Chau, 2002; Wells, 2004) Initial discussions with
faculty members at the School of Public Health, University of Alberta
led to a further exploration of possible areas for a design intervention,
including HIV/AIDS and malaria. These topics were discussed in the
context of resource-poor areas of Africa. (Personal conversations with
Dr. Lory Laing, 2008)
School of Public Health
The School of Public Health (SPH) has a focus on health promotion as
well as an interest in cross-disciplinary collaboration (School of Public
Health, 2009). Logistical support and guidance from the SPH served
to identify a broad area for a design intervention in Uganda, where
the school has maintained a collaborative relationship with Makerere
University conducting research related to HIV/AIDS treatment.
A preliminary visit was made to Kabarole District, a region of Uganda
where researchers from the SPH were established, to speak with experts
and community members to assess the situation and identify a more
specific area for a design intervention. Support from the SPH as well as
the Institute of Public Health, Makerere University was instrumental in
establishing partnerships and logistics for this project.
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 16
1. Exploring design question and approaches | Area for a design intervention | Public health
Analysis of public health messages in Uganda
One goal of the preliminary visit to Uganda was to do a visual
analysis of current public health messages. The following questions
led to a number of common themes which are summarized below:
Questions
—What are the current issues and proposed solutions that are
being communicated?
—What media are being used (i.e. billboards, posters, etc.)?
Billboard in Kampala, Uganda
—What type of language is being used (i.e. direct, indirect, etc.)?
—What type of imagery is used (photographic, illustrative, etc.)?
—Where are the communications commonly located?
—To whom are the communications targeted?
Common themes
—Direct, to the point messages
—Simple imagery, most often photographic
—Messages that pose a question
—Messages that have a primary message (usually placed at the
top) followed by a call to action or supporting information
(usually placed at the bottom)
Uganda Ministry of Health headquarters, Kampala
Uganda Ministry of Health headquarters, Kampala
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 17
1. Exploring design question and approaches | Area for a design intervention | Public health
Pilot participatory design workshop with public health workers
During the preliminary visit to Uganda a pilot participatory design
workshop was organized in Kabarole District with the help of the
District Health Officer. Approximately fifteen public health workers
were in attendance. Please see appendix 5 (letter of invitation to
pilot workshop in Kabarole District) for further details. The following
objectives led to key findings, inspiring an improved and narrowed
project focus.
Workshop participants
Objectives of workshop
— Introduce participatory approach to designing messages
— Identify and analyze the most critical public health issues
— Identify a target audience group
— Explore key messages for identified issues
Key findings
—Strong support for and interest in focusing project on youth
Workshop exercise guidelines
—Identification of HIV/AIDS, sanitation and hygiene and
malaria as critical issues
—Strong support for and interest in the notion of painting
messages on buildings, especially in the case of a youth
audience
Critical public health issues identified at workshop
Participant drawing for sanitation concept
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 18
1. Exploring design question and approaches | Area for a design intervention | Public health
Identification of a specific public health topic
A key objective of the preliminary visit to Uganda was to identify
an area for a design intervention, and in doing so it was expected
that a public health issue such as malaria or HIV/AIDS would be
identified as the intervention topic.
During the workshop, the health workers present identified three
critical issues (HIV/AIDS, sanitation and hygiene, and malaria),
however, it became clear that it was a very complex and naive
task to determine which issue might be most critical, especially
considering there was no issue that did not deserve attention.
Focus shifted away from identifying a specific public health topic
toward identifying an area for an intervention that would benefit
from an approach involving a high level of community participation.
There was an overwhelming interest by health workers to address
youth-specific issues. They also felt that youth would be best
suited to participating in designing painted messages, since
this approach seemed to suit youth culture. In response to this
feedback, focus was directed at developing an approach for
designing with youth participants. Later, determining the key
issue itself would become an integral part of the design/research
process, coming from the youth participants themselves.
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 19
1. Exploring design question and approaches | Area for design intervention | Public health
Favorable responses
Designers have the responsibility to obtain a reaction, and their
objective should be to activate the community in order to achieve
the reaction. (Conversation with Jorge Frascara, October 27, 2007)
With this in mind, the term ‘favorable responses’ was used to
describe the desired messages that could come out of the design
process. ‘Responses’ are reactions and ideas that come out of the
community leading to messages about the issues that they have
identified, in relation to their localized circumstances and beliefs.
‘Favorable responses’ are those that through consensus building are
agreed upon as such, by the community.
In addition to extracting favorable responses from community
members, this project was alsp accountable to the Uganda National
Council of Science and Technology (UNCST), who approved the
initial research proposal. In addition, the Uganda Ministry of
Health agreed to support the project, approving all final painted
messages prior to their production. Please see appendix 17 for an
example of a proposal letter sent to and approved by the Ministry
and appendix 2 for a copy of the certificate of approval to conduct
research from the UNCST.
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 20
1. Exploring design question and approaches | Area for design intervention | Resource-poor areas
Resource-poor areas
A driving motivation for this research project was to explore the
weaving of design with community, a notion that came out of
previous experiences living and working in West Africa. As such,
it was important that the field work for this project take place in
Africa. When this project was just an idea, terms like ‘Sub-saharan
Africa’ or ‘developing country’ were used to describe where it might
take place. These terms are vague and perhaps misleading. The
more descriptive term ‘resource-poor area’ is now preferred because
it refers to the circumstances of a particular community, rather
than those of an entire country or region. Personal experiences in
various resource-poor communities in Africa—where communitycentered ways of living were witnessed and shared— laid out the
foundation for this project. As such, this project took place in
resource-poor areas of Uganda not because of what they might
lack, but rather for what they could offer in terms of learning
about community life and how to nourish it through design.
Contextual analysis
During the preliminary visit to Uganda the following question
was asked, ‘how can the particular circumstances of ‘resource-poor
areas’ inform the design approach?’ It became evident that almost
all the materials and resources that might normally be used in a
conventional design practice, such as computers and access to
printers, were in fact available, although access was often limited
and certainly not always convenient. It was realized, however, that
although something might actually be ‘available,’ if it is costly it
is more than likely not accessible to the community. With this in
mind, the particular contextual realities of designing in Uganda
were explored, including identifying materials, resources and
approaches that are locally available at a low cost.
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 21
1. Exploring design question and approaches | Area for design intervention | Painted ads on buildings
Observation of painted messages on buildings in Uganda
WRITE
While looking for public health messages in Kampala, many
buildings with painted messages were noticed. Although these
were commercial messages, their potential was recognized as an
approach for carrying compelling visual messages about public
health topics. The following questions were asked, leading to
an eventual decision to adapt the approach for public health
messages.
Unpainted and painted buildings, Kabarole District
Questions
—How would owners feel about having these messages painted
on their buildings?
—How would the use of these surfaces be negotiated?
—What would the associated costs of producing these messages be?
—How would participants feel about painting messages on
buildings?
—How much impact could such messages have?
Painted ‘Trust’ building, Kabarole District
Potential advantages of adapting this approach for public
health messages
—The process is already established in the community
—Messages are locally produced
—Messages are highly visable to a high number of people
—Surfaces are available
—Production costs are cheaper than printing billboards
—Producing paintings can involve participants in the process
Painted ‘Nile Special’ building, Kabarole District
Nursery school, Kampala
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 22
1. Exploring design question and approaches | Area for design intervention | Pilot collaboration with artists
WRITE
Pilot collaboration with artists in Kabarole District
Health worker providing feedback to artist
During the pilot workshop with public health workers, participants
developed public health messages—two groups focusing on malaria
and another two groups concentrating on sanitation and hygiene.
Following these workshops a collaboration was established with
three local artists in order to design messages inspired by concepts
developed in the workshop. The overall objective of the collaboration
was to explore how local artists could also participate in the design
process. Other objectives are listed below, followed by key
findings:
Objectives of collaboration
—Develop a relationship with local artists, exploring a
collaborative process
—Explore how local artists and public health workers can
work together to develop messages
—Further explore concepts introduced in the pilot workshop
Key findings
Artist’s drawing for malaria concept
—Artists were eager to collaborate, seeming to appreciate the
opportunity to gain design experience
—Discusing the artists’ concepts with public health workers
helped to refine the messages (both textual and visual aspects)
—The willingness of the artists to learn seemed to be more
important than their initial skill level
Discussing hand washing techniques
Artist’s drawing for sanitation and hygiene concept
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 23
1. Exploring design question and approaches | Project participants | Youth
PROJECT PARTICIPANTS
Youth
First workshop in Namuwongo
As noted in the section ‘area for design intervention,’ youth were
identified as an appropriate group for the design intervention, in
particular one that would involve the designing of large-scale
painted messages about participant-identified public health
issues. Youth in this study were males and females from 15 to 25
years of age. The focus on youth was not intended to generalize
this wide age group, but rather to allow for opportunities to
work with authentic groups that may include individuals between
those ages. The age range of individuals groups was not as wide.
For example, participants from the Namuwongo youth group
ranged from 15 to 19 years and members from the AIDS Support
Organization (TASO) AIDS Challenge Youth Club (ACYC) Mulago
ranged from 18 to 23 years.
Criteria for selecting youth groups
Project pitch in Kayunga
Discussions with professionals suggested that selecting authentic,
already established youth groups might lead to more sustainable
outcomes. Partnerships with such youth groups were sought, and
achieved in at least two cases (Makerere University Walter Reed
Project (MUWRP) Kayunga Youth Center Staff and TASO ACYC
Mulago). In order to achieve a diversity of groups and to test
the above assumption one of the groups of youth was established
for the purpose of the project by mobilizing young men in
Namuwongo. Later, it would appear as though this approach was
in fact sustainable as the group, the Namuwongo Youth Group
(NYG), is now an established and active community group.
Informed consent
Documenting of transport reimbursement
Consent forms were administered to each participant. For youth
under 18 years of age consent forms were administered to the their
gaurdians. These forms were translated to the local language where
necessary. Please see appendix 6 for an example participant
workshop consent form.
Transport reimbursement
Participants in three of the four youth groups were provided
with a transportation reimbursement at the end of each workshop.
Reimbursements ranged from 2 500 to 5 000 Uganda shillings
(approximately $1.35 to $2.70) per participant, per workshop.
Participants in the MUWRP Kayunga group were not provided with
a transport reimbursement as the workshop series was conducted
at their place of work during working hours.
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 24
1. Exploring design question and approaches | Project participants | Youth
Youth group profiles
Makerere University Walter Reed Project (MUWRP)
Kayunga District Youth Recreational Center Staff
Location: Kayunga (rural)
Group membership: volunteer HIV/AIDS counselors
Number of participants: varied, on average 15
Age: 18-25
Sex: mixed
Program: twelve weekly sessions of three hours
The AIDS Support Organization (TASO)
AIDS Challenge Youth Club (ACYC)
Location: Mulago, Kampala (urban)
Group membership: young people whose parents or close relatives
are living with or have died of AIDS
Number of participants: 14
Age: 20-24
Sex: mixed
Program: ten weekly sessions of three hours
Art 4 Social Change group
Location: various venues in Kampala
Group membership: students active in other community
organizations
Number of participants: 10
Age: 20-25
Sex: mixed
Program: nine weekly sessions of three hours
Namuwongo Youth Group (NYG)
Location: Namuwongo, Kampala (urban)
Group membership: underprivileged, mostly school drop-outs
Number of participants: 9
Age: 15-19
Sex: male
Program: seven weekly sessions of four hours
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 25
1. Exploring design question and approaches | Project participants | Artists
“IN MY LIFE I WAS IN Artists
THE UNIVERSITY TAKING Throughout this project both the terms ‘artist’ and ‘designer’ were
used to describe the various visual communicators that took part,
LESSONS … ME I WAS 18 many of whom were design students. The term ‘artist’ is used in
YEARS ONLY AND I WAS IN this report to describe all visual communicators, as per the local
convention.
MAKERERE UNIVERSITY
TAKING LESSONS” In-class workshops
An opportunity was presented to conduct an in-class workshop
over two classes at the Makerere University Margaret Trowell School
of Industrial and Fine Arts with students taking the course ‘letting
IFA 1222.’ Please see appendix 8 student workshop consent form for
futher details. Over 100 students and about 30 project participants
(individuals from each of the four youth groups were selected to
attend) were present each day. Students and participants were
divided into eleven working groups.
Role of participants
In-class workshop, Makerere University
Participants were asked to present their working concepts as well as
their ideas about their chosen public health issue to the students
for feedback.
“WHEN WE WENT TO
MAKERERE I THOUGHT THESE Role of students
GUYS WOULDN’T LISTEN TO Students were asked to share their design knowledge, as well as
their own perspectives, as youth, about the issues presented.
ME BECAUSE I WAS YOUNG This helped participants to develop their concepts into effective
BUT THEY GAVE ME TIME ... communications.
AND THEY CORRECTED US IN Recruitment of artists for subsequent collaborations
THE MISTAKES WE WOULD DO The in-class workshops received very positive feedback from both
and students. Participants were so appreciative of
IN DESIGNING THAT WAS participants
the feedback provided by the students that many made requests
SO AWESOME” to continue to collaborate with them. As a result, a follow-up
workshop was conducted. All three Kampala youth groups were
present as well as about 20 students. Following this, participants
chose the ‘artists’ they were most comfortable working with. Artists
that were selected attended subsequent workshops. They did so
as volunteers, receiving a small transportation reimbursement.
Artist profiles (next page)
Permission was obtained from the following artists to acknowledge
their contributions and present their profiles. Please see appendix 9
consent for acknowledgement: Makerere students.
In-class workshop, Makerere University
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 26
1. Exploring design question and approaches | Project participants | Artists
“I HAVE LEARNT A LOT FROM
THE PEOPLE I’VE WORKED
WITH AND ALWAYS WILLING
TO HELP MORE.”
O-Jay drawing concept for ‘early sex, early problems’
Andrew Jackson Obol (O-Jay)
Age: 22
Concentration: illustration
School: Margaret Trowell School of Industrial and Fine Arts
Participated with:
O-Jay’s drawing was chosen for the final painting
— TASO ACYC Mulago
— Art 4 Social Change group
— Namuwongo Youth Group
“IT HAS MADE ME REALIZE
HOW IMPORTANT I AM AS AN
ARTIST ... AND HAS MADE ME
A BETTER ARTIST.”
Kizito using his ‘lettering’ skills
Mbuga Kizito
Age: 20
Concentration: painting, fashion design, communication design
School: Margaret Trowell School of Industrial and Fine Arts
Participated with:
Kizito’s drawing for ‘transactional love’ concept
—TASO ACYC Mulago
— Art 4 Social Change group
— Namuwongo Youth Group
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 27
1. Exploring design question and approaches | Project participants | Artists
“WE CAN MAKE A DIFFERENCE
IF WE ARE TEAMED UP ...
I WAS BLESSED AND HUMBLED
TO BE A PART OF IT.”
Rolands drawing concept for ‘media influence’
Rolands Tibirusya
Age: 25
Concentration: painting (expressive live painter)
School: Margaret Trowell School of Industrial and Fine Arts
Participated with:
— Art 4 Social Change group
Rolands’ sketches for ‘media influence concept’
“I’VE LEARNT TO INCORPORATE
ARTISTIC SKILLS INTO PUBLIC
HEALTH MESSAGES TO COME UP
WITH SOMETHING INTERESTING.”
Isaac sketching ‘don’t be influenced to abort’ concept
Isaac Mugabi (Skyman)
Age: 20
Concentration: graphic design, painting, illustration
School: Margaret Trowell School of Industrial and Fine Arts
Participated with:
— Namuwongo Youth Group
Isaac’s drawing for ‘don’t be influenced to abort’
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 28
1. Exploring design question and approaches | Project participants | Artists
“IT HELPED ME LEARN THAT I
CAN ACTUALLY USE MY ARTISTIC
KNOWLEDGE TO COMMUNICATE
TO PEOPLE AS AN ARTIST.”
Charity painting ‘self worth’ concept
Charity Priscilla Namiyonga
Age: 20
Concentration: fashion design, painting
School: Margaret Trowell School of Industrial and Fine Arts
Participated with:
— TASO ACYC Mulago
Charity’s original drawing for ‘self worth’ concept
“IT HAS MADE ME REDISCOVER
THE VALUE OF ART AS A WAY OF
PASSING POSITIVE MESSAGES
TO THE YOUTH.”
Paul presenting his ‘transactional love’ drawing
Paul Ngata Wachira
Age: 22
Concentration: graphic design
School: Margaret Trowell School of Industrial and Fine Arts
Participated with:
— Art 4 Social Change group
— Namuwongo Youth Group
Paul’s drawing for ‘transactional love’ concept
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 29
1. Exploring design question and approaches | Project participants | Artists
“I HAVE LEARNT TO WORK
COLLECTIVELY TO COME UP WITH A
SOLUTION TO A PROBLEM IN FORM
OF VISUAL COMMUNICATION.”
Alfred drawing HIV/AIDS testing concept
Alfred Isabirye
Age: 21
Concentration: graphic art, illustration
School: Margaret Trowell School of Industrial and Fine Arts
Participated with:
— TASO ACYC Mulago
Alfred’s drawing for HIV/AIDS testing concept
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 30
1. Exploring design question and approaches | Research question | From design question to research question
RESEARCH QUESTION
From design question to research question
At the onset of the interrogation process, an initial design
question emerged about a particular way of designing for a
particular group of people with the broad objective of inspiring
positive social change. As this design question became more
articulated it evolved from a ‘what’ question to a ‘how’ question
and in doing so it gradually became a research question. It is
important to note that the final research question was articulated
near the end of the research process, in a sense only after it was
asked. A diagram on the following page, figure 6, outlines how
and why this was the case.
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 31
Figure 6
From design question to research question
Initial design question
How can a human-centered approach to design help
community organizations achieve positive social
change?
How can a human-centred approach to
participatory design1 help community organizations
social change initiatives2 achieve positive social change
in developing countries3?
How can participatory design approaches in
visual communication design4 help
support social change initiatives educate communities5
in developing countries resource-poor areas6
about public health issues including HIV/AIDS and other
sexual or reproductive health related topics?
How can participatory design approaches in
visual communication design help to educate
communities youth7 in resource-poor areas about
HIV/AIDS and other sexual or reproductive health
related topics favorable responses8
to public health issues?
1
4
7
‘Participatory design,’ a specific human-centered approach was favorable to
‘user-centered design’ as it describes the active involvement of the user.
2
‘Social change initiatives’ was preferred to ‘community organizations’ because
it puts the focus on the initiative, rather than the structure of the group.
3
‘Developing countries was added to make the question more specific.
‘Participatory approaches in visual communication design’ was favorable to
‘participatory design’ as it clarified the approach, situating it within a particular
design discipline while underlining the importance of particular approaches.
5
‘Educate communities’ was preferred to ‘support social change initiatives’
because ultimately the goal of the research is to support communities and hence
their respective initiatives.
‘Youth’ replaced ‘communities’ because the target group became more focused.
8’
HIV/AIDS and other sexual or reproductive health related topics’ was removed
because it became important not to place limits on the public health issues
explored. ‘Responses’ was added to indicate the importance of the notion of
instigating responses from the community and ‘favorable’ was added to indicate
the importance that the messages be those desired by the community.
6
‘Resource-poor areas’ was preferable to ‘developing countries’ because it refers
to the circumstance of a particular community, rather than the overall country.
Refined design question
Initial research question
Final research question
How can participatory design help social change
initiatives in developing countries?
How can participatory approaches in visual communication
design help educate communities in resource-poor areas
about public health issues including HIV/AIDS and other
sexual or reproductive health related topics?
How can participatory approaches in visual
communication design help to educate youth in
resource-poor areas about favorable responses
to public health issues?
Visual Communication Design | Department of Art + Design | Masters of Design Thesis Project | Leslie Robinson | 32
Figure 7
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How can participatory approaches in visual communication design help to educate
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Visual Communication Design | Department of Art + Design | Masters of Design Thesis Project | Leslie Robinson | 33
outh
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youth in resource-poor areas about favorable responses to public health issues ?
s lead to b
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Contextualizing the design question
2. Implementing design intervention | Establishing partnerships | Mobilizing youth groups
ESTABLISHING PARTNERSHIPS
2
Implementing
design intervention
and evaluation
Mobilizing youth groups
MUWRP Kayunga Youth Center
The Makerere University Walter Reed Project (MUWRP) in partnership
with the Kayunga District Health Authorities opened the Kayunga
Youth Center in 2006. The objective of the center is to build
capacity HIV prevention, care and treatment for the youth of
Kayunga District. The center is staffed by volunteer youth HIV/AIDS
counselors. (Makerere University Walter Reed Project, 2008)
To facilitate a workshop with the volunteer youth staff, MUWRP
offered financial support to cover logistical costs including
transport to Kayunga as well as workshop supplies and painting
materials. Due to this contribution, two additional messages were
painted (the other three groups painted one single message).
Participation was optional and although nearly 30 staff attended
some workshops, fourteen completed the workshop training.
TASO ACYC Mulago
The AIDS Challenge Youth Club (ACYC) Mulago is a network of youth
who have close family members who are either living with or have
died of AIDS. The objective of the club is to address youth-related
concerns including sexual and reproductive health-related issues
including HIV/AIDS. (The Aids Support Organization, 2003)
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 34
2. Implementing design intervention | Establishing partnerships | Mobilizing youth groups
Art 4 Social Change group
This group was mobilized by an HIV/AIDS counselor at the Aids
Information Center (AIC), based on recommendations by Young
Empowered and Health (YEAH) and the Health Communication
Partnership (HCP). Participants were selected from various other
community organizations, including a local Youth Advisory Group
(YAG) with the objective of bringing together a group of young
leaders who would have the opportunity to acquire skills in
participatory design and consequently share these with members
of their own respective organizations. Due to various logistical
challenges, the venue changed from the AIC to YEAH to finally the
lawn on campus at Makerere University. As such, what the group
was called was constantly changing. By the end of the workshop
series the group decided to call themselves the “Leslie Foundation:
Art 4 Social Change.” In the remainder of this document this group
will be referred to as ‘Art 4 Social Change,’ however, it should
be noted that the group is not yet an officially recognized
community group.
Namuwongo Youth Group
A fourth and final group was mobilized in a Kampala community
called Namuwongo. This group was established independently of an
established organization. To mobilize the group, the first member
was selected and asked to mobilize up to nine other young men
from 15 to 19 years of age. A presentation at a local church was
made and permission to use the church for the project venue was
granted. The NYG is now an active community organization.
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 35
2. Implementing design intervention | Establishing partnerships | Public health experts and research assistants
Collaborating with public health professionals
Public health professional in workshop, Kayunga
The presence of a public health professional at each workshop
was planned, however, only in the case of the Kayunga group,
was this consistently the case. Often, public health professionals
agreed to attend workshops, however, they frequently had to
cancel. The role of the public health professional, usually a public
health nurse or counselor, was to be present to provide additional
support and to ensure the accuracy of any public health-related
information discussed and used in the messages. In order to
counteract this shortfall, additional emphasis was placed on
testing the messages among other youth as well as having the
messages approved by public health professionals as well as the
Ministry of Health.
Hiring research assistants
Research assistants were hired through an HCP initiative called
GOLD that helps recent University undergraduates in Uganda to
obtain work experience. For most workshops one research assistant
was present, however, for other workshops with more than one
youth group in attendance as well as for focus groups two research
assistants were present. The roles of research assistants were as
follows:
—Documentation of workshop activities through notes, photos,
videos and audio recordings
—Translation from English to Luganda and vice versa as necessary
—Administration of informed consent forms, questionnaires, etc.
