PLA Notes CD-ROM 1988-2001 4 The death of the clinic? Participatory Urban Appraisal (PUA) in a Dominican barrio

Document begins: PLA Notes CD-ROM 1988­2001 4 The death of the clinic? Participatory Urban Appraisal (PUA) in a Dominican barrio Hilary Cottam Introduction terms of method (what worked and what did not) and, where appropriate, substance (the This article describes the experience of urban debates uncovered in the process). participatory research in a barrio , La Cienaga, in Santo Domingo, the Dominican Republic. Working with the women of La The research was undertaken as part of a larger Cienaga: a participatory study which aimed to explore the links between research process urban women's changing and multiple productive roles and their health. The central The research team worked in La Cienaga for a hypothesis of the research was that the way week, during which time the author stayed in health is conceived in a Primary Health Care the barrio. Staying in the barrio proved to be (PHC) clinic based model, measured by important for uncovering the very different standardised health indicators, is not economic activities that were pursued by the appropriate for women in an urban setting. women at different times of the day and different days of the week. A total of 43 women Participatory methods were chosen to allow ...