—Administration of transport reimbursements to participants
—Help to organize refreshments
—Miscellaneous errands and practical assistance as required
—Facilitation of youth-led interviews with audience members
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 36
2. Implementing design intervention | Workshops | Workshop format
WORKSHOPS
Workshop format
All workshops (for the four different youth groups) were carried
out on a weekly basis for between 7 to 12 weeks, depending on
the group. Individual workshop sessions were typically three or
four hours.
Providing healthy snacks
Rather than providing sodas and sweets to participants, healthier
alternatives were offered. For each workshop session, fresh juice
was prepared and locally made ‘chapatis’ or other snacks were
provided. Participants were especially appreciative of the fresh
juice. The Namuwongo Youth Group took the initiative to learn
how to make the juice, making enough to serve 100 attendees
at the project’s wrap-up party. The juice-making materials were
donated to the NYG who now use them to make juice to help
fund their organization’s activities.
Flip chart presentation
Snacking on ‘chapatis’ and fresh juice
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 37
2. Implementing design intervention | Workshops | Selecting and creating design tools
Selecting and creating design tools
Tools for use in workshops were selected, or in some cases made,
in correspondence with the participatory approaches outlined.
These choices were informed by the contextual realities of the
resource-poor areas where workshops were held. Below are criteria
used for selecting tools as well as a some of the tools used:
Criteria for tools
—Readily available in the community
Name tag designed on recycled cardboard
—Easy to use
—Relatively cheap to buy
—Non-toxic
Tools used
—Flip charts and markers
—Cardboard numbers (to facilitate discussions)
—Recycled cardboard and paper
Paint and chalk: easy to use materials
—Chalk, felt markers, crayons and pencils
—Paint, brushes and other painting materials
—Recycled containers, rags, etc.
Use of cardboard numbers to facilitate discussions
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 38
2. Implementing design intervention | Workshops | Introductions
“IMPROVING ON MY Introductions
COMMUNICATION SKILLS At the beginning of most workshops, especially during the first
half of each workshop series, various activities were performed
I LEARNT HOW TO with the objective of introducing and getting to know more about
EXPRESS MYSELF” each other and also to get more comfortable exchanging ideas
and perspectives within the group. Introductory activities were
sometimes planned, sometimes improvised and always inclusive.
Participants were asked to present themselves before responding
to an open-ended question like “what is one thing you like about
yourself and what is one thing you would like to change about
yourself?” or “what would you would like to see change in your
community?”
Games were also used to facilitate introductions among the group,
such as the “I love, I hate game.” It went something like this:
“My name is Daphne and I like clubbing because I feel so free.”
“My name is Joseph and I hate clubbing because I don’t like to
dance, but I love eating pizza because its soooo good.”
“My name is Joy and I also love pizza because its so fun to eat
and I hate football because it is so boring.”
And so on...
As workshops progressed, participants would determine whether
or not it was still necessary to make introductions, or instead move
directly into workshop activities.
Flip chart presentation used to facilitate introductions
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 39
2. Implementing design intervention | Workshops | Understanding the project
Understanding the project
The concept of a workshop about “participatory design for
public health education messages” was complex. As such, it was
important, especially during the first workshops, to discuss the
project ideology and its objectives as well as how to arrive at a
consensus in terms of how to achieve objectives.
The notion of active participation seemed to be a relatively
new concept among youth in Uganda. As such, it was especially
critical to communicate to participants that they were welcome
to contribute their own ideas and perspectives and that their
viewpoints and knowledge would inform the design solutions.
They came to understand that they were not simply the recipients
of a pre-determined training, but rather co-designers in a
collective problem-solving process.
In order to facilitate participants’ understanding of the project,
the following points were emphasized through open discussion
—Participation is essential and all viewpoints are welcome
—Youth participants identify the problems to be addressed
Flip chart used to explain ‘participatory design’
—Youth design messages for other youth
—Solutions need to be created from within the youth community,
rather than adapted from existing messages
Notes taken of participants’ definitions of terms
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 40
2. Implementing design intervention | Workshops | Outlining weekly objectives
Outlining weekly objectives
Typically, following introductions, an overview of the objectives
for the current workshop was discussed. The overview was intended
to remind participants of our collective goals for the workshop
series and how the day’s activities were helping to achieve them.
Since the workshop and especially its participatory nature was
a very new experience for most participants, it was important
to keep track of previous accomplishments as well as to anticipate
directions toward subsequent workshops.
Defining rules and expectations
At the onset of each workshop series, sets of rules or ‘agreements’
as well as ‘expectations’ were outlined. This was an opportunity for
participants to express their preferences in terms of cooperating
as a group as well as make commitments to work toward a
common goal.
‘Agreements’ included notions like
—Putting hands up to speak
Flip chart presentation
—Having the opportunity to use either English or Luganda
— Arriving on time
—Respecting others’ opinions
—Be creative and expressive
—Participate!
‘Expectations’ included notions like
—Receiving a transport reimbursement for end workshop
—Receiving a certificate at the end of the workshop series
Notes of collective list of ‘agreements’
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 41
2. Implementing design intervention | Workshops | Feedback and way forward
Feedback and way forward
An opportunity to offer feedback was offered at the end of each
workshop session, noting what worked and what did not, as well
as what was achieved and the next steps to take in the following
workshop. Feedback was often critical as it helped to build
consensus on workshop activities and improve the general conduct
of the workshops, leading to positive ways of moving forward.
Positive ‘feedback’ notes included the following remarks
Notes of participant feedback
—The workshop was very educative about sex
—Learnt how to avoid getting diseases
—Reminded how to hold a pen (read and write) and take part
—Juice was great
—Liked freeness in participation
—Liked the facilitator, she was so free
—Everyone did their homework
—Learnt that any idea can be expressed
—Learnt that in just a matter of minutes you can draw a message
—Learnt that you can illustrate things visually
—Cardboard numbers were helpful in facilitating fair participation
—It was great to share problems with each other
—Enjoyed friendly competition to brainstorm problems
—Enjoyed drawing pictures
—Learnt new vocabulary
—Enjoyed working with fellow youth, discussing community issues
—Feeling more confident
Notes of participant feedback
—Improved design skills
—Made friends with youth who are older than me
—Acting was fun and helpful
—Involvement of artists is great
Negative “feedback” notes included the following remarks
—Too much random talking (need cardboard cards back!)
—Participants were taking sides
—Some participants are not focused, distracting others
—Facilitators were late
—Need to work on time management
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 42
2. Implementing design intervention | Workshops | Warm-up activities
Warm-up activities
Typically, after introductions a warm-up activity was facilitated
with the objectives of getting energized, having fun and getting
comfortable with each other. By the end of the workshops it was
the participants themselves that were proposing and facilitating
the warm-up activities. The following are examples of some of the
warm-up activities. These activities were adapted from cultural
games or activities as well as from personal experiences.
Mirror game, MUWRP Kayunga Youth Center
Mirror game
Performing actions, often with a partner, while the other
partner or the rest of the group tries to mirror the action.
(focus on cooperation and expressiveness)
Name and action game
In a circle each person performs a short action or pose
that represents them, afterwards, the entire group tries to
remember each action and repeat it for each person.
(focus on observation, expressiveness and cooperation)
Name and action game, Namuwongo
Naming game
After a subject is chosen (i.e. name of country, capital city, girl,
boy, etc.) each person in the circle attempts to say a new name
until they fail. This goes on until there is one winner. Those who
are eliminated become judges of those who remain.
(focus on quick-thinking and cooperation)
Drawing words game
Naming game, Namuwongo
Words, usually at least loosely related to public health, are placed
on pieced of paper in a hat. In teams, participants play the game
by attempting to draw images and concepts until one team
correctly guesses the word in question.
(focus on cooperation and relating visuals to concepts)
Relating words game
A word is chosen and each person in the circle says another
related word that wasn’t already said until all but one person
is eliminated (i.e. “woman-girl,” “girl, school,” “school-teacher,”
“teacher-class,” and so on...
(focus on quick-thinking and cooperation)
Drawing words game, TASO ACYC
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 43
2. Implementing design intervention | Workshops | Warm-up activities
Local song and dance
Once participants became comfortable facilitating warm-up exercises,
they often introduced songs and dances from their local cultures.
(focus on expression and collaboration)
Dance-offs
Participants were invited to share their favorite dance moves
by teaching someone else.
(focus on expression and participation)
Local song and dance, Art 4 Social Change group
Collective sharing of stories
In a circle one person begins telling a story and each person adds
something to it. Sometimes this is done by whispering. The result
is usually entertaining.
(focus on creative thinking, listening and collaboration)
Elbows, knees game
Dance-off, MUWRP Kayunga Youth Center
This game was often used to break the group into smaller groups.
The facilitator might say “three elbows” and the participants would
have to put themselves in groups of threes by attaching their
elbows, then “four knees” and so on using various body parts.
(focus on quick-thinking and collaboration)
Participant-led activity, Art 4 Social Change group
Participant-led warm-up activity, Namuwongo
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 44
2. Implementing design intervention | Workshops | Visual and conceptual exercise
Visual and conceptual exercises
In order to get participants to think like designers, they were
engaged in a number of activities that focused on understanding
design as well as developing creative thinking and expression.
The following are a few examples of some of the exercises:
Exploring symbols
As a group, we defined the word ‘symbol’ and discussed how
operate. Participants were then asked to draw symbols while the
others guessed what they were drawing.
(focus on design knowledge development and cooperation)
Designing personas (collectively)
Notes of participant ideas about symbols
For this activity, each participant was given a sheet of paper
with an emotion (i.e. happy, sad, etc.) written on the corner.
They were asked to draw a body part (i.e. the head) of a persona
that represented the emotion and then pass it on. We did this until
a full character was developed for each emotion. The last person
to draw on each persona then presented it to the group, explaining
the image.
(focus on collaboration, creative thinking and visual expression)
Acting out emotions
In this exercise, someone would suggest an emotion and one at
a time the participants would go into the circle to act out the
emotion, building on what the previous participants expressed.
(focus on collaboration, creative thinking and visual expression)
Designing personas (collectively)
Acting out emotions
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 45
2. Implementing design intervention | Workshops | Visual and conceptual exercise
Designing ‘tag’ names
This activity followed the exploring symbols exercise. Participants
were asked to come up with a tag name and symbol to represent
themselves. We used their tag names throughout the remainder of
the workshops.
(focus on visual thinking and personal expression)
Client-designer posters
In this activity, participants were paired up as “client” and
“designer” and asked to first interview each other and then design
a poster representing their partner (client). Posters were then
presented to the group.
(focus on developing design knowledge and visual expression)
Designed ‘tag’ name
Client-designer posters
Client-designer posters
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 46
2. Implementing design intervention | Workshops | Identifying the problems
Identifying the problems
Making the master list
Grouping the problems, Kayunga
Typically in the first workshop session for each group public health,
issues were identified by brainstorming all the problems that the
participants could think of. To do this, they worked in small groups.
After the brainstorming, lists of problems were combined in a
collective master list. This activity was usually conducted as a
friendly competition whereby each group competed to write down
the most issues (using different colored markers) as we went
though the alphabet from A–Z.
A few examples of some of the many problems identified:
Making the master list, Namuwongo
Making the master list, Kayunga
— Abortion
—Loss of parents
—Alcoholism
—Media influence
—Bareness
—Moral decay
—Bullying
—Orphanism
—Child labour
—Prostitution
—Child sacrifice
—Rape
—Child-headed families
—School drop out
—Corruption
—Stigmatization
—Cross-generational sex
—Torture
—Defilement
—Unemployment
—Depression
—Unfaithfulness
—Disrespect
—Westernization
—Divorce
—Workaholism
—Drug abuse
—Early marriage
—Early pregnancy
—Gender discrimination
—Homosexuality
—Illiteracy
—Imprisonment
Making the master list, Art 4 Social Change
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 47
2. Implementing design intervention | Workshops | Categorizing the problems
Categorizing the problems
Mapping the problems
Once the many issues concerning the youth were identified, it was
necessary to begin to distill the list into tangible categories that
could be explored and further understood. Keeping in mind that
eventually the issues would need to be prioritized, a ‘mapping’
approach was used to connect, explore, contextualize and group
some of the problems identified.
Mapping ‘competition,’ Namuwongo
In order to ‘map’ the problems, participants were encouraged to
brainstorm (visually) issues (from the master list) they found to
be of particular interest or importance by simply writing down
and connecting problems, influences, outcomes, etc. This was
usually done intuitively, and every map was unique.
Mapping ‘abortion,’ Namuwongo
Mapping ‘prostitution,’ Namuwongo
Mapping ‘lust,’ Namuwongo
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 48
2. Implementing design intervention | Workshops | Categorizing the problems
Grouping the problems
After getting a sense of the number of problems and in many
cases their interconnectivity, we would group them into categories
that made sense. For each youth group the categories varied. For
example, the Namuwongo group first broke down the problems into
‘infrastructure,’ ‘behaviors,’ ‘diseases,’ ‘health’ and ‘accidents.’ They
re-organized these groups into ‘sex,’ ‘rights’ and ‘drugs.’
Groups of problems, Namuwongo
TASO ACYC, for example, first came up with the following groups
of problems ‘reproductive health,’ ‘illiteracy and ignorance,’ ‘abuse
of human rights,’ ‘cross-generational sex,’ ‘disappointments in
relationships’ and ‘abuse of drugs.’
Grouping the problems, Namuwongo
Re-grouping ‘sex’-related problems, Namuwongo
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 49
2. Implementing design intervention | Workshops | Categorizing the problems
Prioritizing the problems
Knowing that we would only have the time and resources to paint
one message per group (with the exception of MUWRP Kayunga)
it was necessary to prioritize the important problems identified.
In some cases this meant narrowing the problems to just one, as
in the case of Namuwongo, however, in other cases such as that
of TASO ACYC, problems were first narrowed down as many as five.
In these cases, concepts were then developed for all prioritized
problems and finally one final problem/concept was selected to
be painted. The number of problems explored depended on each
group’s preferences and problems were narrowed and eliminated
through consensus-building. Participants would offer arguments
either in favor or against proposed problems and ultimately voting
was used to make final selections.
‘Sex,’ chosen as the ‘hot topic’ in Namuwongo
With the Namuwongo Youth Group, from the groups of ‘sex,’ ‘rights’
and ‘drugs,’ the chose to focus on ‘sex’ and broke this category
into three sub-categories: ‘habits (influences),’ ‘sex (action)’ and
‘diseases (results).’ From here they explored more specific themes
including ‘peer pressure,’ ‘materialistic love’ and ‘competition.’
Finally, ‘materialistic love’ was chosen as the critical problem
to explore throughout the remainder of the workshops.
In the case of TASO ACYC, problems were narrowed to ‘crossgenerational sex, ‘abortion,’ ‘trust and faithfulness,’ ‘self-worth’
and “‘knowing your (HIV) status.’
Priority issues for TASO ACYC Mulago
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 50
2. Implementing design intervention | Workshops | Contextualizing the problems
“I LOVED THE DEBATING, Contextualizing the problems
THE WAY WE TRIED TO In parallel to the process of identifying, categorizing and
prioritizing problems, complementary activities were facilitated
ARTICULATE ISSUES — to help contextualize and further understand priority problems.
PEOPLE SPOKE THEIR MINDS, These activities focused on exploring how the issues affect
youth in particular, as part of their larger community. Creating
SOME DISAGREEING OTHERS and sharing stories in response to problems helped participants to
the issues at a more personal level, without exposing their
AGREEING — WE GOT TO SHARE explore
own personal circumstances (although they were welcome to if
A LOT OF EXPERIENCES AND they were comfortable in doing so).
FINALLY WE CAME UP WITH Creating stories about problems
CONCLUSIONS THAT ENABLED Participants were first asked to identify ‘bad attitude(s)’ or
‘myth(s)’ present among youth in their community that could lead
US TO DRAW THESE CONCEPTS.” to unfavorable responses to the problem(s) they were exploring.
They were then asked to create scenarios or stories that show how
the myths or bad attitudes could impact youth. In creating these
stories they were asked to focus on the problems, as potential
solutions would be addressed later. The following are examples
of bad attitudes or myths that were identified relative to the
problem ‘early sex’:
—Boys need sex more than girls
—Women should be submissive
—It is okay to hit a girl if she says no to sex
—You can not get AIDS when having sex standing up
—You can not get STIs if you have sex in water
—Being a virgin is not stylish
Responding to the stories
Workshop activity to contextualize problems
Participants presented their stories within their groups.
Presentations were followed by discussions about what advice
could be given to the characters in the stories. Thinking of
messages as advice that could be given to fellow youth helped
participants to develop concepts that come from their own
experiences and understandings of the problems. These discussions
not only informed design concepts they also helped participants
to understand the importance of designing their messages for
their target audience—their peers.
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 51
2. Implementing design intervention | Workshops | Facilitating youth group and artist exchanges
“AT LEAST WHEN WE WENT Facilitating youth group and artist exchanges
TO MAKERERE THEY GAVE US As described in the section ‘project participants: artists,’ an ongoing
collaboration with selected artists developed out of the workshops
GOOD HOSPITALITY AND NOW held at Makerere University. This collaboration was presented to the
WHEN THEY CAME THESE ENDS artists as an opportunity to contribute their artistic skills in the
context of a community project while gaining practical experience
IT WAS UP TO US TO ALSO DO working corroboratively to design public health messages.
WHAT THEY HAD DONE IN It is important to note that this collaboration was not anticipated
at the beginning of the workshops. Being flexible and responsive
THAT WAY WE CREATED A as a project facilitator, however, lead to the realization that the
FRIENDSHIP THAT I THINK inclusion of artists could enhance the design approach by allowing
for increased community participation. Knowledge, relative to both
WILL LAST AWHILE.” public health and design, and skills were shared among peers (both
youth participants and artists). This helped to build community,
while opening up opportunities for further collaborations.
In-class workshop, Makerere University
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 52
2. Implementing design intervention | Workshops | Critiquing the messages
Critiquing the messages
‘Critiques’ or discussions aimed at providing constructive feedback
were critical to the design process and served as initial stages for
testing the messages. Concepts were presented to the group by
individuals or sub-groups for responses from the remainder of the
group.
The following are questions that guided critiques
—What is the message being communicated?
Participant critiquing ‘early sex’ concept
—Is the message clear?
—Is the message appropriate for the target audience?
—Does the textual message match the visual message?
—Can the message be understood without relying on the text?
—How can the message be improved?
The following are examples of components of the message that
were discussed
Artist redrawing concept in response to feedback
—Clothing worn by the characters in the message
(color of school uniforms, appropriateness of style, etc.)
—Age of characters (too young? too old?)
—Environment/scene (does it reflect the local community?)
—Characters in the scene (should the boyfriend be present?
other school mates? parents?)
—Expressions and gestures of the characters (should she look
angry? sad? does he look cool? does she look pregnant?)
Participant critiquing ‘early sex’ concept
—Props used in the scene (should he be holding a phone
or money? should she be carrying books or a handbag?)
Participant noting refinements to ‘early sex’ concept
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 53
2. Implementing design intervention | Workshops | Writing the message
Writing the message
Artist contributing to list of potential messages
Participant contributing to list of potential messages
Participant contributing to list of potential messages
In general, once a particular public health issue and topic was
chosen, such as ‘transactional love’ or ‘getting tested for HIV,’
participants began to explore concepts by first exploring the visual
components of the messages. For example, they would imagine
scenes or stories and then begin to represent them with a visual
depiction such as a young man offering a cell phone to a girl
or a couple walking to a clinic. Typically, corresponding textual
messages were explored in response to the visual components
of the message. ‘Writing the message’ or choosing a textual
message that corresponded with the image was often a rigorous
process. Typically, this would be done by brainstorming a list
of possible messages and then filtering through the list using
a consensus-building approach. In many cases, participants and
artists were offered a marker to write down ideas as they emerged.
In some cases only English was used in messages whereas in
other cases a combination of English and Luganda were used.
In the cases where both languages were used they were not direct
translations. For example, in the NYG painting (page 70) the
English message is ‘True love is never bought.’ The Luganda message
‘Si buli ekitemaganna nti zaabbu’ is a local proverb that translates
roughly to ‘everything that glitters isn’t gold.’ Translating the
Luganda proverb directly to English would have resulted in a
awkward and difficult to understand message, according to
participants. Instead, a more direct and easy to understand
English message was used, one that also complements the Luganda
message. In the MUWRP Kayunga (page 67) painting the messages
were written in Luganda. English was used to reinforce the
message, by summarizing the overall message in simple language:
‘Test for HIV.’ In all cases, the type of language used was
reflective of the target audience.
Choosing from list of potential messages
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 54
2. Implementing design intervention | Workshops | Testing the designs
Testing the designs
NYG homework: asking fellow youth about sex
Although design concepts were tested on fellow youth during
critiques, it was important to also test the messages on members
of the target youth audience that were not project participants.
Participants tested their concepts at various stages through
peer-to-peer communication. They did this between workshops,
presenting concepts to fellow youth in their communities.
Feedback and responses collected were then presented to the
group in subsequent workshops, helping to refine concepts.
The following is an example of a list of questions that participants
developed and used to guide them through the testing process.
Example peer-to-peer testing questions
What do you see in the picture?
What have understood from the picture?
Who is the picture meant for?
How do you understand the words?
Do the words match the picture?
Youth visiting Kayunga Center respond to messages
Is there anything you would change?
Questions asked to fellow youth about messages
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 55
2. Implementing design intervention | Workshops | Selecting the concept to paint
Selecting the concepts to paint
Concepts developed by TASO ACYC
As mentioned in the section ‘Prioritizing the problems,’ only
one concept was to be painted for each youth group (with the
exception of MUWRP Kayunga, where three concepts were painted).
In each workshop several concepts were developed. In some cases
concepts were developed based on only one theme, such as
‘transactional love’ in the NYG. In these cases, however, several
versions of the theme were explored. In other cases, such as that
of TASO ACYC, a single concept was explored for several different
problems; ‘cross-generational sex, ‘abortion,’ ‘trust and faithfulness,’
‘self-worth’ and ‘knowing your (HIV) status.’ In all cases, concepts
had to be eliminated. This was done through consensus building,
which often involved voting as a process of elimination. Throughout this process participants and artists were reminded that all
concepts were collectively owned by the group and that the
elimination of a concept did not devalue the work put into it.
In selecting concepts to paint, the following points were
considered
—Which concept communicates its message most clearly?
Choosing final concept for TASO ACYC painting
—Which message is most important to communicate to
the community?
—Which concept is most appropriate for the proposed location?
—Which concept has the potential for the greatest overall impact?
Final concept chosen for TASO ACYC painting
Choosing final concepts for MUWRP Kayunga paintings
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 56
2. Implementing design intervention | Workshops | Designing the messages
MUWRP Kayunga Youth Center
Presenting concept about HIV/AIDS counseling
Presenting concept about HIV/AIDS testing
Participant’s drawing for HIV/AIDS counseling concept
Participant’s drawing for HIV/AIDS testing concept
Detail of participant’s drawing for HIV/AIDS testing concept
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 57
2. Implementing design intervention | Workshops | Designing the messages
“THE WAY (HE) GOT A TASO ACYC Mulago
PENCIL AND PUT WHAT WE
WERE THINKING ONTO A
PIECE OF A PAPER IN DRAWN
FORM THAT IS ARTISTICALLY
AND BEAUTIFULLY EXECUTED
IT WAS AMAZING —
A GREAT EXPERIENCE.”
Initial (right) and second (left) ‘self worth’ drawings
‘Lettering’ drawing for ‘self worth’ concept
Final drawing for ‘self worth’ concept
Artist sketching
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 58
2. Implementing design intervention | Workshops | Designing the messages
“I LEARNT HOW TO DEVELOP Art 4 Social Change group
AN IDEA AND COME UP WITH
A FULL MESSAGE.”
Artist working on ‘early sex’ concept
Drawing for ‘early sex’ concept
Consequent and final drawing for ‘early sex’ concept
Participant critiquing concept
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 59
2. Implementing design intervention | Workshops | Designing the messages
“I LEARNT HOW TO ACT Namuwongo Youth Group
BECAUSE WHEN WE WERE
DESIGNING MESSAGES WE
COULD ACT AND PAUSE …
IT MADE IT TO BE EASY
TO DESIGN MESSAGES.”
Participants acting out ‘transactional love’ concept
Artist presenting ‘transactional love’ concept
Final drawing for ‘transactional love’ concept
Artist presenting ‘transactional love’ concept
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 60
2. Implementing design intervention | Workshops | Finding an appropriate wall space
“PARTICIPATING IN LOOKING Finding appropriate wall spaces
FOR THE VENUE HELPED ME Securing an appropriate location for each painting was imperative.
About mid-way through each workshop series, participants were
TO LEARN HOW TO APPROACH encouraged to seek out potential locations. In selecting a location
ADMINISTRATORS.” the following criteria were considered:
Location: is there a high level of exposure to the target group?
Is it highly visible?
Wall surface: does the wall require plastering or other potentially
time consuming or expensive treatments before painting?
Ownership: is it likely that the building owner will agree to allow
the wall to be painted and under what conditions?
Size and shape: is it big enough to be highly visible? Can the shape
of the wall accommodate the design?
Wall chosen for painting, Kayunga
“I GOT THE SKILL OF NOT
GIVING UP. AT FIRST WHEN
I WENT ALONE TO ASK FOR
PERMISSION AT THE OWNER’S
PLACE I WAS THROWN OUT
BUT I DIDN’T GIVE UP I STUCK
AT WHAT I WANTED AND THE
NEXT DAY WE WERE GIVEN
PERMISSION.”
Obtaining permission
Once a preferred location was agreed upon select participants
approached building owners to inquire about obtaining permission.
In most cases, it became necessary to negotiate with building
owners or administrators on behalf of participants to obtain the
appropriate permissions. Permissions were granted from a home
owner (NYG), from business owners (MUWRP Kayunga) and from
public administrators (TASO ACYC and Art for Social Change group).
In addition, the Uganda Ministry of Health approved all final
painted messages prior to their production. In Kayunga, the
Officeof the Town Clerk, Kayunga Town Council also approved
final messages. In all cases, permission was granted at no cost.
Please see appendix 17 example letter sent to and approved by the
Ministry of Health and appendix 16 letter to the Kayunga Town
Clerk requesting permission to paint.
Wall chosen for painting, Namuwongo
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 61
2. Implementing design intervention | Workshops | Finding a paint sponsor
Finding paint sponsorship
In order to keep project costs low, and more importantly, in order
to find a partnership for potential future projects beyond the scope
of the four youth group projects, a paint sponsor was necessary.
After a number of persistent efforts Sadolin Paints agreed to supply
painting products at approximately 1/3 to 1/2 of commercial rates.
Building in Kabarole District
Painting with Sadolin paint
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 62
2. Implementing design intervention | Workshops | Painting
MUWRP Kayunga Youth Center
“IT KEEPS ON REMINDING
THEM TO TEST WITH THEIR
PARTNERS. IN THE LONG
RUN EVERYONE WILL MAKE
IT A ROUTINE.”
Projecting concepts onto wall prior to painting day
Children gather to watch check out the painting
Children gathering near the painting
Participant painting
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 63
2. Implementing design intervention | Workshops | Painting
I THOUGHT IS WAS TASO ACYC Mulago
THOSE PEOPLE WITH MONEY,
THOSE WHO SHOW OFF,
THAT MAKE SUCH THINGS.
I DIDN’T KNOW THAT EVEN
A LAYPERSON CAN GO
AHEAD AND DO IT.”
Preparing the wall prior to painting day
Watching the paint go up
TASO ACYC members leave their mark
Artist painting
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 64
2. Implementing design intervention | Workshops | Painting
“WE WERE GIVEN THE CHANCE Art 4 Social Change group
TO DO THE PAINTING ...
I THOUGHT THE ARTISTS WERE
GOING TO DO IT ...
I GOT SO AMUSED AND
I ALSO FELT LIKE,
YES, I CAN ALSO PAINT!”
Putting on the base coat
Putting on the base coat (in the rain)
Painting together
Participant painting
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 65
2. Implementing design intervention | Workshops | Painting
Namuwongo Youth Group
“AT FIRST, BEFORE IT
STARTED RAINING IT SEEMED
LIKE WE WEREN’T GOING TO
FINISH BUT AROUND 5HOO
OR 6HOO WE WERE THROUGH.
SO IT SEEMED TO ME THAT
NOTHING WAS IMPOSSIBLE.”
Painting the top of the wall
Free-handing the drawing on to the wall
Free-handing the drawing on to the wall (in the rain)
Participants and artists painting
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 66
2. Implementing design intervention | Painted messages | MUWRP Kayunga Youth Center
“THE FIRST DAY LESLIE CAME MUWRP Kayunga Youth Center
WE WANTED EVEN TO FIGHT …
WE DIDN’T KNOW WHERE
THIS THING WOULD END …
IT STARTED IN TEARS BUT WE
HAVE BUILT SOMETHING THAT
IS GOING TO PUT A BIG
IMPLICATION ON OUR
COMMUNITY ... SHE CAME
WITH THE SEEDS THAT WILL
STAY HERE FOR YEARS.”
“IT’S REAL AND SHOWS WHAT
TAKES PLACE IN KAYUNGA.”
Group photo, taken one week after the painting day
Are you in a relationship?
Visual Communication Design | Department of Art + Design | Masters of Design Thesis Project | Leslie Robinson | 67
Go for HIV testing with your partner
Seek voluntary counceling together
Final painting
2. Implementing design intervention | Painted messages | TASO ACYC Mulago
“I BELIEVE THAT IT TAKES A TASO ACYC Mulago
COMBINED EFFORT TO COME
UP WITH SOMETHING AS
GREAT AND EVERYBODY’S
CONTRIBUTION IS VALUABLE.”
“PEOPLE ARE FEELING SO
SMALL… A LECTURER PASSES
THERE HAS A VIEW ON IT
— ‘AH THESE PEOPLE!’
HE FEELS SO BAD INSIDE,
HE IS FORCED TO CHANGE.”
Final painting
Visual Communication Design | Department of Art + Design | Masters of Design Thesis Project | Leslie Robinson | 68
Group photo after painting
2. Implementing design intervention | Painted messages | Art 4 Social Change
“I PAINTED WITH A Art 4 Social Change group
GROUP OF AROUND FIFTEEN
PARTICIPANTS BUT THE
MESSAGE LEFT HAS OR IS
BEING WITNESSED AND IS
CHANGING LIVES OF MANY.”
“HAVING THE PAINTING UP
GAVE ME A FEELING OF
WORK ACCOMPLISHED …
WHEN YOU PASS BY THE
PAINTING WE REALLY FEEL
LIKE THERE WAS GOOD WORK
DONE AND THERE IS A
MESSAGE … SO I REALLY
LOVED THE WHOLE THING.”
Final painting
Visual Communication Design | Department of Art + Design | Masters of Design Thesis Project | Leslie Robinson | 69
Group photo after painting
2. Implementing design intervention | Painted messages | Namuwongo Youth Group
“WHAT I HAVE LEARNT IS Namuwongo Youth Group
SOMETHING SIMPLE THAT NOT
ALL THAT GLITTERS IS GOLD
SO WE SHOULDN’T JUST RUN
INTO RELATIONSHIPS WITH
ANY STUPID PEOPLE WHO
COULD EVEN BE INFECTED
WITH VARIOUS DISEASES.”
Group photo after painting
“IT WAS TRUE YOU KNOW,
WE WERE HONEST IN
WHAT WE DID, LIKE IT WAS
DESIGNED FOR THE YOUTHS …
EVERYTHIN, THE MESSAGES,
THE ILLUSTRATIONS,
WERE TO THE YOUTHS.”
Final painting
Visual Communication Design | Department of Art + Design | Masters of Design Thesis Project | Leslie Robinson | 70
3. Analyzing data and reflecting on outcomes | Evaluation methods | Discussions
EVALUATION METHODS
3
Analyzing data
and reflecting on
outcomes
Discussions with community members and professionals
Discussions with community members and health care professionals
were critical in establishing project logistics as well as leading to key
decisions. Some of these discussions took place over informal meetings
at the following institutions and community organizations:
—AFFORD Health Marketing Initiative
—Break Dance Project Uganda
—Catholic Relief Services, Kabarole District
—District Health Officer (DHO), Department of Health Services,
Kabarole District Local Government
—Educational Policy Studies, Faculty of Education,
University of Alberta
—Health Communication Partnership (HCP)
—Ignition Uganda
—Johns Hopkins Bloomberg School of Public Health,
Center for Communication Programs
—Kabarole Research and Resource Center
—Makerere University Margaret Trowell School of Industrial and Fine Arts
—Makerere Institute of Public Health
—Makerere University Walter Reed Project (MUWRP)
—MUWRP Kayunga Youth Center
—Malaria Control Program, Kabarole
—Ministry of Health Uganda
—Office of the Town Clerk, Kayunga Town Council
—School of Public Health, Department of Health Sciences,
University of Alberta
—Straight Talk Foundation
—TB Control Program, Kabarole
—The AIDS Support Organization (TASO)
—TASO AIDS Challenge Youth Club Mulago
—Uganda Health Marketing Institute
—Uganda National Council for Science and Technology
—UNICEF Uganda
Additional informal discussions took place with other community
members including parents, teachers, building owners, church
officials, local artists and youth.
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 71
3. Data analysis and reflection | Evaluation methods | Participant focus groups
Post-workshop feedback
Collecting workshop feedback was an ongoing activity. At the end
of each individual workshop, participants shared feedback about
their experiences, focusing on what worked and on what could
be improved. These comments were noted on flip charts and
transcribed by research assistants.
Participant focus groups
Participant focus groups were held at the end of all workshops for
each of the four workshops. Thirteen participants were present for
the MUWRP Kayunga focus group, eight for the TASO ACYC, eight for
the Art for Social Change group and six for the NYG. Focus groups
were audio and video recorded and notes were taken by research
assistants. Please see appendix 13 for a list of questions asked
during these sessions.
Artist focus group
A focus group was held with six artists at the end of all workshops.
Also at this time permission was obtained from these designers to
acknowlege their contributions and present their profiles in this
report. Please see appendix 14 for a list of questions asked during
these sessions and appendix 9 consent for acknowledgement:
Makerere Students.
Participant questionnaires
Questionnaires were distributed to participants at the end of all
workshops for each of the four youth groups. The number of
participants that responded to questionnaires is the same as those
noted for ‘participant focus groups’ above. Please see appendix 11
for a sample questionnaire.
Audience responses
Audience responses to final painted messages were collected
through participant-led interviews (audio or video recorded) as well
as participant-administered questionnaires. Nine audience members
were present for the MUWRP Kayunga interviews, twelve for the
TASO ACYC, fourteen for the Art for Social Change group and eleven
for the NYG. Research assistants were present to provide necessary
translation or guidance. Please see appendix 15 for an example of
questions asked.
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 72
3. Data analysis and reflection | Answering the research question | Impact on youth participants
“SINCERELY I NEVER “ I HAVE LEARNT TO BE
THOUGHT I’D STAND OUT
AND SAY WHAT I FEEL, AN EXAMPLE AND A
THOUGH I WANTED, BUT
REPRESENTATIVE OF OTHER
NOW I CAN SAY WHATEVER
I FEEL HEAD ON.”
YOUTHS. I HAVE GAINED A
“FOR ME IT WAS NOT
EASY TO SPEAK IN PUBLIC
AND NOW I CAN.”
LOT OF CONFIDENCE.”
ANSWERING THE RESEARCH QUESTION
Data was collected through discussions with community members
and professionals, focus groups, questionnaires, audience interviews,
notes, video and audio recordings of workshop activities and
general observation. Frequency counts of quantitative data were
compiled and analyzed and content analysis was performed on
qualitative data. Project outcomes are presented in regards to
project participants, artists and audience members. The research
questions is re-stated bellow:
How can participatory approaches in visual communication
design help to educate youth in resource-poor areas about
favorable responses to public health issues?
Youth participants
By having an impact on youth participants through
increasing their self-confidence and self worth.
This was reported and observed relative to participants:
—Feeling more confident in public speaking
— Working with others, including fellow youth, designers and
community members
—Expressing themselves, persevering and taking action
—Feeling more confident to stay in school or return to school
—Being members of a youth community
—Being peer leaders
—Being active community members
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 73
3. Data analysis and reflection | Answering the research question | Impact on youth participants
Questionnaire responses
All participants (35/35) stated that the workshops helped to
increase their self-confidence.
Additional participant responses
The following additional statements (from focus groups and
questionnaires) also relate to participant self-confidence and
self worth.
Personally I’d like to thank you Leslie for getting us involved in the
project … and all your efforts that in a way I believe have made me
important to the community and the youths.
Knowledge is power and since I’ve acquired that (through the
workshops) it definitely makes me more confident.
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 74
3. Data analysis and reflection | Answering the research question | Impact on youth participants
“I NOW EVEN LOOK OUT “I LEARNT COMMUNICATION
ON THE ADVERTS ON THE
STREET AND EVALUATE HOW
SKILLS, I LEARNT BEING
EFFECTIVE THEY ARE.
I AM BETTER.” EXPRESSIVE, I IMPROVED
MY DRAWING SKILLS … AND
“I LEARNT SKILLS OF
COMMUNICATING TO OTHER
ALSO HOW TO DESIGN A
PEOPLE WITHOUT SAYING
MESSAGE THAT CAN ATTRACT
ANY WORD LIKE THROUGH
THE DESIGN OF MESSAGES
A TARGET GROUP.”
EVEN DESIGNING LOGOS
AND SYMBOLS.” By having an impact on youth participants through
increasing their ability and willingness to design public
health messages.
This was reported and observed relative to participants:
—Expressing ideas
—Thinking creatively
—Developing, testing and evaluating concepts
—Believing that they can (confidence)
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 75
3. Data analysis and reflection | Answering the research question | Impact on youth participants
Questionnaire responses
Participants felt that having taken part in the workshop series,
they are more willing to design messages in the future (35/35) and
better able to design messages (35/35).
Additional participant responses
The following additional statements (from focus groups and
questionnaires) also relate to participants’ abilities and willingness
to design public health messages.
No one can clap with one hand … working with other people is a skill
I also got, I had the idea that I couldn’t draw but that can’t stop me
because he can draw so I’ll take him with me and we’ll make it.
Participating in looking for the venue helped me to learn how to
approach administrators.
I learnt how to be accountable to a group.
The fact that we were also given a chance to do the painting — I
thought the artists were going to do it … we’d just maybe help them
pass the paint and things like that but the fact that we were given
the chance to touch the brushes and paint I got so amused and I also
felt like yes I can also paint!
The combination of us with these artists showed me that really we can
produce something … we have ideas and they have the drawings …
we can have something to offer to the people...
I learnt how to live in a society as a good example to others. I learnt
how to design logos, symbols and drawings. I learnt how to act. I learnt
how to also paint. And all these together widen my knowledge and
capacity of understanding.
Improving on my communication skills I learnt how to express myself.
It was so educative it increased my ideology of art and design.
I am willing (to design messages in the future) because now I’ve the
belief and courage.
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 76
3. Data analysis and reflection | Answering the research question | Impact on youth participants
“I NOW SEE MYSELF AS A “ WE ARE NOT GOING TO
PEER COUNSELLOR AND I SEE
MYSELF OF USE TO OTHERS.” WAIT FOR MATURE PEOPLE
TO
CHANGE THE COMMUNITY,
BUT WE AS THE YOUTHS ARE
THE ONES THAT ARE GOING TO
CHANGE OUR COMMUNITY.”
By having an impact on youth participants through
increasing their interest and motivation to take part in
community projects.
This was reported and observed relative to participants:
—Seeing themselves as peer leaders
—Believing that they can (confidence)
—Making commitments to do so
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 77
3. Data analysis and reflection | Answering the research question | Impact on youth participants
Additional participant responses
The following additional statements (from focus groups and
questionnaires) also relate to participant interest and motivation
to take part in community projects.
I remember on the first day Leslie came here we wanted even to fight …
we didn’t know were this thing would end … If I can reflect back to where
we have been and where we’ve come, it started in tears, but we have built
something that is going to put a big implication on our community I know
what she came with the seeds that will stay here for years.
Where I am doing my internship there is funding to develop messages
about child labour … you taught me so now I am passing it on.
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 78
3. Data analysis and reflection | Answering the research question | Impact on youth participants
“THE PROBLEMS THAT I “ I CAME TO THE VIEW THAT
THOUGHT ARE MINOR
WERE BROUGHT TO MY
ONE PROBLEM CAN LEAD TO
UNDERSTANDING AS MAJOR.”
A
SERIES OF OTHER PROBLEMS …
“I LEARNT THAT BUYING
PROSTITUTES IS NOT A
SOLUTION FOR LOVE AND YOU
CAN EASILY GET DISEASES
LIKE AIDS.”
FOR EXAMPLE HIV CAN LEAD
TO DOMESTIC VIOLENCE AND
VICE VERSA ... SO NO PROBLEM
IS BIGGER THAN THE OTHER.”
By having an impact on youth participants through
increasing their awareness of the public health issues
discussed.
This was reported and observed relative to participants:
—Understanding that magnitude of problems
(they are bigger than they thought)
—Realizing that most problems affecting youth are related to
sexual behavior and that they have the power to decide for
themselves how to behave
—Realizng that prevention is better than cure and that they
are in control
—Realizing that problems are connected
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 79
3. Data analysis and reflection | Answering the research question | Impact on youth participants
Questionnaire responses
All participants (35/35) stated that their own awareness of the
public health issues discussed increased.
Additional participant responses
The following additional statements (from focus groups and
questionnaires) also relate to participants’ awareness of the public
health issues discussed increased.
I got a knowledge of prevention is better than cure.
I have learnt that materialistic love is not the right way to live …
most of the problems facing the youths are sexual so I think that I
should decide for myself what I like — and that I should decide
something good that can be an example to others.
Me too myself I leart that materialistic love is dangerous, it is
never true.
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 80
3. Data analysis and reflection | Answering the research question | Impact on youth participants
“I AM VERY VERY VERY PROUD “EVERYWHERE I GO I SHARE
—ITS ON ONE OF MY FACULTY
BUILDINGS—LAST TIME
THE IMAGE OF SELF WORTH
I PASSED THERE WERE GIRLS
ON MY PHONE AND SAY
LOOKING AT IT AND I WAS
LIKE CAN YOU IMAGINE THAT
‘ YOU GIRLS SHOULD HAVE
WE PAINTED THAT?”
‘SELF WORTH’ AND I’M SO
PROUD. I TELL PEOPLE
I’M THE ONE WHO PAINTED
IT AND I WILL KEEP IT ON
MY PHONE.”
By having an impact on youth participants by creating
a sense of project ownership and a feeling of pride.
This was reported and observed relative to participants:
—Expressing surprise by what they were able to accomplish
—Telling people that they did it (the painting), spreading the
message
—Feeling a sense of membership in a group and ownership of
the outcome
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 81
3. Data analysis and reflection | Answering the research question | Impact on youth participants
Questionnaire responses
All participants (35/35) felt that they made a valuable contribution
to the final outcome (painting).
Additional participant responses
The following additional statements (from focus groups and
questionnaires) also relate to participants’ notions of project
ownership and feelings of pride.
Whenever I pass there I feel proud I even tell them that we are the ones
that did that, ‘you are lying you are a boda boda guy you can’t do that’
… then I assure them...
I am proud to be part of the people that are communicating positively
aiming at changing behavior. Every time I pass there I find people
looking at it, turning and reading what is there.
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 82
3. Data analysis and reflection | Answering the research question | Impact on youth participants
“IF WE’VE GOT SKILL AND “ WE HAVE OPENED UP A
EVERYTHING WHY CAN’T
WE DO IT ON OUR OWN? YOUTH GROUP WHICH IS
WE CAN.”
AIMED AT PASSING ON
“AS WE’VE MADE AN
ORGANIZATION OUT OF THIS ...
AND A LOT OF PEOPLE WANT
TO JOIN, I THINK IT IS THE
RIGHT TIME NOW FOR THEM
TO JOIN AND TAKE PART …
WE CAN MAKE SOMETHING
MORE BETTER THAN THAT.”
MESSAGES SO THE SKILLS
WE HAVE ACQUIRED AND
THE EXPERIENCE WILL TAKE
US THROUGH A PERIOD
AS WE ACQUIRE MORE.”
By having an impact on youth participants by empowering
them with new knowledge and the confidence to transfer it
to others.
This was reported and observed relative to participants:
—Feeling as though they are trained and empowered to share
knowledge with others
—Believing that they can (confidence)
—Understanding that they can design messages for their community
themselves
—Opening their minds to the idea of working with artists to
develop messages and the realization that they don’t need all
the skills if they can identify them in others
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 83
3. Data analysis and reflection | Answering the research question | Impact on youth participants
Additional participant responses
The following additional statements (from focus groups and
questionnaires) also relate to participant empowerment and their
knowledge and confidence to transfer it to others:
I appreciate that we took simple stages to accomplish … I feel that I
can stand up on my own and form a group and be able to implicate such
messages in the future.
Maybe we don’t have to look for jobs from the super markets …
if we can get together and put people together and use the knowledge
we have, because the competence base we have, if we can put it
together we can get jobs and impact our communities. So after this
we would like to share the vision and outcome of this.
We pledge to build a foundation of participatory design for public health
education messages beyond to the rural communities in Uganda.
Thanks for the opportunity of thinking together.
As ACYCs we are going to try to look for some paint and get permission
to do the painting so now we are going to go to different communities
in Uganda.
I know that I am helpful to other youths due to the drawings
(message which is now encouraging other youths).
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 84
3. Data analysis and reflection | Answering the research question | Impact on youth participants
“UNLIKE OTHER WORKSHOPS “ I LIKED THE WAY WE
WHERE YOU GO AND FIND
OTHER BIG PEOPLE OUTSIDE
TALKED ABOUT THE SHARED
YOUR AGE BRACKET
PROBLEMS THAT PEOPLE FACE
DOMINATING THE WHOLE
THING—GIVING THEIR
PERSONALLY … WE INTERACTED
OWN IDEAS AND MAYBE YOU
JUST HAVE TO COME IN AND
AS A GROUP … WE WERE
SUPPLEMENT—BUT YOU GAVE
SO FREE TO TALK ABOUT
US A CHANCE TO INTERACT
AND THEN GIVE WHAT
ANYTHING, THE WAY IT IS.”
WE THINK.”
By having an impact on youth participants by creating
of a ‘safe zone’ where they feel comfortable to be
themselves and express themselves freely.
This was reported and observed relative to participants:
—Believing that youth communicate best to other youth
—Believing that peer-to-peer communication works best
when it comes to education about health
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 85
3. Data analysis and reflection | Answering the research question | Impact on youth participants
Additional participant responses
The following additional statements (from focus groups and
questionnaires) also relate to participants feeling comfortable
to be themselves and express themselves freely:
The workshop was really at home … even the way we were given
chances … everyone participated.
What I have enjoyed most is the respect we have been giving one
another and the cooperation so I hope we are going to stay with
that spirit.
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 86
3. Data analysis and reflection | Answering the research question | Impact on youth participants
“THE ARTISTS WERE SO “I NOW BELIEVE THAT MOST OF
COMMITTED THEY DIDN’T
LEAVE US ALONE … THEY CAME THE PROBLEMS AFFECTING ME
UP TO THE END, THEY WERE
WITH US.” ALSO AFFECT OTHERS.”
“I GOT A CHANCE TO SHARE
WITH OTHERS MY PROBLEMS
AND THEY SHARED WITH
ME THEIRS SO WE GOT THE
CHANCE TO CARRY THE
BURDEN TOGETHER SO I AM
NOT ON AN ISLAND ALONE …
IT WAS BEAUTIFUL THAT WE
HAD TO COME TOGETHER TO
FIND THE SOLUTIONS TO
THESE PROBLEMS.”
By having an impact on youth participants by creating
a feeling of not being alone, having a support system.
This was reported and observed relative to participants:
—Having been exposed to other youth, helping them to feel part
of a larger community of youth in similar circumstances
—Understanding that they are not alone, that their problems
are shared
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 87
3. Data analysis and reflection | Answering the research question | Impact on youth participants
“IT HAS BUILT A “OTHER
RELATIONSHIP BETWEEN US
AND OTHER YOUTH.” TO ME
YOUTHS ARE COMING
ASKING, AS IN
APPRECIATING, EVEN THE BIG
GUYS ARE SAYING ‘HEY YOU
GUYS YOU DID A GOOD JOB
THANK YOU’ AND THEY ALSO
WANT TO TAKE PART IN IT—
THAT’S SO GOOD.”
By having an impact on youth participants through
community-building.
This was reported and observed relative to participants:
—Developing friendships and collaborations with other youth
from all social strata (various poverty and education levels)
—Developing working relationships with other community members
including community leaders and professionals
—Being acknowledged in the community for their positive
contribution (painting)
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 88
3. Data analysis and reflection | Answering the research question | Impact on artists
“WHEN ANYONE TALKED “WELL, I DON’T USUALLY
ABOUT PUBLIC HEALTH I
THOUGHT OF BORING
WORK ON PROJECTS ABOUT
THINGS ... PUBLIC HEALTH
HIV/AIDS SO WHEN THE
MESSAGES ARE NOT LIKE AN
ADVERT FOR A NEW PRODUCT
CHANCE CAME I TOOK IT.
ON THE MARKET SO I’VE
LEARNT TO INCORPORATE
AIDS AFFECTS MY COMMUNITY
ARTISTIC SKILLS INTO PUBLIC
BADLY SO USING MY VISUAL
HEALTH MESSAGES TO COME
UP WITH SOMETHING
SKILLS TO HELP WAS AN
INTERESTING THAT CAN
ATTRACT PEOPLE TO THAT
AMAZING IDEA.”
MESSAGE THE SAME WAY NEW
Artists
PRODUCTS ATTRACT PEOPLE ...
SO I’VE LEARNT A LOT.” By having an impact on artists by helping them to
discover that they can apply their skills to designing
public health messages.
This was reported and observed relative to artists:
—Being exposed to the notion of designing health messages
—Changing their attitudes about how they can use their artistic
skills by realizing it can be exciting and fun to develop public
health messages (as opposed to boring)
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 89
3. Data analysis and reflection | Answering the research question | Impact on artists
Additional artist response
The following additional statement (from a focus group) also
relates to artists’ understanding that they can apply their skills to
designing public health messages:
Initially before this project started I didn’t know that such a field
existed that we can explore and help other people learn, other people
get the message. The way we did it is totally different from how it is
done in Uganda, in Kenya, anywhere else and I’ve really liked this thing
because when everyone looks at it and see that this is something
original … this is something with a great great message … everyone
is like this thing it is beautiful its having a message.
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 90
3. Data analysis and reflection | Answering the research question | Impact on artists
“THESE ARTISTS WERE SO “ IN MOST CASES WHEN YOU
GRATEFUL TO US ... THEY SAID
THAT THEY’D NEVER DESIGNED
SAY PUBLIC HEALTH ALL I CAN
ANY HEALTH MESSAGES ...
THINK ABOUT IS HIV/AIDS,
THEY APPRECIATED THAT AT
LEAST ONCE IN THEIR LIVES
BUT ACCORDING TO THE WORKS
THEY WERE SOCIAL WORKERS
WHICH WAS SO GOOD.” WE DID ... EARLY SEX, EARLY
PREGNANCY ... IT BROUGHT IN
MY MIND THE PUBLIC HEALTH
SECTOR ... NOW I UNDERSTAND
I CAN COMMUNICATE MORE,
VISUALLY.”
By having an impact on artists by expanding their
understanding of public health issues.
This was reported and observed relative to artists:
—Interacting and engaging with participants to better understand
their public health messages in order to develop corresponding
visuals
—Realizing that there is a large number of public health issues
that effect them, more than they had previously thought
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 91
3. Data analysis and reflection | Answering the research question | Impact on artists
“THROUGH THIS PROJECT “ I HAVE GOT THE
MY ARTISTIC SKILLS
IMPROVED AND THE
OPPORTUNITY TO WORK
IMPORTANCE OF WORKING
WITH EXPERIENCED
AS A TEAM HAVE BEEN
IMPARTED TO ME.”
DESIGNERS, THE COMMUNITY
AND FELLOW STUDENTS ...
WE HAVE NOW BECOME
VERY GOOD FRIENDS.
I AM EVIDENTLY NOT
THE SAME.”
By having an impact on artists through their gaining of
practical design experience, improving their design skills.
This was reported and observed relative to artists:
—Feeling more confident in designing messages
—Learning to work in a collaborative environment toward
design solutions
—Learning to apply their skills to designing large-scale paintings
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 92
3. Data analysis and reflection | Answering the research question | Impact on artists
Additional artist responses
The following additional statements (from a focus group) also
relate to artists’ gaining of practical design experience, improving
their design skills:
I have learnt to work with different people more.
Understanding and getting more insights on concept development
— less is more concept.
From the day we started making sketches everyone was contributing …
I also enjoyed the first mural we did … when we managed to accomplish
that it gave me more guts to do other works.
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 93
3. Data analysis and reflection | Answering the research question | Impact on youth audience
“I REALLY NOTICED THE “AMAZING, INTERESTING
PAINTING AND WAS ACTUALLY
TOUCHED.” AND ATTRACTIVE.”
“I NOTICED IT SOME A WEEK
AGO AND I WAS REALLY
TOUCHED.”
Youth audience
By having an impact on the youth audience as shown by
their attraction to the paintings.
This was reported and observed relative to members of the
youth audience:
—Noticing the painting and being “touched” by it
—Expressing praise for the painting and its message
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 94
3. Data analysis and reflection | Answering the research question | Impact on youth audience
“IT SHOWS PEOPLE WHO ARE “ IT PORTRAYS THE IMPACT OF
STARTING A RELATIONSHIP,
GOING TO BLOOD TEST, CROSS-GENERATIONAL SEX
NEXT THE ARE BEING TESTED
AND RECEIVING RESULTS.” AND ITS CONTRIBUTION TO
“A PARTICULAR PERSON
IS USING HIS MATERIAL
GAINS OR PRODUCTS TO LURE
OTHERS ATTENTION HENCE
TRYING TO BUY LOVE.”
HIV/AIDS.”
By having an impact on the youth audience as shown by
their ability to accurately describe the paintings.
This was reported and observed relative to members of the
youth audience:
—Accurately describing the message for each of the paintings
“COUPLES ARE GOING FOR HIV
BLOOD TEST, THE SECOND
PHASE THEY ARE BEING TESTED,
THEN DISCLOSURE OF RESULTS.”
“IT SHOWS THAT MEN SHOULD
GO WITH THEIR PARTNERS FOR
BLOOD TEST.”
“IT PORTRAYS THE IMPACT OF
CROSS-GENERATIONAL SEX
AND ITS CONTRIBUTION TO
HIV/AIDS.”
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 95
3. Data analysis and reflection | Answering the research question | Impact on youth audience
“THE MESSAGE IS EASY TO “YEAH, IT SO SIMPLIFIED IN
UNDERSTAND BECAUSE THESE
ARE THINGS HAPPENING IN
THAT A PRIMARY KID IS ALSO
OUR COMMUNITIES AND MOST
ABLE TO UNDERSTAND IT
OF OUR YOUTHS ARE BEING
TRAPPED INTO THE ACT.”
JUST LIKE I DO.”
By having an impact on the youth audience as shown by
their ability to easily comprehend the intended message
in the paintings.
This was reported and observed relative to members of the
youth audience:
—Expressing that the messages are easy to understand
—Expressing that the messages relate to the circumstances of their
communities, helping to make the messages easy to relate to
—Demonstrating that they understand the message by articulating
its meaning in their own words
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 96
3. Data analysis and reflection | Answering the research question | Impact on youth audience
Additional audience responses
The following additional statements (from interviews and
questionnaires) also indicate that audience members can easily
comprehend the intended message in the paintings:
The message teaches a lot because in the picture a lady is being showed
denying the gifts or material being held by a man so it means that true
love can never be bought.
My impression was the awareness of having self respect as a girl child
about the intentions behind the rich men at campus who come in the
name of giving favors but when they love sex.
It is a great picture communicating to young people about valuing their
lives ahead of money.
I was so impressed with the painting because it shows fellow youth
colleagues the dangers of early sex.
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 97
3. Data analysis and reflection | Answering the research question | Impact on youth audience
“IT HAS MADE MANY YOUTH “ I HAVE A LOVER WHOM I’M
GO FOR BLOOD TEST THAN
BEFORE IT WAS PUT UP.” PLANNING TO MARRY IN
“THE LECTURERS INVOLVED
IN CROSS-GENERATIONAL SEX
WERE ANNOYED BY THE
PAINTING MEANING THAT IT
TOUCHED THEM.”
DECEMBER, BUT WHEN I SAW
THE PAINTINGS, THOUGH I
DON’T KNOW TO READ, IT
ENCOURAGED ME FOR TESTING.”
By having an impact on youth audience as shown by their
belief that the messages have the potential to increase
awareness about the topic, or lead to behavioral change.
This was reported and observed relative to members of the
youth audience:
—Expressing that their own attitudes or bahaviors have changed
in response to the message
—Believing that the messages have influenced the attitudes and
behaviors of others in their communities
—Believing that the messages have the potential to change the
attitudes and behaviors of others in their communities
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 98
3. Data analysis and reflection | Answering the research question | Impact on youth audience
Additional audience responses
The following additional statements (from interviews and
questionnaires) also relate to audience belief that the messages
have the potential to increase awareness about the topic, or lead
to behavioral change:
I think it will definitely lead to an increase of awareness about
the topic.
Questionnaire responses (participants)
All participants (35/35) felt that the messages were designed by
youth will have an influence on how they are perceived by other
youth.
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 99
3. Data analysis and reflection | Answering the research question | Impact on youth audience
“IT APPEALS TO ME “I HAVE LEARNT THAT
BECAUSE I’VE LEARNT THE
CONSEQUENCES OF BEING
WHEN I WANT TO START A
INVOLVED IN A RELATIONSHIP
WHILE STILL IN SCHOOL.” RELATIONSHIP I SHOULD
“I HAVE LEARNT THAT
ENGAGING IN SEX BEFORE
MARRIAGE CAN LEAD TO
SCHOOL DROP OUT, EARLY
IMPRISONMENT AND EARLY
PREGNANCY.”
“I HAVE LEARNT A LOT FROM
THE MESSAGE AND IT WILL
HELP ME TO FINISH MY
STUDIES.”
FIRST GO FOR BLOOD TESTING
WITH MY PARTNER.”
By having an impact on the youth audience as shown by
an increase of awareness of the issues addressed.
This was reported and observed relative to members of the
youth audience:
—Expressing that they have learned how specific acts can lead to
specific health-related or non-health related consequences
(i.e. early sex can lead to pregnancy, early sex can result in
school drop out)
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 100
3. Data analysis and reflection | Answering the research question | Impact on youth audience
“IT’S FROM MY COMMUNITY “ IT IMPRESSED ME BECAUSE IT’S
BECAUSE THESE THINGS ARE
HAPPENING AMONG OUR
ONE OF THE REAL PROBLEMS
YOUTHS THAT’S WHY THE CASE
THAT IS IN OUR LOCALITY.”
OF CROSS-GENERATIONAL
SEX IS RAMPANT.”
By having an impact on the youth audience as shown
by their perception that the messages came from within
their communities.
This was reported and observed relative to members of the
youth audience:
—Expressing that the message depicted relates to the
circumstances of their community
—Expressing that they had observed the message being painted
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 101
3. Data analysis and reflection | Answering the research question | Impact on youth audience
“I WOULD VERY MUCH BE “ ITS UP TO US TO STOP
INTERESTED (IN DESIGNING
SIMILAR MESSAGES) BECAUSE
CROSS-GENERATIONAL
IT HELPS A LOT.”
SEX
AND IT’S THE SAME US THAT
ARE SUPPOSED TO HELP
OTHERS TO GET TO KNOW
ABOUT IT.”
By having an impact on the youth audience as shown
by their interest in participating in designing similar
messages.
This was reported and observed relative to members of the
youth audience:
—Expressing that youth have a responsibility to help fellow youth
to understand the issues addressed
—Expressing that they would be interested to take part in related
activities because they think such projects are helpful to
the community
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 102
3. Data analysis and reflection | Discussion | Responses to the approach
“I LEARNT HOW TO “IT
BE ACCOUNTABLE TO A GROUP.”
HAS BUILT A RELATIONSHIP
BETWEEN US AND OTHER
YOUTH.”
DISCUSSION
Responses to the approach
Stategic partnership: participants and artists
“THE COMMUNITY IS VERY
HAPPY … HAVING KNOWN
THAT I WAS PART OF THE GUYS
PAINTING THEY WERE TELLING
ME EVERY STUDENT LIKED THE
PAINTING AND THAT IT HAS
BEEN THE TALK OF THE SCHOOL
… THEY WERE DISCUSSING
THESE THINGS IN THE SCHOOL
COMPOUND, THAT EVERYONE
IS CONCERNED, THEN I KNEW
THAT OUR PAINTING
IS SPEAKING.”
A number of participatory and communication approaches were
used throughout this project, including building community, active
participation, peer-to-peer communication and consensus-building.
The effectiveness of these approaches are discussed, highlighting
examples of participant responses to each approach.
Building community
The following themes relative to building community were
derived from participant responses and general observation:
—Helps to create partnerships between fellow youth
—Helps to bridge gaps between youth and other members of the
community including professionals and community leaders
—Helps to create a sense of membership to a community
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 103
3. Data analysis and reflection | Discussion | Responses to the approach
“I HAVE REALIZED “ MY FAVORITE ASPECT WAS THE
THAT I CAN CONTRIBUTE
GREATLY TO AN ACTIVITY.
PARTICIPATORY APROACH TO
ACTIVE PARTICIPATION
SOLVING PROBLEMS—THE WAY
HAS HELPED ME BUILD
MY BOLDNESS.”
WE GOT TOGETHER AND TALKED
AND SHARED ABOUT ISSUES—
I LOVED THAT EVERYONE HAD A
CHANCE TO PARTICIPATE AND
Listing problems, Namuwongo
“THE WORKSHOP WAS
REALLY AT HOME …
EVEN THE WAY WE WERE
GIVEN CHANCES …
EVERYONE PARTICIPATED.”
CONTRIBUTE THEIR VIEWS.”
Active participation
The following themes relative to active participation (or active
learning were derived from participant responses and general
observation:
—Helps to build participant confidence
—Helps to make participants feel comfortable expressing
themselves
—Helps to build tolerance and respect of others and their opinions
Participant expressing his views, Namuwongo
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 104
3. Data analysis and reflection | Discussion | Responses to the approach
“ YOUTH UNDERSTAND YOUTHS
DIFFERENTLY. THERE ARE UNIQUE
SECRETIVE MESSAGES AMONGST
YOUTH THAT OTHERS WOULDN’T
Exploring issues through mock-counseling, Kayunga
TALK ABOUT. PEER-TO-PEER TALK
WORKS BEST.”
Peer-to-peer communication
The following themes relative to peer-to-peer communication
were derived from participant responses and general
observation:
—Helps to gain access to youth expression
—Helps to implicate participants by giving them responsibility
to take action
—Facilitates the testing of messages among fellow youth
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3. Data analysis and reflection | Discussion | Responses to the approach
“ I HAVE ATTENDED OTHER
WORKSHOPS WHERE THERE
IS A LECTURER AND YOU LEARN
A, THEN B, AND THEN C ...
Voting on problem caterogies to focus on
HERE WE WERE DEVELOPING A
X
SOLUTION OUT OF WHAT WE FELT
AND THIS APPROACH IS BEST…
IF THE YOUTH ARE PUT TOGETHER
The category of ‘sex’ received the most votes
TO MAKE MESSAGES THEY MAKE
THEM OUT OF THEIR HEARTS …
THESE MESSAGES CAME OUT
OF CONSENT.”
Consensus-building
Consensus-building was not an approach outlined in the section
‘background, participatory approaches,’ however, it was an approach
that was used in order to implicate participants in project
decisions.
The following themes relative to consensus-building were
derived from participant responses and general observation:
—Helps to ensure that all participants take part in decisions
—Helps to encourage discussion, allowing both sides of an
argument to be heard
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3. Data analysis and reflection | Discussion | Personal stories
“THERE IS A GUILT I Personal stories
HAVE BEEN STAYING WITH The following are stories of individuals and their participation
relevant to the project. They are included as insights into the
THROUGHOUT THE PROJECT … impact of the project at a personal level.
THE FACT IS, I WAS GOING TO Artist
TRASH THE WHOLE THING … The first Makerere student to volunteer to join the participants
BUT AT ONE TIME YOU GUYS to help develop their chosen concepts into effective visual
communications was exceptional. Although he began volunteering
INVITED ME TO WORK ON THE with the TASO ACYC group, he ended up working with all three
‘SELF WORTH’ CONCEPT AND Kampala groups. A number of designers contributed to each of the
final visuals for these three projects, however, in each case it was
IT WAS REALLY INTERESTING this designer’s sketches that were chosen by the participants to be
into the painted messages. In addition, sketches that
AND I FOUND MYSELF STAYING developed
he made in the initial in-class workshops at Makerere University
MORE AND MORE … I REALLY insprired two of the three final paintings executed by the MUWRP
group in Kayunga. In addition to this designer’s remarkable ability
LIKED THE EXPERIENCE.” to transform concepts into appealing visuals, he also demonstrated
a very high degree of professionalism thoughout the projects.
Since his involvement in this project he has obtained several
design contracts in Kampala, including two painting projects
and a contract designing icons for health communications.
“WE ARE THE VERY PEOPLE
THAT HAVE MADE THINGS
HAPPEN, SINCE YOU’VE
Kayunga participant
TAUGHT US NOW WE CAN
One particular participant from the MUWRP group in Kayunga
GO AHEAD AND DO IT ON proved to be a leader from the beginning of the collaboration.
OUR OWN.” For each workshop, she was there early helping to set up and
mobilize the group. During the workshops at Makerere she stood
up in front of over 100 students to present the MUWRP Kayunga
Youth Center and their project to the class. Finally, she worked to
develop the final drawings for all the concepts that were painted in
Kayunga, making this group the only one that finalized its visuals
without the help of artists. The staff at MUWRP were so impressed
with the initiative this staff member took that they agreed to
provide the necessary financial support for her to work with the
other participants to develop and paint a fourth painting on their
own. Furthermore, she has recently received a promotion.
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 107
3. Data analysis and reflection | Discussion | Personal stories
“WORKSHOP INVOLVEMENT Namuwongo Youth Group member
HELPED IN MANY WAYS. One of the youngest project participants was only fifteen. He was
one of the most dedicated and motivated participants and he
IT HELPED TO REGAIN MY learned very quickly. During the workshops at Makerere University,
MEMORY ABOUT SCHOOL ... he was confident enough to share his concepts and ideas with the
much older University students. Unable to pay his school fees, he
AND I REALIZED THAT I had dropped out of school before we began the workshops. He has
that the workshops and now his ongoing membership in
COULD AT LEAST MAKE IT reported
the Namuwongo Youth Group have helped to motivate him to work
IF I GO BACK TO SCHOOL, harder in order to obtain school fees to go back to school. He is
presently in senior three (the equivalent of about grade 10) and an
BECAUSE I WAS INVOLVED active member of the NYG.
IN DESIGNING MESSAGES FOR
Namuwongo Youth Group member
SCHOOLING GUYS AND BIGGER
This participant was responsible for mobilizing the group in
YOUTHS THAN ME. IT GAVE ME Namuwongo. He represented his group during the Makerere
presenting in front of over 100 students, and when
MORALE AND BOOST TO GO workshops,
we hosted a party at the end of all the workshops, he volunteered
BACK TO SCHOOL.” to be the Master of Ceremonies. He also designed the logo for the
“I LEARNT HOW TO LIVE IN
A SOCIETY AS A GOOD
EXAMPLE TO OTHERS.
I LEARNT HOW TO DESIGN
LOGOS, SYMBOLS AND
DRAWINGS. I LEARNT HOW
TO ACT. I LEARNT HOW TO
ALSO PAINT. AND ALL THESE
TOGETHER WIDEN MY
KNOWLEDGE AND CAPACITY
OF UNDERSTANDING.”
NYG and has demonstrated impressive skills in both break-dancing
and acting. An exceptional leader, he is a driving force behind the
newly founded Namuwongo Youth Group. Recently, he has reported
that the NYG set up a community outreach initiative, testing
over 400 community members for HIV.
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3. Data analysis and reflection | Discussion | Challenges
Challenges
Over 50 youth participants, a design class of over 100 students
(including the fifteen who took part in subsequent workshops), four
research assistants and professionals from at least 20 institutions
took part, at various levels, in this project. Over 40 workshops
were facilitated, six paintings were produced, and five focus groups
were conducted. Most challenges that were faced had to do with
managing people. Other challenges related to workshop logistics
—ordering or preparing refreshments, finding change for transport
reimbursements, obtaining the necessary permissions to execute
each painting, etc. Of the numerous challenges, only those most
relevant to the execution of future participatory design projects are
elaborated below.
Accessing genuine participant expression
In Ugandan culture it is quite common for youth to learn through
processes of memorization and repetition through a system that
seems to be more focused on discourse than dialogue. For example,
the artists that took part in this project attend classes at Makerere
University with over 100 other students. Their instruction is based
on lectures and exams, many of which are multiple choice. When
workshops were conducted in collaboration with a first year design
class, students reported that it was the first time that they worked
on a collaborative project. At the MUWRP Kayunga Youth Center,
staff, some of whom took part in this project, are trained as HIV/
AIDS counselors. As a result, they have been taught the ‘A, B, C’
approach (abstinence, be faithful and use condoms) to HIV/AIDS
prevention. Introducing participatory approaches within this
context was at times challenging. For example, since the counselors
already knew a response to HIV/AIDS prevention and as such it was
difficult to get them to explore other solutions, such as those that
came from their own experiences.
It is important to note that this same challenge was not evident
in the case of the Namuwongo project. These participants had no
prior exposure or training in HIV/AIDS counseling or any other
community or health-related training. Many of them are no longer
in school. This turned out to be an advantage in that they had
few or no rehearsed or memorized responses to offer. In this way,
it seemed much easier to gain access to their own personal
perspectives and responses to the issues addressed.
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3. Data analysis and reflection | Discussion | Challenges
Facilitating collaborations with local artists
Recruiting local artists was not a challenging endeavor in itself.
The youth artists who collaborated on this project were eager,
willing and dedicated. Determining when and how to do so, or even
if it was appropriate to do so, however, was challenging. Conducting
a pilot collaboration with artists during the preliminary visit to
Uganda indicated that working with artists could help in the
development of messages while providing opportunities for the
artists to become trained in designing public health messages.
When this possibility was discussed with public health workers
involved in the mobilization of youth groups, it was not looked
upon favorably. It was suggested that the youth participants would
benefit most from learning to design the messages on their own.
For this reason workshops were initiated without the involvement
of local artists. About half way through the workshops it began
to become apparent that some of the youth groups were less
interested or less confident in creating visuals as they were in
developing concepts. Around this same time an opportunity arose
to collaborate with a Makerere design instructor to conduct in-class
workshops with his artists. These workshops sparked interest among
participants to continue working with the artists. Artists remained
involved in the workshops through to the end with three of the
four youth groups. Although participants from the MUWRP Kayunga
group attended the two in-class workshops, they did not continue
to work with artists. This was due in part to logistical challenges,
however, the collaboration was not pushed because the Kayunga
participants showed a strong interest in developing visuals. In this
case it seemed appropriate to help the participants to develop the
messages themselves for their own concepts.
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3. Data analysis and reflection | Discussion | Challenges
Collaborating with ‘other stakeholders’
In order to collaborate with three of the four youth groups,
partnerships were established with their associated organizations
(MUWRP, TASO and a combination of the HCP, the AIC and YEAH).
Challenges faced through these collaborations ranged from very few
to many. The most effective partnerships were with organizations
that understood and supported the ‘for youth, by youth’ approach
to designing messages. Challenges arose when organizations
attempted to impose their already existing messages.
Adapting to ‘Ugandan time’
Notions of time and ‘time keeping’ are quite different in Uganda
relative to Canada, for example. A typical workshop might ‘begin’
at 2h00, however, participants would usually start to arrive at
about 2h30, some of them arriving as late as 4h00. Although
attempts were made to encourage participants to arrive on time,
it proved to be more realistic to plan for late arrivals. Activities
were adapted to accommodate late arrivals while engaging those
already present.
Being ‘white’
It should be acknowledged that, whether fair or not, as a
‘Westerner’ or ‘white’ in Uganda, one is very often perceived as
being ‘different’—in various ways. The reality is that this can
have benefits and disadvantages. The most notable disadvantage
of being ‘white,’ as experienced in this project, is the perception
that whites have a lot of money. One example should be sufficient
to demonstrate how this can pose challenges. In Kayunga, the
evening prior to painting day, it was arranged to project the images
on the wall in order to trace their outlines. It was necessary to
negotiate use of electricity from a local business owner in order to
use the projector. Use of electricity for the evening was negotiated
by a participant at the rate of 2,000 Ugandan shillings. Later, after
completion of the tracing, the business owner demanded 20,000
shillings—ten times the negotiated amount. She insisted that
because a ‘white’ was involved she should be compensated
accordingly. In the end, the agreed upon amount was paid,
however, nearly at the cost of a village brawl.
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3. Data analysis and reflection | Discussion | Challenges
Dealing with social hierarchy
Once again, whether fair or not, youth in Uganda seem to rank low
in terms of social hierarchy. This was apparent as youth participants
attempted to approach building owners in order to inquire about
permission to paint messages on their buildings. On several
occasions youth participants reported that they were chased
away by domestic staff or otherwise brushed off while attempting
to make contact with building owners or representatives. Although
it was hoped that the participants could take on the task of
negotiating the use of wall space it became necessary in almost
all cases to intervene. Although race was not the only factor, it
seemed as though being ‘white’ in these cases helped to facilitate
negotiations with building owners or representatives.
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3. Data analysis and reflection | Discussion | Initial guidelines for action
Initial guidelines and considerations
The the following themes resulted from general observation
and content analysis. They can be useful as initial guidelines and
considerations for a ‘for youth, by youth’ approach to desiging
public health messages in resource-poor areas.
Mobilizing participants
—Working with an already existing youth group, as opposed to
mobilizing a new group, does not seem to be more advantageous.
Mobilizing a new group in a localized area seemed to create
potential for ongoing and sustainable group activity
—Groups that are united by a shared locality, such as their
neighborhoord, school or place of work, seemed to have
increased potential for ongoing and sustainable group activity
—Accessing genuine participant expression seems to be easiest
among participants who have had little or no previous ‘training’
related to public health messages
—Group sizes should be limited (groups of nine to fifteen
participants seemed to work best)
Identification of public health issues
In order to allow for maximum expression, participants should
be actively involved in the identification of the public health
issues to be explored. If topics that are somewhat narrower than
‘public health issues’ are presented as starting points, they should
be broad and simple in language. For example, the topic of ‘sex’
was a ‘hot topic’ among the four youth groups, leading to a range
of youth-identified smaller topics including ‘transactional love’ and
‘self worth.’ Imposing topics that are not simple in language, such
as ‘domestic violence’ seemed to limit participant expression.
Choice of design tools
— Tools should be easy to use, accessible and cheap
— Use of recycled materials such as paper, cardboard, rags
and containers should be encouraged
— Sponsorship or reduced rates should be sought for costly
materials such as paint in order to increase potential for
sustainable activities
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3. Data analysis and reflection | Discussion | Initial guidelines and considerations
Creating a space for free expression
Workshops should be a comfortable, accepting and tolerant
environment. Participants should be encouraged to express
themselves in a space where there are no right or wrong answers.
Various warm-up activities, games and exercises can help to
facilitate participant expression and comfort.
Establishing trust
It should be clear from the begining that the proposed project
is a partnership whereby all stakeholders have the opportunity
to benefit. For example, participants could receive a ‘training’
opportunity, while in return, the facilitator gains experience or an
opportunity to conduct research. If data collection is required for
research purposes this must be made clear. Establishing an equal
and balanced relationship with a mutual understanding that both
sides (the participants and the researcher) will benefit is critical.
Collaborating with local artists
Collaborating with local artists can inform design responses and
facilitate youth-to-youth learning, in cases where the artists are
also youth. These collaborations should be negotiated with project
participants according to their preferences and circumstances. The
following points should be considered:
— Collaborations based on locality increase potential for
sustainable relationships
— In terms of selecting artists a willingness to learn should carry
more weight than experience or ‘talent’
— It can be an advantage if the artists are also youth as this
facilitates youth-to-youth communication
— If participants express interest in developing visuals themselves
this should be considered, espcecially if time is available
—Facilitating collaborations with artists can provide increased
opportunities for building community and youth-to-youth
communication
Assessing messages
Assessment of messages should be based on peer responses.
Preliminary testing can take place in workshops among participants.
Messages should also be tested on other members of the audience.
This can be done informally by the participants inside or outside
of workshops. Messages should also be assessed by public health
experts assuring accuracy of information.
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3. Data analysis and reflection | Discussion | Limitations
Limitations
This study was exploratory, resulting in initial guidelines
and considerations for youth-to-youth communication and
sensitization. Attention should be drawn to the following
weaknesses of the study:
— Testing of the final messages could have been done
with more control. For example, tests were administered by
different research assistants and participants for each group.
Interviews and questionnaires with audience members were
administered by the participants themselves, with assistance
from research assistants (instructions, guidelines and questions
were provided). This was done in this way for two reasons; to
give participants the opportunity to learn through active
participation in the feedback process and to avoid the presence
of an ‘outsider’ during the feedback sessions, who could have
influenced their responses or led to requests for money in
exchange for their responses.
— This study was limited to four youth groups, three of which
were located in urban locations of Kampala. Plans were made to
work with a additional youth groups in more rural areas in Gulu
and Kabarole, however, these were cancelled because of time
constraints and in favor of focusing more on assessing audience
responses in the first four groups. More workshops in rural areas
would have led to outcomes more reflective of Uganda’s diversity.
— It is believed that participation in the workshops led to the
embodiment of the messages within the participants, leading
to further discussions about the topics with their peers, hence
spreading the message further. Due to the challenges of
measuring word-of-mouth impact it is impossible to know
the full extent to which these messages were effective in
the community.
— A number of areas of research that were not explored for this
study share similar ideologies to participatory design. These
include popular theatre, participatory action research, citizenship
and development education, indigenous knowledge, critical
pedagogy in education, ethnography and feminist research.
Further exploration of such areas could certainly inform
this kind of study.
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3. Data analysis and reflection | Conclusion | Toward design as a process for embodied change
CONCLUSION
Toward design as a process for embodied change
Re-positioning design as an inclusive and heuristic process has
led to the exploration of a vision for a community-driven design
practice. In particular, emphasis is shifted away from the visual
“means” for solving a design problem toward the acknowledgement
of youth potential and the collective ability of youth groups to
identify and respond to real problems. Through open dialogue
and creative expression, public health issues are reinterpreted
and rethought by youth participants inspiring collective reactions
within their own communities.
The seeds for awareness change are planted in the process itself,
which is both engaging and educational. Consensus building is
used to achieve culturally appropriate and youth-centered design
solutions. Benefits of this approach include an increased sense
of cultural ownership of the initiative among the community,
an increased awareness among the participants of the issue being
addressed and the introduction of design principles and techniques
to the participants. The impact on the community, over the long
term, can go even deeper as a result of the experiences gained
by the participants. The acquisition of knowledge, as well the
opportunity to nurture creative expression, can empower the
participants for life-long learning, helping them to become
ongoing agents of change.
Rethinking design as an empowering process—one that can lead
to the embodiment of attitudes and behavioral change within a
community—provides exciting possibilities for the future of design.
A fundamental challenge will be in making this approach accessible
to those who could benefit the most, and this is an interdisciplinary
design problem in itself.
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3. Data analysis and reflection | Conclusion | Future research
Future research
Figure 8
Areas for continued research
—Measuring the long-term impacts on
project participants
—Measuring the long-term impacts on artists
—Exploring how the approach could be made
more accessible to other youth
—Exploring how this approach can be used
to design and present messages through
other art forms, such as the urban arts as
well as local/traditional art forms
—Exploring how youth could be involved in
related projects in a more self-sustaining way
—Exploring how the same messages could
be appropriated to be used in print or other
campaigns
—Exploring how grass-roots networks such as
blogs or Facebook could help to further
spread the messages and contribute to
building community
Through this project, the design process has been opened up and
presented to youth as an opportunity to learn design skills while
helping fellow youth to respond to the public health problems that
concern them most. By unleashing the potential of participating
youth, an ongoing dialogue evolved, leading to the identification
and exploration of local health problems by the youth participants
themselves. Resulting responses were elaborated through collaborations with local artists and then tested through peer-to-peer
communication within the community. Final messages were
reproduced by participants and artists as painted messages in
the public space. The entire process was facilitated through an
ongoing commitment to an ideology centered on community
activation—one that prioritizes the needs and desires of the
community while acknowledging its members’ inherent potential
to act as agents for change. The resulting paintings extend the
dialogue initiated by the participants to onlooking youth. They
act as conversation pieces, informing or reminding the youth of
positive responses to problems they face in their community. To
the participants, these paintings remain tokens of accomplishment,
reminding them of their newly realized potential as peer-educators
and role models. To the artists, the paintings mark a new understanding of their own potential to work collaboratively, using their
artistic skills to help develop messages that have the potential
to improve lives within their community.
As the facilitator of this project, I have had the privilege of
learning from every youth that contributed—each in their own
unique way. By observing these youth, I have come to understand
that the most rewarding use of my own creativity is to use it to
open up spaces for others to learn and express themselves about
—Exploring how this approach could be adapted the issues that matter to them most. I am now commited to futher
exploring the possibilities of a community-driven approach to
as a model for youth empowerment/therapy
designing messages, including ways of making this approach more
strategies
accessible to more youth. A number of areas for continued research
—Exploring how this approach could be used
are listed to the left in figure 8.
—Developing the results of this research into
a guidebook or other documentation in order
to help support future participatory design
projects
within at-risk or high-risk youth communities
in Canada or elsewhere
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 117
References
REFERENCES
In order to maintain consistency with the bibliography, this reference
list uses ‘a’s and ‘b’s to denote multiple listings in a given year.
Bennett, A., Eglash, R., Krishnamoorthy, M. & Rarieya, M. (2006).
Audience as co-designer: Participatory design of HIV/AIDS
awareness and prevention posters in Kenya. In Bennett, A.
(Ed.). Design studies: Theory and research in graphic design
(pp. 179–190). New York, NY: Princeton Architectural Press.
Bonsiepe, G. (2006). Design and democracy. Design Issues, 22(2),
27–34.
Buchanan, R. (2001a). Design research and the new learning.
Design Issues, 17(4), 3-23.
Buchanan, R. (2001b). Human dignity and human rights:
Thoughts on the principles of human-centered design.
Design Issues, 17(3), 35–39.
Carroll, J.M. (2006). Dimensions of participation in Simon’s design.
Design Issues, 22(2), 3–18.
Doordan, D.P. (2003). On Materials. Design Issues, 19(4), 3–8.
Forlizzi, J. & Lebbon, C. (2002). From formalism to social
significance in communication design. Design Issues,
18(4), 3–13.
Frascara, J. (Ed.) (1997). User-centered graphic design: Mass
communications and social change. London: Taylor & Francis.
Frascara, J. (Ed.) (2002). Design and the social sciences: Making
connections. New York, NY: Taylor & Francis.
Frascara, J. (Ed.) (2004a). Communication design: Principles,
methods, and practice. New york: Allworth Press.
Jungkind, W. (2006). Defining the profession: What makes a graphic
designer? Retrieved September 17, 2009 from
http://www.gdc.net/designers/features/articles122
Kodama, T. & Minh Chau, L. T. (2002). Communication in HIV/AIDS
prevention: A case study from Vietnam. In Gondelsonas, C (Ed.),
Communicating for development: Experience from the urban
environment. Southampton Row, London: ITDG Publishing.
Makerere University Walter Reed Project (2008). Makerere
University Walter Reed Project: President’s emergency plan for AIDS
Relief (PEPFAR).Retrieved September 22, 2009 from
http://www.muwrp.org/pepfar.php.
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 118
References
Margolin, V. (2007). Design, the future and the human spirit.
Design Issues, 23(3), 4–15.
Martinson, B. & Chu, S. (2003). Graphic assimilation: New
immigrants and social identity. Visible Language, 37(2),
222–233.
Nieusma, D. (2004). Alternative design scholarship: Working toward
appropriate design. Design Issues, 20(3), 13–24.
School of Public Health, University of Alberta. (2009). School of
Public Health backgrounder. Retrieved September 21, 2009 from
http://www.publichealth.ualberta.ca/
pdfsSPHbackgrounder0609(single_web).pdf
Sanoff, H. (2000). Participation purposes. In Sanoff, H., Community
participation methods in design and planning. (pp. 1–36).
New York, NY: John Wiley & Sons.
Sanders, B.-N. (2002). From user centered to participatory design
approaches. In Frascara, J. (Ed.) (2002). Design and the social
sciences: Making connections (pp. 1–8). New York, NY: Taylor
& Francis.
The AIDS Support Organization. (2003). The AIDS Challenge
Youth Club. Retrieved September 22, 2009 from
http://www.tasouganda.org/youth.php.
Thomas, A. (2006). Design, poverty, and sustainable development.
Design Issues, 22(4), 54–65.
Wells, K., Sienaert, E. & Conolly, J. (2004). The Siyazama project:
A traditional beadwork and AIDS intervention program.
Design Issues, 20(2), 73–89.
Visual Communication Design | Department of Art + Design | Master of Design Thesis Project | Leslie Robinson | 119
Appendix | Bibliography
BIBLIOGRAPHY
Abdi, A. A. & Puplampu, K, P. (2006a). African education and
globalization: An introduction. In Abdi, A. A., Puplampu, K, P.
& Sefa Dei, G. J. (Eds.), African education and globalization:
Critical perspectives (pp. 1–11) Lanham, MD: Lexington Books.
Abdi, A. A. (2006b). Culture of education, social development,
and globalization: Historical and current analyses of Africa.
In Abdi, A. A., Puplampu, K, P., & Sefa Dei, G. J. (Eds.),
African education and globalization: Critical perspectives
(pp. 13–27). Lanham, MD: Lexington Books.
Amir, S. (2004). Rethinking design policy in the third world.
Design Issues, 20(4), 68–75.
Balka, E. (2006) Inside the belly of the beast: The challenges and
successes of a reformist participatory agenda. Proceedings of
the ninth Participatory Design Conference 2006. 134–143.
Trento, Italy.
Bennett, A., Eglash, R., Krishnamoorthy, M. & Rarieya, M. (2006).
Audience as co-designer: Participatory design of HIV/AIDS
awareness and prevention posters in Kenya. In Bennett, A.
(Ed.). Design studies: Theory and research in graphic design
(pp. 179–190). New York, NY: Princeton Architectural Press.
Barab, S.A., Thomas, M.K., Dodge, T., & Newell, M. (2004).
Reflections from the field: Critical design ethnography:
Designing for Change. Anthropology and Education Quarterly.
35(2), 254–268.
Bierut, M., Drenttel, W. & Heller, S. (Eds.). (2006). Looking
closer 5: Critical writings on graphic design. New York, NY:
Allworth Press.
Black, M. (2002). The no-nonsense guide to international
development. Toronto, ON: New Internationalist.
Bonsiepe, G. (2006). Design and democracy. Design Issues, 22(2),
27–34.
Buchanan, R. (2001a). Design research and the new learning.
Design Issues, 17-4, 3-23.
Buchanan, R. (2001b). Human dignity and human rights:
Thoughts on the principles of human-centered design.
Design Issues, 17(3), 35–39.
Appendix 1 | 120
Appendix | Bibliography
Buchanan, R. (2004). Human-centered design: changing
perspectives on design education in the east and west.
Design Issues, 20(1), 30–39.
Carroll, J.M. (2006). Dimensions of participation in Simon’s design.
Design Issues, 22(2), 3–18.
Cooke, M. (2006) Design methodologies: Toward a systemic
approach to design. In Bennett, A. (Ed.) Design Studies:
Theory and Research in Graphic Design (17–199). New York:
Princeton Architectural Press.
Cranmer, J. & Zappaterra, Y. (2003). Conscientious objectives:
Designing for an ethical message. Mies, Switzerland: RotoVision.
Della Porta, D. (Eds.) (2007). The global justice movement:
Cross-national and transnational perspectives. Boulder, CO:
Paradigm Publishers.
de Stadler, L.G. (2005). Knowing your culture: The difficulty of
measuring culture. Information Design Journal and Document
Design, 13(1), 70–73.
Doordan, D.P. (2003). On Materials. Design Issues, 19(4), 3–8.
Elovaara, P., Igira, F. T. & Mörtberg, C. (2006) Whose participation?
Whose knowledge? Exploring PD in Tanzania-Zanzibar and
Sweden. Proceedings of the ninth participatory design conference
2006. 105–114. Trento, Italy.
Gondelsonas, C. (2002). (Ed.), Communicating for development:
Experience from the urban environment. Southampton Row,
London: ITDG Publishing.
Forlizzi, J. & Lebbon, C. (2002). From formalism to social
significance in communication design. Design Issues,
18(4), 3–13.
Frascara, J. (Ed.) (1997). User-centered graphic design: Mass
communications and social change. London: Taylor & Francis.
Frascara, J. (Ed.) (2002). Design and the social sciences: Making
connections. New York, NY: Taylor & Francis.
Frascara, J. (Ed.) (2004a). Communication design: principles,
methods, and practice. New york: Allworth Press.
Frascara, J. (2004b). Design for education. In Frascara, J. (Eds.),
Communication design: Principles, methods, and practice
(pp. 152–156). New York, NY: Allworth Press.
Appendix 1 | 121
Appendix | Bibliography
Hawken, P. (2007). Blessed unrest: How the largest movement in
the world came into being and why no one saw it coming.
New York, NY: Viking.
Jungkind, W. (2006). Defing the profession: What makes a graphic
designer? Retrieved September 17, 2009 from
http://www.gdc.net/designers/features/articles122
Kenix, L. J. (2007). The homogenized imagery of non-profit
organizations on the Internet. Visible Language, 41(2).
127–159.
Kodama, T. & Minh Chau, L. T. (2002). Communication in HIV/AIDS
prevention: A case study from Vietnam. In Gondelsonas, C (Ed.),
Communicating for development: Experience from the urban
environment. Southampton Row, London: ITDG Publishing.
Lievrouw, L. A. (2006) Oppositional and activist new media:
Remediation, reconfiguration, participation. Proceedings of the
ninth participatory design conference 2006. 115–124.
Trento, Italy.
Margolin, V. (2002). The Politics of the artificial: Essays on design
and design studies. Chicago, Univerisity of Chicago Press.
New York, NY: Princeton Architectural Press.
Margolin, V. (2007). Design, the future and the human spirit.
Design Issues, 23(3), 4–15.
Margolin, V., & Margolin, S. (2002). A ‘social model’ of design:
Issues of practice and research. Design Issues, 18(4). 24–30.
Martinson, B. & Chu, S. (2003). Graphic assimilation: New
immigrants and social identity. Visible Language, 37(2),
222–233.
Melican, J. (2004) User studies: Finding a place in design practice
and education. Visible Language, 38(2), 168–193.
Nemeth, C. (2003). Get real: The need for effective design research.
Visible Language, 37(1), 93–109.
Niederhelman, M. (2001). Education through design.
Design Issues, 17(3), 83–87.
Nieusma, D. (2004). Alternative design scholarship: Working toward
appropriate design. Design Issues, 20(3), 13–24.
Oosthuizen, T. (2004). In marketing across cultures: Are you
enlightening the world or are you speaking in tongues?
Design Issues, 20(2), 61–71.
Appendix 1 | 122
Appendix | Bibliography
Poggenpohl, S. H. (2003a). Theory, analysis and effective research
communication for design. Visible Language, 37(1), 5–11.
Poggenpohl, S. H. (2003b). Cultural dimensions of visual
communication design: An introduction. Visible Language,
37(2), 116–121.
Qian, F. (2007). International conference on the cultural industry
and the education of art and design: The future of design
education in different cultural contexts. Design Issues, 23(3),
86–87.
Sanders, B.-N. (2002). From user centered to participatory design
approaches. In Frascara, J. (Ed.) (2002). Design and the social
sciences: Making connections (pp. 1–8). New York, NY: Taylor
& Francis.
Sanders, B.-N. (2005). Information, inspiration and co-creation.
Paper presented at the 6th International Conference of the
European Academy of Design: Bremen, Germany.
Sanoff, H. (2000). Participation purposes. In Sanoff, H., Community
participation methods in design and planning. (pp. 1–36).
New York, NY: John Wiley & Sons.
Sato, K. (2004). Perspectives of design research: In design:
Collective views for forming the foundation of design research.
Visible Language, 38(2), 218–237.
Schmodt, M., Bilak, P., McCoy, K., Nakamura, R., Siegel, D.,
FitzGerald, K. et al. (2004). Graphic design vs. style, globalism,
criticism, science, authenticity and humanism. Emigre no. 67.
New York, NY: Princeton Architectural Press.
Sefa Dei, G. J. & Asgharzadeh, A. (2006). Indigenous knowledges
and globalization: An African perspective. In Abdi, A. A.,
Puplampu, K, P., & Sefa Dei, G. J. (Eds.), African education
and globalization: Critical perspectives (pp. 53–73). Lanham,
MD: Lexington Books.
Smith, C. E. (Ed.) (2007). Design for the other 90%. Smithsonian
Cooper-Hewitt, National Design Museum: New York, NY.
Spariosu, M. I. (2004). Global intelligence and human development:
Toward and ecology of global learning. Cambridge, MA:
MIT Press.
Spring, J. (2004). How educational ideologies are shaping global
society: Intergovernmental organizations, NGOs, and the
decline of the nation-state. Mahwah, NJ: Lawrence Erlbaum
Associates.
Appendix 1 | 123
Appendix | Bibliography
Taylor, R. (Eds.) (2004). Creating a better world: Interpreting global
civil society. Bloomfield, CT: Kumarian Press.
Thomas, A. (2006). Design, poverty, and sustainable development.
Design Issues, 22(4), 54–65.
Wells, K., Sienaert, E. & Conolly, J. (2004). The Siyazama project:
A traditional beadwork and AIDS intervention program.
Design Issues, 20(2), 73–89.
Woodhouse, E. & Patton, J. W. (2004). Design by society: Science
and technology studies and the social shaping of design.
Design Issues, 20(3), 1–12.
Wurman, R.S. (1989) Information anxiety. (p. 167) New York, NY:
Doubleday.
Appendix 1 | 124
Appendix 2 | 125
Appendix 3 | 126
Appendix 4 | 127
Appendix 5 | 128
Workshop Series Participant Informed Consent Form
Participatory Design for Public Health Education Messages in Uganda
___________________________________________________________________________________
This workshop series is part of a joint research project between the Institute of Public Health, Makerere University
and both the Departments of Public Health Sciences (School of Public Health) and Art and Design, University of
Alberta (Canada). This project is part of a Master of Design thesis in Visual Communication Design, which will
result in a design project, written support document and public exhibition. The aim of this workshop series is to
provide feedback for future participatory design projects relative to public health education programs ba out issues
including, but not limited to, HIV/AIDS and other sexual and reproductive health related topics. Results of the
research may be disseminated through a thesis exhibition and report as well as future presentations and documents.
Your participation in the workshop series is voluntary and you may withdraw at any time without penalty (and have
your data removed). The workshop series will include a maximum of 7 separate workshops (on separate days) and
will take place during the period from March 16 to April 27, 2009. Each workshop will last no more than 6
hours. Activities will include (1) a presentation on the methodology of participatory design and potential scenarios
for its application in Namuwongo (2) ice-breaker activities that address public health issues while exploring design
techniques (3) discussions about the critical public health issues in Namuwongo as well as messages that need to be
communicated (4) activities in which groups will develop and present potential design concepts and scenarios for
analysis and discussion (5) the development and refinement of design concepts (mock-ups) (6) the assessment of
mock-ups with members of the target audience (7) the execution of mural(s) (8) a project evaluation.
During discussions and activities your comments may be recorded through written notes or audio recordings. Your
comments may be quoted in thesis documents or future presentations and papers, but will not include your name
or identity (without your permission). Photographs and video and audio recordings will be taken of workshop
activities, including participants. Only the photographs and recordings of participants who have given written
consent may be used in thesis documents (or future presentations and papers). To ensure your anonymity, all
research assistants associated with this project have signed confidentiality statements. There are minimal risks
associated with participating in this study.
I________________________ agree to participate as a member of a participatory design workshop series and as
a respondent to questionnaires for the above research project conducted by LeslieRobinson and associated partners.
I understand that the workshop is part of a research project and that we will be discussingpublic health issues that
include HIV/AIDS and other sexual and reproductive health topics, including sexual behavior, the consequences of
becoming infected (in the case of HIV/AIDS) and different strategies and messages that could be communicated in
order to increase awareness about theses issues.
I understand that my responses to questions during the workshop may be recorded and included in research
documents and future visual and verbal presentations, but that my name will not be used in any report related to
this project without my permission. I will receive 2,500 shillings for travel expenses at each workshop, however, I
may withdraw at any time during a session without penalty (and have my data removed).
(Please check, if appropriate)
! You have my permission to use images of me in written or visual presentations related to this study
! Yes, please use my name to credit my responses in your research data
Participant name_________________________Date_____________Signature_______________________
Appendix 6 | 129
Workshop Informed Consent Form: Makerere Design Students
Participatory Design for Public Health Education Messages in Uganda
___________________________________________________________________________________
As a student of Makerere University, Margaret Trowell School of Industrial and Fine Arts, in the course lettering
IFA 1222, you have been invited to take part in 2 participatory design workshops in collaboration with
youth participants from Kampala and Kayunga. These workshops are connected to the study Participatory Design for
Public Health Education Messages in Uganda, which will lead to a Master of Design thesis in Visual
Communication Design. Results of the overall project will include a design project, written support document,
public exhibition and methodology guidebook. The collective aim of all related workshops is to provide feedback
for future participatory design projects relative to public health education programs ab out issues including, but not
limited to, HIV/AIDS and other sexual and reproductive health related topics.
The workshops will take place on Wednesday, April 1 and Wednesday, April 8, 2009 during your regular
scheduled class time. Activities will include (1) a presentation on the methodology of participatory design in
relation to the projects being conducted by the youth participants (2) discussions about the critical public health
issues identified by the youth participants as well as related messages (3) activities in which groups (of students and
youth participants) will develop, critique and present potential design concepts and scenarios for analysis and
discussion (4) the development and refinement of design concepts (5) the assessment of concepts with members of
the target audience (6) a project evaluation.
During discussions and activities your comments may be recorded through written notes or audio and video
recordings. Your comments may be quoted in thesis documents or future presentations and papers, but will not
include your name or identity (without your permission). Photographs and video and audio recordings will be
taken of workshop activities, including students. Photographs and recordings of students may be used in thesis
documents (or future presentations and papers), however, student names or identities will not be mentioned
(without your permission). To ensure your anonymity, all research assistants associated with this project have
signed confidentiality statements. There are minimal risks associated with participating in this study.
___________________________________________________________________________________
I, __________________________________, understand that these workshops are part of a research project
and that we will be discussing public health issues that include HIV/AIDS and other sexual and reproductive
health topics, including sexual behavior, the consequences of becoming infected (in the case of HIV/AIDS and
other sexually transmitted infections) and different strategies and messages that could be communicated in order to
increase awareness about theses issues.
By participating in this study, I understand that I will be contributing my own ideas to a collective and
participatory project, and as such, I will be giving up individual ownership of the ideas I have shared in exchange
for a collective ownership of the above-described project. By participating in this collective process, I will be
acknowledged for my contribution to the project as part of the course lettering IFA 1222, in connection to the
projects developed by the youth participants from Kampala and Kayunga.
By signing this form, I agree to participate in the above-described workshops and as a respondent to questionnaires
for research project conducted by Leslie Robinson and associated partners.
Student name_________________________Date_____________Signature_______________________
Appendix 7 | 130
Workshop Informed Consent Form: Makerere Design Students
Participatory Design for Public Health Education Messages in Uganda
___________________________________________________________________________________
As a designer, you have been invited to take part in participatory design workshops in collaboration with
youth participants from Kampala and Kayunga. These workshops are connected to the study Participatory Design for
Public Health Education Messages in Uganda, which will lead to a Master of Design thesis in Visual
Communication Design. Results of the overall project will include a design project, written support document,
public exhibition and methodology guidebook. The collective aim of all related workshops is to provide feedback
for future participatory design projects relative to public health education programs about issues including, but not
limited to, HIV/AIDS and other sexual and reproductive health related topics.
The workshops will take place on select days during the period from April 1 and May 30, 2009. Activities during
workshops may include (2) discussions about the critical public health issues identified by the youth participants as
well as related messages (3) activities in which groups (of designers and youth participants) will develop, critique and
present potential design concepts and scenarios for analysis and discussion (4) the development and refinement of
design concepts (5) the assessment of concepts with members of the target audience (6) a project evaluation.
During discussions and activities your comments may be recorded through written notes or audio and video
recordings. Your comments may be quoted in thesis documents or future presentations and papers, but will not
include your name or identity (without your permission). Photographs and video and audio recordings will be
taken of workshop activities, including designers. Photographs and recordings of designers may be used in thesis
documents (or future presentations and papers), however, designers names or identities will not be mentioned
(without your permission). To ensure your anonymity, all research assistants associated with this project have
signed confidentiality statements. There are minimal risks associated with participating in this study.
___________________________________________________________________________________
I, __________________________________, understand that these workshops are part of a research project
and that we will be discussing public health issues that include HIV/AIDS and other sexual and reproductive
health topics, including sexual behavior, the consequences of becoming infected (in the case of HIV/AIDS and
other sexually transmitted infections) and different strategies and messages that could be communicated in order to
increase awareness about theses issues.
By participating in this study, I understand that I will be contributing my own ideas to a collective and
participatory project, and as such, I will be giving up individual ownership of the ideas I have shared in exchange
for a collective ownership of the above-described project.
By signing this form, I agree to participate in the above-described workshops and as a respondent to questionnaires
for research project conducted by Leslie Robinson and associated partners.
Student name_________________________Date_____________Signature_______________________
Appendix 8 | 131
Consent for Acknowledgement: Makerere Design Students
Participatory Design for Public Health Education Messages in Uganda
___________________________________________________________________________________
As a designer who has taken part in the study, Participatory Design for Public Health Education Messages in
Uganda, you have the opportunity to be credited for your contribution to the project by having your artist’s profile
featured in the project’s methodology guidebook. It is anticipated that the guidebook will be available in December
2009.
___________________________________________________________________________________
Artist’s Profile
Name:
Email (for contacting you about the guidebook):
Age:
Type of Artist:
What inspires you to be a designer?
How has this project impacted you?
Would you like any contact information to be included in the guidebook? If so, please note:
Anything else you would like to be mentioned?
___________________________________________________________________________________
By signing this form, I agree to have my name mentioned, in association to the work I contributed to the
workshops for the research project conducted by Leslie Robinson and associated partners.
Student name_________________________Date_____________Signature_______________________
Appendix 9 | 132
Research Assistant Confidentiality Agreement
Participatory Design for Public Health Education Messages in Uganda
__________________________________________________________________________________________
I , (please print name) _____________________________________________, agree to hold confidential all
data (in all forms) collected from the Participatory Design for Public Health Education Messages in Uganda study.
___________________________________________ _____________________________________________
signature
date
!
Appendix 10 | 133
Namuwongo Workshop Series: Questions
PARTICIPATORY DESIGN FOR PUBLIC HEALTH EDUCATION MESSAGES IN UGANDA
The following are questions about your experience in the workshop series. Please respond honestly and openly.
Your responses are anonymous. You may respond in the language of your choice.
1. How many of the 7 workshops in Namuwongo did you attend?
2. Did you enjoy participating in the workshops?
Why or why not?
3. Do you feel that you made a valuable contribution to the final outcome (painting)?
Please explain.
4. Do you feel that having taken part in the workshop, you are better able to design messages?
5. Do you feel that having taken part in the workshop series, you are more willing to design messages in the
future?
Why or why not?
6. Do you feel that the fact that the messages were designed by youth will have an influence on how they are
perceived by other youth?
If so, how?
7. Were there specific activities or discussions that were particularly helpful to you?
Please explain.
8. Would you suggest that any part of the workshops be done differently in the future?
Please explain.
9. Did you attend any of the additional workshops at Makerere University?
If so, what worked well and what might be done differently in the future?
10. Has the workshop helped to increase your self-confidence?
Please explain.
11. Has your own awareness of the public health issues discussed increased?
Please explain.
12. Did you attend the Good Friday workshop with other community groups and design students? Yes
No
If so, what worked well and what might be done differently in the future?
Please use the back of this sheet if you have additional comments.
Appendix 11 | 134
Participant questionnaire results
Did you enjoy participating in the workshops?
NYG YES=6 NO=0
Art 4 Social Change YES=8 NO=0
MUWRP YES=13 NO=0
TASO ACYC YES=8 NO=0
Do you feel that you made a valuable contribution to the final
outcome (painting)?
NYG YES=6 NO=0
Art 4 Social Change YES=8 NO=0
MUWRP YES=13 NO=0
TASO ACYC YES=8 NO=0
Do you feel that having taken part in the workshop, you are better
able to design messages?
NYG YES=6 NO=0
Art 4 Social Change YES=8 NO=0
MUWRP YES=13 NO=0
TASO ACYC YES=8 NO=0
Do you feel that having taken part in the workshop series, you are
more willing to design messages in the future?
NYG YES=6 NO=0
Art 4 Social Change YES=8 NO=0
MUWRP YES=13 NO=0
TASO ACYC YES=8 NO=0
Do you feel that the fact that the messages were designed by youth
will have an influence on how they are perceived by other youth?
NYG YES=6 NO=0
Art 4 Social Change YES=8 NO=0
MUWRP YES=13 NO=0
TASO ACYC YES=8 NO=0
Has the workshop helped to increase your self-confidence?
NYG YES=6 NO=0
Art 4 Social Change YES=8 NO=0
MUWRP YES=13 NO=0
TASO ACYC YES=8 NO=0
Has your own awareness of the public health issues discussed increased?
NYG YES=6 NO=0
Art 4 Social Change YES=8 NO=0
MUWRP YES=13 NO=0
TASO ACYC YES=7 NO=1
Appendix 12 | 135
Focus Group Questions
Administrator: Please remind participants that they can respond in the language of their choice.
Please encourage responses from as many participants as possible. Please encourage participants to explain
why and to give examples, as appropriate. You may ask questions like:
–any one else?
–can you tell us why?
–can you give an example?
Remember that your role is to be objective, encouraging responses, while remaining neutral.
1. What was your favorite thing about the workshop and why?
2. What could have been done differently?
3. Has your knowledge increased about public health issues? How so?
4. What skills did you learn or improve upon in the workshop series?
5. How was the experience working with the designers from Makerere?
6. Are you satisfied with the painting? Why or why not?
7. How has your community responded to the painting?
8. When the workshops are over and the facilitators are no longer available, do you
think that you will continue to apply any of the skills that you learned? How so?
9. Do you have any other comments that you would like to share?
At this point you can close the focus group and invite me to join the group to respond to their comments and answer any
additional questions.
Appendix 13 | 136
Workshop Series: Questions for Designers
PARTICIPATORY DESIGN FOR PUBLIC HEALTH EDUCATION MESSAGES IN UGANDA
The following are questions about your experience in the workshop series. Please respond honestly and openly.
Your responses are anonymous. You may respond in the language of your choice.
What was your favorite thing about the workshop and why?
What could have been done differently?
Has your knowledge increased about public health issues?
What skills did you learn or improve upon in the workshop series?
How was the experience working with participants?
When the workshops are over and the facilitators are no longer available, do you
think that you will continue to apply any of the skills that you learned? How so?
Appendix 14 | 137
Questionnaire for Target Audience of ACYC TASO Painting
Participatory Design for Public Health Education Messages in Uganda
_______________________________________________________________________________________________
As a student of Makerere University and as a member of the target audience for the ACYC TASO Mulago painting on the Psychology
Building, you are being asked to respond to the following questions to help in the study Participatory Design for Public Health
Education Messages in Uganda. You may choose to respond to the questions in written form, or through an interview (either audio or
video recorded). The collective aim of this project is to provide feedback for future participatory design projects relative to public health
education programs about issues including, but not limited to, HIV/AIDS and other sexual and reproductive health related topics.
Data collected may be used in thesis documents or for future presentations and papers, but will not include your name or identity.
Your contribution is anonymous. We thank you for your valuable contribution to our study.
_______________________________________________________________________________________________
1) Have you noticed the painting (on the Psychology Building)?
If yes, what was your first impression?
2) Can you please describe the painting?
3) Does it appeal to you?
Why or why not?
4) What is the message being communicated?
5) Is the message easy to understand?
6) Have you learned anything from the message?
7) Do you think this message could increase awareness about the topic, or lead to behavioral change?
8) Does the message feel like it has come from your community?
9) Would you ever be interested in helping to make a message like this?
10) Do you have any other comments (please use the back of this sheet if necessary)?
Appendix 15 | 138
-FTMJF3PCJOTPO .%FT$BOEJEBUF| Visual Communication Design | Department of Art + Design | University of Alberta
[email protected] | Mobile: 775 757 493 | P.O. Box 7072, Institute of Public Health, Makerere University, Kampala
KAYUNGA TOWN COUNCIL
Office of the Town Clerk
P.O. Box 18148
Tel: 0772 521-677
Email:
[email protected]
KAYUNGA
REQUEST FOR PERMISSION:
PAINTING PUBLIC HEALTH EDUCATION MESSAGES NEAR KAYUNGA TAXI PARK
Participatory Design for Public Health Education Messages in Kayunga District
Dear Mr. Magumba Charles,
Please accept this letter as an official request on my behalf, in collaboration with Kayunga Youth
Center staff, and in partnership with MUWRP, to produce paintings in the Kayunga Taxi Park. These
paintings will be the results of a 10-week workshop series, as part of my Master’s thesis project,
Participatory Design for Public Health Education Messages in Uganda. Please see attached
pages for concepts and messages as well as building photos.
We have been given permission from the 3 building owners to paint the concepts on their
buildings. I have received approval for this project from the University of Alberta Faculty of Arts,
Science and Law Research Ethics Board to conduct research involving human participants as
well as the Uganda National Science and Technology Council. The appropriate documentation is
attached.
I appreciate your collaboration in helping us to realize this project,
Sincerely,
Leslie Robinson
Appendix 16 | 139
1BJOUJOH$0/$&15
1BJOUJOH$0/$&15
- Luganda translation here Pregnancy Leads to School Dropout
Please note this is a mock-up ONLY.
Final image will be refined with colour and lettering of above message.
Location
Appendix 16 | 140
1BJOUJOH$0/$&15
1BJOUJOH$0/$&15
- Luganda translation here Domestic Violence is NOT a Solution
Please note this is a mock-up ONLY.
Final image will be refined with colour and lettering of above message.
Location
Appendix 16 | 141
1BJOUJOH$0/$&15
- Luganda translation here Are You in a Relationship?
Location
- Luganda translation here Go for HIV testing
- Luganda translation here Seek Counseling Together
Please note these are mock-ups ONLY.
Final images will be refined with colour and lettering.
Appendix 16 | 142
-FTMJF3PCJOTPO .%FT$BOEJEBUF
-FTMJF3PCJOTPO .%FT$BOEJEBUF
-FTMJF3PCJOTPO .%FT$BOEJEBUF| Visual Communication Design | Department of Art + Design | University of Alberta
[email protected] | Mobile: 775 757 493 | P.O. Box 7072, Institute of Public Health, Makerere University, Kampala
April 20, 2009
MINISTRY OF HEALTH REPUBLIC OF UGANDA
Plot 6 Lourdel Rd, Wandegeya KAMPALA
REQUEST FOR PERMISSION:
PAINTING PUBLIC HEALTH EDUCATION MESSAGES NEAR KAYUNGA TAXI PARK
Participatory Design for Public Health Education Messages in Uganda
Dear Mr. Kagwa Paul,
Please accept this letter as an official request on my behalf, in collaboration with Kayunga Youth
Center staff, and in partnership with MUWRP, to produce public health education messages as
paintings in the Kayunga Taxi Park. These paintings will be the results of a 10-week workshop
series, as part of my Master’s thesis project, Participatory Design for Public Health Education
Messages in Uganda. Please see attached pages for an abstract of the project as well as the
messages to be painted and their locations.
We have been granted permission for this project from the Kayunga Town Clerk, Magumba Charles.
We have also been granted permission from the 3 building owners to paint the concepts on their
buildings. I have received approval for this project from the University of Alberta Faculty of Arts,
Science and Law Research Ethics Board to conduct research involving human participants as
well as the Uganda National Science and Technology Council. The appropriate documentation is
attached.
I appreciate your collaboration in helping us to realize this project. We are planing to execute
these messages this Wednesday and Thursday. Your promplt response would be appreciated.
Sincerely,
Leslie Robinson
Appendix 17 | 143
CERTIFICATE OF PARTICIPATION
Workshop Series: Participatory Design for Public Health Education Messages
Awarded May 30th, 2009 to
Last and First Name
MUWRP Youth Center Staff Member
Awarded by Leslie Robinson, MDes Candidate, Visual Communication Design, University of Alberta, CANADA
email:
[email protected]
Above design by MUWRP Kayunga Youth Center Staff
Appendix 18 | 144
CERTIFICATE OF PARTICIPATION
Workshop Series: Participatory Design for Public Health Education Messages
Awarded May 30th, 2009 to
Last and First Name
Member of TASO ACYC Mulago
Awarded by Leslie Robinson, MDes Candidate, Visual Communication Design, University of Alberta, CANADA
email:
[email protected]
Above design by ACYC Mulago members and Makerere design students
Appendix 18 | 145
CERTIFICATE OF PARTICIPATION
Workshop Series: Participatory Design for Public Health Education Messages
Awarded May 30th, 2009 to
Last and First Name
Awarded by Leslie Robinson, MDes Candidate, Visual Communication Design, University of Alberta, CANADA
email:
[email protected]
Appendix 18 | 146
CERTIFICATE OF PARTICIPATION
Workshop Series: Participatory Design for Public Health Education Messages
Awarded May 30th, 2009 to
Last and First name (tag name)
Member of Namuwongo Youth Group (NYG)
Awarded by Leslie Robinson, MDes Candidate, Visual Communication Design, University of Alberta, CANADA
email:
[email protected]
Above design by Namuwongo Youth Group and Makerere design students
Appendix 18 | 147
4. Appendix | Project Expenditures
Project Expenditures (not including living expenses)
Air travel to Africa (2 trips)
$ 5 000
Photography, printing and production
$ 1 900
Logistics (communications, transport within Africa, etc.)
$ 1 500
Research assistant compensation
$ 1 000
Transport reimbursement to participants
$
600
Health expenses, etc. for term in Africa
$
500
Food and beverages for workshops
$
300
TOTAL PROJECT EXPENDITURES
$10 800
Appendix 19 | 148
UNIVERSITY OF ALBERTA
FACULTY OF ARTS, SCIENCE & LAW RESEARCH ETHICS BOARD
APPLICATION TO CONDUCT RESEARCH
INVOLVING HUMAN PARTICIPANTS
Principal Investigator(s):
Name: Leslie Robinson
Department/Faculty: Art and Design
Campus Address: 3-98 Fine Arts Building
Campus Phone number: (780) 492-7877
E-mail address:
[email protected]
Supervisor: Bonnie Sadler Takach
Department/Faculty: Art and Design
Supervisor's E-mail address:
[email protected]
Supervisor's Campus Phone number: (780) 492-5092
Project Title:
Participatory Design for Public Health Education Messages
in Kabarole District (Uganda)
Project Funding:
Alberta Foundation of the Arts Project Grant ($8,600)
Appendix 20 | 149
Table of Contents
Appendix A: Letter of support from Dr. Lory Laing, Department of Health Sciences, School of Public Health,
University of Alberta (Original letter submitted with application)
Appendix B: Research Background (adapted from AFA grant application)
Appendix C: Workshop Participant Recruitment Letter
Appendix D: Focus Group Participant Recruitment Letter (Phase 1)
Appendix E: Focus Group Participant Recruitment Letter (Phase 2)
Appendix F: Workshop Participant Informed Consent Form
Appendix G: Focus Group Participant Informed Consent Form
Appendix H: Informed Consent Form for Expert Interviews (Phase 1)
Appendix I: Post-Workshop Questionnaire (Phase 1 and 2)
Appendix J: Focus Group Questions (Phase 1)
Appendix K: Focus Group Questions (Phase 2): of HIV/AIDS/Malaria Education Messages
Appendix L: Researcher Confidentiality Agreement
Project Description
Project Objective
The objective of this project is to study how participatory methods in visual communication design can help
to educate communities in resource-poor areas about favourable responses to public health issues such as
HIV/AIDS and Malaria. This project will take place in Kabarole district (Uganda) in connection with the
Community-based Antiretroviral Treatment Rural Distribution Project, led by Dr. Walter Kipp and Mr. Arif
Alibhai, as well as other research in school-based health education programming led by Dr. Lory Laing from the
Department of Health Sciences, School of Public Health, University of Alberta. The School of Public Health has
ethics approval for all their Uganda-based projects. A letter of support for this project is included with this
application (please see appendix A). With the support from both Dr. Laing and Arif Alibhai, collaborations with
local organizations as well as the Institute of Public Health, Makerere University, are currently being established.
We will also apply for ethics approval from the Uganda National Science and Technology Council, as required.
Participatory Approach
This research is centred on participatory design, an approach that places the end-user at the core of the design
process, privileging local points of view. In this context, the designer acts as a facilitator, introducing design
knowledge to participants, who in turn are invited to act as co-designers. This approach facilitates the creation of
visual messages for local people, by local people. Some benefits of this approach include an increased sense of
cultural ownership among the community, increased awareness among the participants of the social issue being
addressed and the introduction of design principles and techniques to the participants, giving them the opportunity
to become ongoing agents of change.
Appendix 20 | 150
Public Health Education Messages
In the context of this project, the term ‘message’ includes both the visual and textual (verbal) information that is
conveyed in a given visual communication. Both ways of communicating are equally important to the objectives
of this project. For example, in the case of HIV/AIDS or malaria, I might ask what are the messages that need to
be communicated (in order to help bring awareness about this issue)? and how can these messages be best
communicated through visual media? I will explore both the formal (aesthetic) characteristics of local visual
messages (i.e. the techniques and materials used, colour combinations, composition, style, etc.) as well as their
informational content. I will also study people’s responses to both of these qualities. Project activities will focus
on integrating textual and visual elements, ultimately working toward creating the most effective and appropriate
public health education messages.
Research Activities
This project will take place over two phases, the preliminary Phase 1 commencing in June 2008 for four weeks
and Phase 2 beginning in January 2009 for a period of up to 6 months.
Phase 1
The purpose of Phase 1 is to develop partnerships with local organizations, community leaders and local people
and to determine the public health issue of greatest concern to the community at large. I will focus on developing
my own understanding of the local culture by beginning to learn the local language and observing and listening
to the local people as they carry out their daily activities. In this way, I hope to work to integrate into the
community, earn the respect of the people and establish their trust. I will collect data through expert interviews
and preliminary informal discussions with local people. If possible, I may also conduct up to four pilot
participatory design workshops and up to four focus groups. In addition to determining the public health
education messages that need to be communicated, this phase will determine the specific group(s) to whom
the messages need to be targeted to in Phase 2.
Expert Interviews
Four to eight health practitioners and academics including doctors, nurses, sociologists, psychologists, etc. may
be interviewed in order to help identify the public health issues of concern and to discuss what messages need to
be communicated, and how to approach members of the community in appropriate ways.
Informal Discussions
When the opportunity arises, and with the support of the School of Public Health as well as local partners, I will
approach individual local people (mothers, fathers, grandparents, young adults, workers, unemployed persons,
etc.) to see if they would be willing to talk about their public health concerns. This will be done informally in
order to explore the everyday health concerns of different people, how they think these can be addressed, and
what messages they think need to be communicated.
Focus Groups
Up to four focus groups (one for each of the four populations described on the following page) may be conducted
in order to test current attitudes, perceptions and behaviors relative to public health issues, such as HIV/AIDS or
malaria. Focus groups will be made up of 6 to 10 participants. Existing visual communications (various public
health messages as well as other types of communications from the region) will be shown and participants will be
asked to respond to them, suggesting improvements or alternative approaches (if appropriate). These sessions will
begin with a set of questions about the public health issue(s), followed by a request for comments on the visual
communications presented. A research assistant may be present in order to audio record or take written notes in
these sessions.
Workshops
Up to four workshops may be conducted. Each workshop will begin with an introduction to the project and an
opportunity to sign informed consent forms. Workshops will be formed of 5 to 15 adult participants from various
groups (see population description described below). Workshops will focus on creating both the visual form of the
public health education messages as well as their content. A public health specialist, most likely a public health
nurse or counselor will be present to provide support and ensure the accuracy of any public health related
Appendix 20 | 151
information discussed and used in the messages. A research assistant may also be present in order to audio record
or take written notes in these sessions. Workshops will include hands-on design techniques to create the public
health education messages. For example, we might work with paper, coloured pencils, non-toxic markers, stencils
and non-toxic ink, scissors, glue and locally available materials such as fabric and non-toxic dyes. Photographs
will be taken of workshop activities, including participants. Only the photographs of participants who have given
written consent may be used in thesis documents (or future presentations and papers).
These activities will be held in community centres or at local organizations. The length of workshops will vary,
but will not exceed three hours (including breaks) in a day. Focus groups, in general, will be shorter, not
exceeding two hours (including breaks) in a day.
Description of Populations
All people are affected by public health issues, whether directly or indirectly. Issues such as HIV/AIDS and
malaria affect women and men as well as younger and older populations differently. For these reasons, it is
important to include a variety of groups in this project. Up to four different populations may be recruited
(separately) to participate in this project:
The following groups may be used as starting points (in response to recommendations from public health
professionals). These groups may change given the results from Phase 1. For example, age ranges for women and
men could be different, if appropriate.
1) Young Women (roughly 18-26)
2) Young Men (roughly 18-26)
3) Mature Women (roughly 27-40)
4) Mature Men (roughly 27-40)
For the most part the language of interaction with the study participants will be English, but in some cases it may
be Rutoro (the local dialect). Since people in Uganda are educated in English in schools, most will have a good
working knowledge of English. However, it is possible that some participants will not have much formal
schooling, so may prefer to converse in Rutoro. In cases where Rutoro is the language of preference, research
assistants or the local health professionals assisting with the data collection, will be relied on to translate. The
University of Alberta has developed a cadre of trained research assistants who can be employed at minimal cost
to assist with translation where necessary.
The data collected in Phase 1 may lead to a more specific population recruitment in Phase 2.
Phase 2
Research conducted in Phase 2 will be informed by the findings in Phase 1. Workshops will be conducted with
local participants with the goal of creating locally-generated public health education messages in order to bring
awareness about the specific public health issue(s) identified in Phase 1, in ways that respect and respond to local
ways of life. Due to the emphasis of participatory design on local resources, both human and material, the
communication media (such as poster format) of this project are not predetermined, as they will be designed in
response to the communicated needs of the organizations and participants involved as well as the available
resources. These messages could take the form of posters, murals, teaching tools (for example, flash cards, visual
presentations, illustrated workbooks, etc.) and brochures, however, this is not an exhaustive list. The ultimate
objective of these activities is to facilitate the creation of messages that strive to inspire positive social change by
the people for the people.
Workshops
Up to eight workshops may be conducted. Each workshop will begin with an introduction to the project and an
opportunity to sign informed consent forms. Workshops will be formed of 5 to 15 adult participants from one or
more of the groups described in Phase 1, depending on Phase 1 outcomes. Workshops will focus on creating both
the visual form of the public health education messages as well as their content. A public health specialist, most
likely a public health nurse or counselor, will be present to provide support and ensure the accuracy of any public
Appendix 20 | 152
health related information discussed and used in the messages. A research assistant may also be present in order to
audio record or take written notes during these sessions. Workshops will include hands-on design techniques to
create the public health education messages. For example, we might work with paper, coloured pencils, non-toxic
markers, stencils and non-toxic ink, scissors, glue and locally available materials such as fabric and non-toxic
dyes. Photographs will be taken of workshop activities, including participants. Only the photographs of
participants who have given written consent may be used in thesis documents (or future presentations and papers).
Focus groups
Up to five focus groups will be conducted to evaluate the effectiveness of the public health education messages
created in the workshops. Focus groups will be made up of 6 to 10 participants who did not participate in the
project workshops, but who are also from the same targeted group. These sessions will begin with a set of openended questions, followed by a request for comments on the design and message of the designs created in the
workshops. Questions will address both the visual and informational aspects of the designs. A research assistant
may be present in order to record or take written notes in these sessions.
All workshops and focus groups will begin with an introduction of the project, even those conducted over a series
of bi-weekly or weekly sessions. These activities will be held in community centres or at local organizations.
The length of workshops will vary, not exceeding three hours (including breaks) in a day. Focus groups, in
general, will be shorter, not exceeding two hours (including breaks) in a day.
Recruitment of Participants
The request for individual participation for both the workshops and focus groups will be made predominantly
through word-of-mouth, and possibly through posters. The U of A School of Public Health’s presence in the
Kabarole District is well established and partnerships with Makarere University and local health and education
organizations have been ongoing for eight years. The positive reputation of these partners as well as their solid
connections with local community leaders will support recruitment of participants. Tom Rubaale, local Project
Manager in Kabarole District for the Community-based HAART (Highly Active Antiretroviral Therapy) project,
will be available to assist in the recruitment process. Mr. Rubaale has assisted numerous graduate students from
the University of Alberta during their research fieldwork. Posters and/or letters may be used in support of this
process (see examples in appendixes D and E).
Compensation
Participant volunteers and experts will be offered an honorarium of approximately 1000 – 2000 Ugandan shillings
($0.60 – $1.20 Canadian) for travel costs. Snacks and drinks will be provided at each activity.
Assessment of Risk to Human Participants
There is minimal risk to human participants involved in the evaluation of the effectiveness of the design of media
for purposes of communication, information and/or education. While evaluating the effectiveness of visual
communication design including public health education messages, research participants are not likely to be
exposed to any visual or textual information that they would not encounter in their daily lives.
The public health issues of HIV/AIDS and malaria are sensitive topics that may lead to emotional responses. No
research activity will be conducted without prior mention of the topics to be discussed.
In the case of focus groups, the potential for conflict is no greater than in any other group discussion.
Due to the fact that there is no way of controlling what participants may say after a focus group, confidentiality
cannot be guaranteed in these activities.
No toxic materials or hazardous situations will be encountered by anyone involved in this project.
Appendix 20 | 153
Description of Procedures to be Undertaken to Reduce Risk to Human Subjects
To ensure that there is minimal risk to human participants involved in the outlined research activities,
I have been trained to:
– be aware of the ethical considerations of working with human participants (I have read and am familiar with
the GFC Policy Manual Section 66);
– conduct studies in an ethical and appropriate way, to consider the comfort level of the participants, and to
preserve the anonymity of participants through proper data collection, storage and disposal methods;
– describe the study to the participants and what is being asked of them, outline the risks and benefits of being
involved in the study and thank them for their participation.
Participation in the research activities described is voluntary under the agreement of a signed informed consent
form, and participants can withdraw at any time during the sessions (and have their data removed) without
penalty. In evaluating the effectiveness of public health education messages, design concepts and products, it will
be emphasized that we are testing the performance of products of design, and not the performance of the
participants themselves. In the unlikely event that any participant becomes distressed or uncomfortable during a
study, the testing will be stopped immediately and the participant will be referred to the appropriate local
resource.
Before activities begin, participants will be reminded that what is discussed needs to remain confidential. They
will also be reminded that if there is something that they would not like to discuss or have known, that they
should not feel any pressure to share it with the group. However, due to the reality that participants cannot be held
to this, confidentiality cannot be guaranteed in these activities. Researchers (and research assistants) will be asked
to sign a confidentiality agreement.
Data will be collected in a variety of ways, for example, through written notes or audio recordings from
interviews or focus groups; completed questionnaires; and visual records (without identifying participants) of the
process and outcomes of participatory design sessions. Participants’ identities will be kept confidential and not be
connected to any reported data. Data will be coded, analyzed and discussed in reports without identifying
participants (unless they give permission to do so), and kept in a secure location for at least 7 years. Results of the
research may be disseminated through a thesis exhibition and report, as well as future presentations and papers.
Participants in studies requiring additional assistance with data collection will be advised that assisting
technologies or personnel may be present. As always, participation is voluntary, participants may leave at any
time during the session (and have their data removed) without penalty, and participant anonymity will be
guaranteed, except in the case of a focus group, where it cannot be guaranteed. Any participants involved in any
of these research projects may have a copy of the research report if they specifically ask for it.
Discussing issues of public health such as sexual behavior, in the case of HIV/AIDS, or life-threatening illness, as
in the case of both HIV/AIDS and malaria, can lead to potentially emotional responses. All participants will be
informed of the topic of the study and purpose prior to each activity. Through the support of the School of Public
Health, Makerere University and affiliated local organizations, each research activity will involve a public health
nurse or counselor—ensuring that participants will have access to accurate and pertinent public health
information, support and counseling services in their own local language. If a participant becomes distressed or
requires additional support the activity will be stopped and he/she will be referred to local resources by the public
health nurse or counselor.
In Ugandan culture, individuals, especially women, may feel less comfortable discussing private matters, such as
those related to sexual behaviors in the presence of the opposite sex. In order to protect privacy and facilitate more
open discussions, workshops, focus groups and informal discussions will sex-specific.
Appendix 20 | 154
Consent and Documentation
Data from research activities may be collected through questionnaires, notes, photographs and audio recordings.
All participants will be asked to give free and informed consent before participating in any research activities.
A translator will be available to ensure comprehension of information by non-English speaking participants. No
participants’ names will be identified in connection with any of the collected data (without their permission).
Participants’ statements and photographs may be used in the support documents and public exhibitions, however,
they will not be connected with any participants’ names or identities (without their permission). Consent forms
will also inform participants of their right to withdraw from activities at any point during a session without
penalty (and have their data removed) (please see examples of a consent forms and questionnaires in appendixes).
Data collected will be stored on a laptop computer and external hard-drive. While I am in Uganda, I will securely
store all original documents at the Makerere University School of Public Health’s in Uganda (office of Dr. Joseph
Konde-Lule or Dr. Esther Buregyeya) or in a locked cabinet in the house where I will be staying. I will transport
these documents with me when I return to Canada and will securely store them in my office there.
Appendix 20 | 155
I have read the UNIVERSITY OF ALBERTA STANDARDS FOR THE PROTECTION OF HUMAN RESEARCH
PARTICIPANTS [GFC Policy Manual, Section 66] and agree to abide by these standards in conducting my research.
Signature of Principal Investigator(s)
Date
(If Student)
___________________________________ Signature of Faculty Supervisor/sponsor
___________________________________ Date
Submit completed form and attached documents to:
Arts, Science, Law Research Ethics Board
Attention: ASL REB Administrator
Faculty Arts – Office of the Dean
6-33 Humanities Building
Email:
[email protected]
Phone: 492-4224
Appendix 20 | 156
Appendix A: Letter of support from Dr. Lory Laing, Department of Health Sciences,
School of Public Health, University of Alberta (Original letter submitted with application)
April 12, 2008
Wayne Renke, ASL REB Chair
Arts, Science, Law Research Ethics Board
Attention: ASL REB Administrator
Faculty Arts – Office of the Dean
6-33 Humanities Building
Dear Wayne Renke,
Re: Leslie Robinson’s Thesis Project
Please accept this letter as an indication of my support for Leslie Robinson’s thesis project “Participatory design for Public
Health Education Messages in Uganda.” Since 2002 I have led and supervised several public health and educational research
projects in Uganda and can testify to the urgent need for effective strategies to increase awareness about public health issues
including prevention and treatment of diseases such as HIV/AIDS and malaria. I believe that visual communication design
has the potential to play a leading role in the development of such strategies. I am familiar with Leslie’s research proposal
and am looking forward to working with her. Leslie will be traveling to Fort Portal, Uganda in June to begin Phase I of her
research and she will be working with Tom Rubaale (Project Manager for several CIHR funded projects in the district) who
will help to connect her with the local community. I have ethics clearance for my work from the Health Ethics Research
Board, but Leslie understands that she needs to submit an ethics application for her specific work with human participants.
Once she has received ethics clearance from the ASL REB, she will also have to apply for ethics clearance through the
government of Uganda.
Sincerely,
Dr. Lory Laing
Professor
Appendix 20 | 157
Appendix B: Research Background (adapted from AFA grant application)
My Master of Design thesis research is focused on the potential role of visual communication design as a vehicle
for social change. The persuasive ability of design to inspire change serves the market very effectively, as
demonstrated, for example, in advertising. How this same capacity can be harnessed to fulfill the fundamental
needs of society, however, remains to be developed. The objective for my research, accordingly, is to explore how
design can support non-profit societies, NGOs and citizen groups in their efforts to achieve positive social change.
My research is centred on participatory design, an approach that places the end-user at the core of the design
process, privileging local points of view. In this context, the designer acts as a facilitator, introducing design
knowledge to participants, who in turn act as co-designers. This approach facilitates the creation of visual
messages by local people, for local people. Some of the benefits of this approach include an increased sense of
cultural ownership among the community, increased awareness among the participants of the social issue being
addressed, and the introduction of design principles and techniques to the participants, empowering them to
become ongoing agents of change.
I have been exploring participatory design through hands-on, applied projects working with various organizations
in Edmonton including the Campus Sustainability Coalition, the International Institute for Qualitative
Methodology, and University of Alberta International House. I am also exploring cross-cultural communication,
vernacular design and the role that participatory methods have played in social development in the areas of
design, community planning, international development and public health (through course work in design
research methods). Upon completion of this background research, I will be equipped to apply my theoretical
knowledge and practical experience to do fieldwork in resource-poor areas.
I am now collaborating with Dr. Lory Laing and Arif Alibhai from the Department of Public Health Sciences,
School of Public Health at the University of Alberta in Edmonton in order to find the most appropriate
organizations in the context of which to carry out specific participatory design projects in Uganda. From mid-June
to mid-July of this year I will go to Uganda to meet with community organizations and NGOs and their respective
communities in order to conduct primary research, which will inform our collaboration over the following year.
Establishing a solid partnership will allow me to focus my thesis research on the specific problems, needs and
desires of the communities with which I will be working. In addition, it will allow me to get to know the local
people early on, helping me to earn their trust. Although I am very open to supporting any social change initiative
that would benefit from participatory design, I am particularly interested in supporting public health initiatives
including both HIV/AIDS and malaria awareness education.
Upon returning to Canada from Uganda, and throughout the 2008 fall semester, I will prepare context-specific
participatory design tools and approaches in order to prepare for extended fieldwork in Uganda which I will be
available to begin as of January 2009 for a period of up to 6 months. Possible products of this research could
include visual teaching tools and awareness campaigns in which their form and content will evolve from what is
needed and deemed appropriate by the local participants. The goal of this project, however, is to ensure that the
artifacts designed will resonate with the local people, effectively contributing toward increasing awareness of the
public health issues in question, with the goal of helping to improve the lives of the people in the communities
involved.
Summary
It is my hope that this research will contribute to strategies in participatory design that can help make the benefits
of design more accessible to underprivileged and underrepresented populations. The directing goal of my research
is to discover how participatory methods in visual communication design can help to bring awareness about
public health issues in resource-poor areas. I hope that this research will benefit the design field, social change
organizations and, ultimately, the people. On a personal level, my research will allow me to partner with intercultural communities, a privilege that fascinates and inspires me. My proven academic ability, interdisciplinary
and inter-cultural work experience, commitment to community development, compassion for humanity, and
finally, the support I receive from the academic staff in the Department of Art and Design as well as the expertise
of the Department of Public Health Sciences, will all contribute to ensuring my realization of this project.
Appendix 20 | 158
Appendix C: Workshop Participant Recruitment Letter
Please note that this is a sample of a letter that may be used to recruit participants. Variables such as to whom it is
addressed, the time and location of the activity, compensation, etc., may vary relative to the population description, phase
of the project, specific design techniques to be used and the specific public health issue being addressed. Although both of the
topics of HIV/AIDS and malaria are included here, these issues would be addressed separately in different workshops.
Posters may be created using summarized information from this letter.
___________________________________________________________________________________________
Date ________ Dear ________
Volunteers needed: Collaborative Design of HIV/AIDS/Malaria Awareness Messages
We are recruiting volunteers to participate in a collaborative design workshop that will give the participants a
chance to design public health education messages to bring awareness about issues relating to HIV/AIDS/malaria.
Workshops will be held at ________ community centre and will last a maximum of 3 hours. Men from 18 to 26
years of age are invited to participate. Participants will receive a 2000 shilling compensation for their travel
expenses. Food and drinks will be provided.
The workshop will include an exploration of design principles and techniques to create a series of visual public
health education messages to bring awareness about issues relating to HIV/AIDS/malaria. Participants will work
individually and collaboratively to design the posters. The workshops will also include: (1) a presentation of
images and messages (local and possibly foreign) that address the public health issues mentioned; and (2) a
questionnaire about participants’ experiences in the workshop. No names will be recorded on questionnaires, or in
summaries of the workshop.
A local public nurse or counselor who speaks both English and Rutoro will be present. Although the workshop
will be conducted predominantly in English participants are encouraged to respond and ask questions in the
language they are most comfortable (Rutoro or English). The research assistant will be available for translation.
This project is a joint research project between the Institute of Public Health, Makerere University and both the
Departments of Public Health Sciences (School of Public Health) and Art and Design, University of Alberta
(Canada). The project is part of a Master of Design thesis in Visual Communication Design, which will result in a
design project, written support document, and public exhibition. The aim of the workshop is to provide feedback
for future participatory design projects relative to public health education programs. Results of the research may
be disseminated through a thesis exhibition and report, as well as future presentations and papers. Participants
may withdraw from the workshop at any time without penalty of compensation (and have their data removed).
The workshop will be held (TBD).
Please confirm your interest by contacting Leslie Robinson at ______________or Tom Rubaale in person
at_________________.
Thank-you,
Leslie Robinson
Appendix 20 | 159
Appendix D: Focus Group Participant Recruitment Letter (Phase 1)
Please note that this is a sample of a letter that may be used to recruit participants. Variables such as to whom it is
addressed, the time and location of the activity, compensation, etc., may vary relative to the population description and the
specific public health issue being addressed. Although both of the topics of HIV/AIDS and malaria are included here, these
issues would be addressed separately in different focus groups. Posters may be created using summarized information from
this letter.
___________________________________________________________________________________________
Date ________ Dear ________
Volunteers needed: Focus Group Evaluation of HIV/AIDS/Malaria Awareness Messages
We are recruiting volunteers to participate in a focus group. This activity will give participants a chance to
view public health education messages from both within and outside of the region and provide important
feedback addressing both the content of the messages as well as their visual impact. The aim of the focus group
is to provide an evaluation of the designs, providing an opportunity to inform the design of new public health
education messages for this region. The focus group will be held at ______________ community centre and will
last a maximum of 2 hours. Young adult men from 18 to 26 years of age are invited to participate. All participants
will receive a 2000 shilling compensation for their travel expenses. Food and drinks will be provided.
Participants will work individually and collaboratively to analyze the designs. The focus group will include: (1) a
discussion about HIV/AIDS/malaria issues and how they relate to the community at large; (2) a discussion about
both the formal (aesthetic) aspects of the messages as well as their content; and (3) a questionnaire about each
participant’s experience interacting with the designs as well as their impressions and appreciation of the them. No
names will be recorded on questionnaires or in summaries of the focus group.
A local public nurse or counselor who speaks both English and Rutoro will be present. Although the workshop
will be conducted predominantly in English participants are encouraged to respond and ask questions in the
language they are most comfortable (Rutoro or English). The research assistant will be available for translation.
This project is a joint research project between the Institute of Public Health, Makerere University and both the
Departments of Public Health Sciences (School of Public Health) and Art and Design, University of Alberta
(Canada). The project is part of a Master of Design thesis in Visual Communication Design, which will result in a
design project, written support document, and public exhibition. The aim of the workshop is to provide feedback
for future participatory design projects relative to public health programs and to increase awareness of public
health knowledge and resources available to local Ugandans. Results of the research may be disseminated through
a thesis exhibition and report, as well as future presentations and papers. Participants may withdraw from the
focus group session at any time without penalty of compensation (and have their data removed).
The focus group session will be held (TBD).
Please confirm your interest by contacting Leslie Robinson at ______________or Tom Rubaale in person
at_________________.
Thank-you,
Leslie Robinson
Appendix 20 | 160
Appendix E: Focus Group Participant Recruitment Letter (Phase 2)
Please note that this is a sample of a letter that may be used to recruit participants. Variables such as to whom it is
addressed, the time and location of the activity, compensation, etc., may vary relative to the population description and the
specific public health issue being addressed. Although both of the topics of HIV/AIDS and malaria are included here, these
issues would be addressed separately in different focus groups. Posters may be created using summarized information from
this letter.
___________________________________________________________________________________________
Date ________ Dear ________
Volunteers needed: Focus Group Evaluation of Locally Designed HIV/AIDS/Malaria
Awareness Messages
We are recruiting volunteers to participate in a focus group. This activity will give participants a chance to view
locally designed public health education messages and provide important feedback addressing both the content of
the messages as well as their visual impact. The aim of the focus group is to provide an evaluation of the designs,
providing an opportunity to improve them in the future. The focus group will be held at ____________________
community centre and will last a maximum of 3 hours. All young adult men from 18 to 26 years of age are invited
to participate (except those who previously participated in the poster design workshop). All participants will
receive a 2000 shilling compensation for their displacement. Food and drinks will be provided.
Participants will work individually and collaboratively to analyze the designs. The focus group will include: (1) a
discussion about HIV/AIDS/malaria issues and how they relate to the community at large; (2) a discussion about
both the formal aspects of the communications as well as their content; and (3) a questionnaire about each
participant’s experience interacting with the designs as well as their impressions and appreciation of the them.
No names will be recorded on questionnaires or in summaries of the workshop.
A local public nurse or counselor who speaks both English and Rutoro will be present. Although the workshop
will be conducted predominantly in English participants are encouraged to respond and ask questions in the
language they are most comfortable (Rutoro or English). The research assistant will be available for translation.
This project is a joint research project between the Institute of Public Health, Makerere University and both the
Departments of Public Health Sciences (School of Public Health) and Art and Design, University of Alberta
(Canada). The project is part of a Master of Design thesis in Visual Communication Design, which will result in a
design project, written support document, and public exhibition. The aim of the workshop is to provide feedback
on designs previously designed in a related workshop and to increase awareness of public health knowledge and
resources available to local Ugandans. Results of the research may be disseminated through a thesis exhibition
and report, as well as future presentations and papers. Participants may withdraw from the session at any time
without penalty (and have their data removed).
The focus group will be held (TBD).
Please confirm your interest by contacting Leslie Robinson at ______________or Tom Rubaale in person
at_________________.
Thank-you,
Leslie Robinson
Appendix 20 | 161
Appendix F: Workshop Participant Informed Consent Form
Please note that this is a sample consent form. Variables such as to whom it is addressed, the time and location of
the workshop, compensation, etc., may vary relative to the population description, phase of the project, specific design
techniques to be used and the specific public health issue being addressed. Although both of the topics of HIV/AIDS
and malaria are included here, these issues would be addressed separately in different workshops.
___________________________________________________________________________________________
This project is a joint research project between the Institute of Public Health, Makerere University and both the
Departments of Public Health Sciences (School of Public Health) and Art and Design, University of Alberta
(Canada). The project is part of a Master of Design thesis in Visual Communication Design, which will result in a
design project, written support document, and public exhibition. The aim of the workshop is to provide feedback
for future participatory design projects relative to public health education programs about HIV/AIDS/malaria.
Results of the research may be disseminated through a thesis exhibition and report, as well as future presentations
and papers.
Your participation in the workshop is voluntary and you may withdraw from the session at any without penalty
(and have your data removed). The workshop will last no more than 3 hours and will consist of: (1) a presentation
of images and messages (local and possibly foreign) that address the public health issues mentioned; and (2) a
questionnaire about your experiences in the workshop.
During discussions, your comments may be recorded through written notes or audio recordings. Your comments
may be quoted in thesis documents or future presentations and papers, but will not include your name or identity
(without your permission). Photographs will be taken of workshop activities, including participants. Only the
photographs of participants who have given written consent may be used in thesis documents (or future
presentations and papers). To ensure your anonymity, all research assistants associated with this project have
signed confidentiality statements. There are minimal risks associated with participating in this study.
I_______________________ agree to participate as a member of a collaborative poster design workshop and as a
respondent to questionnaires for the above research project conducted by Leslie Robinson and associated partners
mentioned.
I understand that the workshop is part of a research project and that we will be discussing issues relating to
HIV/AIDS/malaria, including sexual behavior (in the case of HIV/AIDS), the consequences of becoming infected
and different strategies and messages that could be communicated in order to increase awareness about theses
issues.
I understand that my responses to questions during the workshop may be recorded and included in research
documents and future visual and verbal presentations, but that my name will not be used in any report related to
this project. I will receive 2,000 shillings for travel expenses, however, I may withdraw at any time during this
session without penalty (and have my data removed).
(please check if appropriate)
___You have my permission to use images of me in written or visual presentations related to this study
Participant name _________________ Date _____________________Signature ________________________
Appendix 20 | 162
Appendix G: Focus Group Participant Informed Consent Form
Please note that this is a sample consent form. Variables such as to whom it is addressed, the time and location of the focus
group, compensation, etc., may vary relative to the population description, phase of the project and the specific public health
issue being addressed. Although both of the topics of HIV/AIDS and malaria are included here, these issues would be
addressed separately in different focus groups.
___________________________________________________________________________________________
This project is a joint research project between the Institute of Public Health, Makerere University and both the
Departments of Public Health Sciences (School of Public Health) and Art and Design, University of Alberta
(Canada). The project is part of a Master of Design thesis in Visual Communication Design, which will result in a
design project, written support document, and public exhibition. The aim of this focus group is to provide
feedback on designs previously designed in a related workshop of which the objective was to create visual
messages with the potential of creating awareness about HIV/AIDS/malaria among young men in the region.
Ultimately this focus group will help to measure the effectiveness of the designs and will provide insights toward
improving them. Results of the research may be disseminated through a thesis exhibition and report, as well as
future presentations and papers.
Your participation in the focus group is voluntary. The focus group session will last no more than 2 hours and
will consist of: (1) a discussion about HIV/AIDS/malaria issues and how they relate to the community at large;
(2) a discussion about both the formal (aesthetic) aspects of the messages as well as their content; and (3) a
questionnaire about your experience interacting with the designs as well as their impressions and appreciation of
them. During discussions, your comments may be recorded through notes or audio recording. Your comments
may be quoted in thesis documents, but will not include your name or identity. To ensure your anonymity, all
research assistants associated with this project have signed confidentiality statements. Before activities begin
participants will be reminded that what is discussed needs to remain confidential. They will also be reminded that
if there is something that they would not like to discuss or have known, that they should not feel any pressure to
share it with the group. However, due to the reality that participants cannot be held to this, confidentiality cannot
be guaranteed in these activities.
I_______________________ agree to participate as a member of this focus group and as a respondent to
questionnaires for the above research project conducted by Leslie Robinson and associated research assistants.
I understand that the workshop is part of a research project and that we will be discussing issues of HIV/AIDS/
malaria, including sexual behavior (in the case of HIV/AIDS), the consequences of becoming infected and
different strategies and messages that could be communicated in order to increase awareness about theses issues.
I understand that my responses to questions during the workshop may be recorded and included in research
documents, but that my name will not be used in any report related to this project. I will receive 2,000 shillings
for travel expenses however, I may withdraw at any time during the session without penalty (and have my data
removed) .
(please check if appropriate)
___You have my permission to use images of me in written or visual presentations related to this study
Participant name _________________ Date _____________________Signature ________________________
Appendix 20 | 163
Appendix H: Informed Consent Form for Expert Interviews
Project Title: Participatory Design for Public Health Education Messages in Kabarole District (Uganda)
Principal Investigator: Leslie Robinson, Master of Design Candidate, Department of Art and Design,
University of Alberta
I am a Master of Design student at the University of Alberta, Canada. I am doing a study and would like to ask
you to take part in it. This study is to learn about using participatory design methods in order to create effective
and appropriate messages about public health issues including HIV/AIDS/malaria. The information from this
study may help health workers and professionals to improve the type of health communications available. The
information may also help to provide services in a way that best suits the needs of the local population. If you
agree to be in the study, I will ask you to take part in a personal interview that will last about one hour. It will also
be recorded on a tape recorder. If you choose, your name will be credited in research data, however, you may also
choose to respond anonymously. If there is something you would not like to be discussed or known, please do not
feel any pressure to share it with me. The information you provide will be kept for at least seven years after the
study is done. Results of the research may be disseminated through a thesis exhibition and report, as well as future
presentations and papers. Your name will not be used in any presentations or publications of the results without
your written consent.
There is minimal risk to participating in this study. You may ask any questions that you have about the study.
You are free to choose not to take part in the interview. If you decide to take part in the interview and change your
mind later, you may withdraw from the interview at any time. If you have any concerns about this study, you may
contact (to be determined, name and phone number).
I hope you will find this useful and thank you for considering this request. Do you have any questions?
___________________________________________________________________________________________
I , (please print name) _____________________________________________, agree to be interviewed for the above
research project conducted by Leslie Robinson.
I understand that this workshop is part of a research project and that we will be discussing issues relating to
HIV/AIDS/malaria, including sexual behavior (in the case of HIV/AIDS), the consequences of becoming infected
and different strategies and messages that could be communicated in order to increase awareness about theses
issues.
I understand that my responses to questions during this interview may be recorded and included in research
documents and future visual and verbal presentation, but that my name will not be used in any report related to
this project. I will receive 2,000 shillings for travel expenses, however, I may withdraw at any time during this
session without penalty (and have my data removed).
___Yes, please use my name to credit my responses in your research data
___No, please DO NOT use my name in your research date (I prefer to remain anonymous)
Participant name _________________ Date _____________________Signature ________________________
Appendix 20 | 164
Appendix I: Post-Workshop Questionnaire (Phase 1 and 2)
Please note that this is a sample of a questionnaire that may be used to obtain feedback from workshop participants.
Although both of the topics of HIV/AIDS and malaria are included here, these issues would be addressed separately
in different workshops.
___________________________________________________________________________________________
Project Title: Participatory Design for Public Health Education Messages in Kabarole District (Uganda)
Principal Investigator: Leslie Robinson, Master of Design Candidate, Department of Art and Design,
University of Alberta, <
[email protected]>
Thank you for taking the time to participate in this workshop. Your time and input are valuable to us. In order
to help evaluate the workshop in which you participated, I am asking you to fill out a questionnaire. Both the
workshop and this questionnaire are part of a collaborative research project between the Institute of Public Health,
Makerere University and both the Departments of Public Health Sciences (School of Public Health) and Art
and Design, University of Alberta (Canada). The project is part of a Master of Design thesis in Visual
Communication Design. Results of the research may be disseminated through a thesis exhibition and report,
as well as future presentations and papers.
If you agree, I will ask you to answer the following questions. All information you provide on the questionnaire
will be kept private. If there are any questions that you would not like to answer, please do not feel any pressure
to respond to those questions. The information you provide will be kept for at least seven years after the study is
done. Results of the research may be disseminated through a thesis exhibition and report, as well as future
presentations and papers. Your name or any other identifying information will not be attached to the information
you gave. Your name will never be used in any presentations or publications of the research results (without your
permission).
_________________________________________________________________________________________
Questions
1. Did you find the workshop informative and worthwhile? Please explain?
2. Which public health education messages presented do you feel are most important for members of your
community to be aware of? Please explain.
3. Do you feel that the way the designs were created could affect their visual impact and the amount of attention
community members will give to them? Please explain.
4. Do you feel that the fact that the posters were created by community members will affect the attention or
thought other community members will give to the messages? Please explain.
5. Do you feel that the images portrayed in the posters are a critical element in obtaining the viewer’s attention?
Please explain.
6. Do you feel that participation in this workshop has made you more aware of HIV/AIDS/malaria issues and
resources? Please explain.
7. Do you feel that participation in this workshop will increase your willingness or odds of talking about
HIV/AIDS/malaria issues with a friend? Please explain.
Appendix 20 | 165
8. Why did you choose to participate in this project?
9. Would you participate in a similar workshop again? Please explain.
10. Would you recommend that a friend take part in a similar workshop? Please explain.
11. Were there specific comments, interactions or discussions that were particularly helpful to you?
Please explain.
12. Were there elements of the workshop that you found to be confusing or difficult? Please explain.
13. How do you think this workshop could be improved? Please explain.
14. Do you feel that your participation in this workshop has increased your willingness and ability to design
public health education messages or other communications? Please explain.
Appendix 20 | 166
Appendix J: Focus Group Questions (Phase 1)
Please note that the following questions are examples of the types of questions that will be asked in focus groups in Phase 1.
Although both of the topics of HIV/AIDS and malaria are included here, these issues would be addressed separately in
different focus groups. Further questions may be added after conducting expert interviews, if appropriate.
___________________________________________________________________________________________
Welcome, my name is Leslie Robinson and I am a Master of Design student at the University of Alberta and I am
conducting this focus group as a part of my Master thesis in Visual Communication Design.
Thank you for taking time out of your schedule to participate in this discussion on HIV/AIDS/malaria. You were
invited to participate in this discussion because you are a member of the community and are male between the
ages of 18-26. We would like to get your opinion and ideas about the issue of HIV/AIDS/malaria to help us
develop culturally appropriate public health education messages in your community.
I will ask a series of questions. There are no right or wrong answers. Everyone in the group does not need to agree
on the answers to the questions. Please keep the comments confidential.
Let us start by introducing ourselves to the group.
HIV/AIDS/malaria is a serious public health issue in Uganda. I understand that this is a very sensitive topic and
some of you may feel uncomfortable discussing it. Please understand that your opinion, no matter what it is, is
extremely important. It is very important that we respect each other’s opinions as we proceed with the questions.
Please remember that all comments made must remain confidential.
1. When you hear the word HIV/AIDS/malaria, what do you first think of? What images and associations do you
have with this public health problem?
2. What are some of the words that people in your community use when talking about HIV/AIDS/malaria? Why?
Please explain.
3. Do you know how a person can get HIV/AIDS/malaria?
4. Is there anything a person can do to avoid getting AIDS/malaria? Please explain?
5. How can a person find out if he or she has HIV (the virus that causes AIDS)?
6. Do you think that members of your community would like to learn and understand more about
HIV/AIDS/malaria?
7. Are you aware of any programs where you can get information about this public health problem?
8. Do you think it is easy or difficult for the community members to use or participate in HIV/AIDS/malaria
awareness education programs here? Please explain.
9. What would be the best way to educate community members on HIV/AIDS/malaria issues? For example,
–Health education segment on TV?
–Health education message on the radio?
–Brochure, pamphlets, posters, fliers?
–Health education community forums with a health professional educating many people
–Creation of a health education video?
–Community theatre or other community event/activity?
Appendix 20 | 167
10. Do you think that providing education to the your community about HIV/AIDS/malaria issues would be the
same for men and women? If not, what would you recommend for educating men? Women? Please explain.
11. Other than increasing awareness about HIV/AIDS/malaria, what else do you think can be done to help combat
this problem? Please explain.
12. Are there any other important issues related to HIV/AIDS/malaria or public health education messages that
you would like to mention today?
Thank you so much for your participation!
Appendix 20 | 168
Curriculum Vitæ
EDUCATION
Master of Design in Visual Communication Design (MDes) (2007–2009)
University of Alberta, Edmonton
Certificate in International Cooperation (April –July 2006)
Center de formation à la coopération interculturelle (Cégep de Rivière-du-Loup)
Rivière-du-Loup, Québec
Bachelor of Design in Visual Communication Design (BDes) (1998 –2002)
Business/Marketing Route, University of Alberta
AWARDS & HONORS
Advanced Education and Technology, Alberta Scholarships Program (May 2009)
Profiling Alberta’s Graduate Students Award ($1 000)
Minister of Advanced Education and Technology (April 2009)
Arts Graduate Scholarship for exceptional academic achievement in visual arts ($15 000)
Minister of Advanced Education and Technology (February 2009)
Graduate Scholarship for exceptional academic achievement in 1st year of Master’s ($3 000)
Graduate Students’ Association (February 2009)
Professional Development and Travel Grant ($ 500)
Arts Support for Graduate Professionalization (November 2008)
Proposal, organization and facilitation of lecture and workshop by Jonathan Wood
Department of Art + Design, University of Alberta ($600 awarded to Department)
Alberta Foundation for the Arts (AFA) (September 2008 –September 2009)
Grant to support visual communication design fieldwork in Uganda ($8 600)
Department of Art + Design, University of Alberta (January–February 2008)
Research Assistantship ($1 600)
Department of Art + Design, University of Alberta (September 2007 and 2008)
Master of Design (MDes) Scholarship ($15 000 each year)
MEDIA COVERAGE
University of Alberta Express News (November 23, 2009)
Feature article by Michael Davies-Venn: The murals that are saving lives in Uganda
Radio Canada, télé journal Edmonton: culture (November 16, 2009)
Televised coverage of FAB Gallery show: Desiging Public Health Messages for Youth, by Youth
Radio Canada, Le café show Edmonton (November 16, 2009)
Radio coverage of FAB Gallery show: Desiging Public Health Messages for Youth, by Youth
Global Edmonton, New Hour Final (November 12, 2009)
Televised coverage of FAB Gallery show: Desiging Public Health Messages for Youth, by Youth
Appendix 21 | 169
Curriculum Vitæ
RECENT EXHIBITIONS
Designing Public Health Messages for Youth by Youth (November 10–December 5, 2009)
Master of Design thesis show, Fine Arts Building Gallery (FAB), University of Alberta
Participant, Germinations: Recent works by MFA and MDes Students at the U of A
Curated by Liz Ingram, FAB Gallery, University of Alberta (October 6–31, 2009)
Participant, Design Celebrating Hope: (May 19–July 24, September 1–26, 2009)
An Exhibition of Student Design Work for the Buduburam CD Project
Exhibition of my students’ work, FAB Gallery, University of Alberta
Participant, WAVE Exhibition: Blurring Boundaries (December 2008–January 2009)
Juried traveling exhibition, FAB Gallery, University of Alberta
Participant and catalogue designer, Re-drawing the line (January –February 2008)
Juried group exhibition, Art Gallery of Alberta, Edmonton, Alberta
PROFESSIONAL EXPERIENCE
Principal Instructor (Fall 2008 and Fall 2009)
Des 493 (3rd year design course), University of Alberta, Edmonton, Alberta
Free-lance Designer (2007–2009)
Clients include the International Institute for Qualitative Methodology,
the Department of Art + Design, University International and the Health Law Institute
Edmonton, Alberta
Teaching Assistant (September 2007–June 2008)
Des 490 (3rd year design course) and Des 337/437/538 (spring session), U of A
Free-lance Photographer (June 2007–present)
Journalistic wedding and event photography, Edmonton, Alberta
Graphic Designer (April–October 2007)
TransGlobal Communications, Edmonton, Alberta
Multi-media Instructor (August 2006–January 2007)
Center Soleil d’Afrique, Bamako, Mali (West Africa)
Graphic Designer (August 2006–January 2007)
Association Culturelle Acte SEPT, Bamako, Mali (West Africa)
Graphic Design Free-lancer (March 2004–March 2006)
Leslie Robinson Design and Aquent, Montreal, Quebec
T-shirt Designer (Cabin Fever) (March 2004–March 2006)
Creation and promotion of my line of silk-screened t-shirts, Montreal, Quebec
Appendix 21 | 170
Curriculum Vitæ
PUBLIC PRESENTATIONS & WORKSHOPS
Conference presentation at INSIGHTS: A Focus on Public Health Research
Designing Public Health Messages for Youth, by Youth (November 2009)
School of Public Health, University of Alberta
Invitation to present to the University of Alberta Senate (September 2009)
Designing Opportunities for Community Activation
Senate Plenary, University of Alberta
Invitation to present at Graduate Student Research Discussion (September 2009)
Designing Public Health Education Messages for Youth by Youth
Department of Art + Design, University of Alberta
Invitation to present to Department of Art + Design (September 2009)
Graduate student orientation panel discussion: The graduate student experience
Department of Art + Design, University of Alberta
Guest Lecturer, Margaret Trowell School of Industrial & Fine Arts
Participatory design lecture and workshop with 1st year design students (April 2009)
Makerere University, Kampala (Uganda)
Invitation to present at School of Public Health Student Seminar (November 2008)
Participatory Design for Public Health Education Messages in Uganda
School of Public Health, University of Alberta
Invited lecture to Design 493 (X1) (November 2008)
Presentation: Participatory Design, University of Alberta
Conference Presentation at Social Studies: Educating Designers in a Connected World
Participatory Design for Public Health Education Messages in Uganda (October 2008)
Maryland Institute College of Art, Baltimore, MD (USA)
Conference Presentation: Continuities and Innovations:
Popular Print Cultures – Past and Present, Local and Global (August 2008)
Presentation: Street Sociable: Edmonton Vernacular Print Culture, University of Alberta
Conference Presentation: Architecture of History (February 2008)
Participatory Design: Designing Toward Positive Futures, University of Alberta
Participatory Calendar Design Workshop: U of A International House (Spring 2008)
Participatory Design Workshop with students from Design 490 (January 2008)
Poster design for the Architecture of History Conference, University of Alberta
Invited lecture to Design 396 (November 2007)
Presentation: Empathetic Design, University of Alberta
Invited lecture to Design 490 (October 2007)
Presentation: Socially Responsible Design, University of Alberta
Appendix 21 | 171
Curriculum Vitæ
VOLUNTEER POSITIONS
Panel member: The graduate student experience
FGSR panel discussion for undergraduate students (November 2009)
Alumni Lounge, Students’ Union Building, University of Alberta
Re-mark(s): Event Coordinator and Project Facilitator (December 2008)
Participatory Design Workshop, QUAD, University of Alberta
Volunteer and Event Coordinator (October 2008)
Halloween face-painting, International Center, University of Alberta
Volunteer Peer Leader (September–December 2008)
University International, University of Alberta
Coordinator, -µBSUJTUFVOBDUFVSTPDJBM (September–December 2006)
Center Soleil d’Afrique, Bamako, Mali
T-shirt contest and exhibition promoting art as an agent for social change
Volunteer Art Instructor (September–December 2005)
Mer et Monde, Senegal (West Africa)
Volunteer Art Instruction to teenage dropouts (March 2004–February 2005)
REVDEC (non-profit organization) Montreal, Quebec
Festival Volunteer
Edmonton Folk Festival (2006) Edmonton, Alberta
Festival Nuit Blanche sur Tableau Noir (2004) Montreal, Quebec
Cinemania Film Festival (2002 and 2003) Montreal, Quebec
LANGUAGES
English and French (fluent); Wolof, Bambara and Luganda (beginner)
Appendix 21 | 172
DVD
1. FAB gallery video: Video snippets 1
1_video_snippets_1.mov
2. FAB gallery video: Video snippets 2
2_video_snippets_2.mov
3. FAB gallery projection: Words and images
3_words_and_images
4. FAB gallery projection: Process images
4_process_images
5. FAB gallery: didactic wall panels
5_didactic_wall_panels.pdf
6. FAB gallery: gallery installation photos
6_gallery_installation_photos.pdf
7. Final thesis report
7_Leslie_thesis_report_FINAL.pdf