Arts-based approaches to promoting health in sub-Saharan Africa: a scoping review

Bunn, C. , Kalinga, C., Mtema, O., Abdulla, S., Dillip, A., Lwanda, J., Mtenga, S., Sharp, J. , Strachan, Z. and Gray, C. (2020) Arts-based approaches to promoting health in sub-Saharan Africa: a scoping review. BMJ Global Health, 5, e001987. (doi: 10.1136/bmjgh-2019-001987) (PMID:32444361)

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Abstract

Introduction: Arts-based approaches to health promotion have been used widely across sub-Saharan Africa (SSA), particularly in public health responses to HIV/AIDS. Such approaches draw on deep-rooted historical traditions of indigenous groups in combination with imported traditions which emerged from colonial engagement. To date, no review has sought to map the locations, health issues, art forms and methods documented by researchers using arts-based approaches in SSA. Methods: Using scoping review methodology, 11 databases spanning biomedicine, arts and humanities and social sciences were searched. Researchers screened search results for papers using predefined criteria. Papers included in the review were read and summarised using a standardised proforma. Descriptive statistics were produced to characterise the location of the studies, art forms used or discussed, and the health issues addressed, and to determine how best to summarise the literature identified. Results: Searches identified a total of 59 794 records, which reduced to 119 after screening. We identified literature representing 30 (62.5%) of the 48 countries in the SSA region. The papers covered 16 health issues. The majority (84.9%) focused on HIV/AIDS-related work, with Ebola (5.0%) and malaria (3.3%) also receiving attention. Most studies used a single art form (79.0%), but a significant number deployed multiple forms (21.0%). Theatre-based approaches were most common (43.7%), followed by music and song (22.6%), visual arts (other) (9.2%), storytelling (7.6%) and film (5.0%). Conclusions: Arts-based approaches have been widely deployed in health promotion in SSA, particularly in response to HIV/AIDS. Historically and as evidenced by this review, arts-based approaches have provided a platform to facilitate enquiry, achieved significant reach and in some instances supported demonstrable health-related change. Challenges relating to content, power relations and evaluation have been reported. Future research should focus on broadening application to other conditions, such as non-communicable diseases, and on addressing challenges raised in research to date.

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Gray, Professor Cindy and Sharp, Professor Jo and Strachan, Ms Zoe and Bunn, Dr Christopher and Lwanda, Dr John and Mtenga, Dr Sally and Abdulla, Sharifa
Authors: Bunn, C., Kalinga, C., Mtema, O., Abdulla, S., Dillip, A., Lwanda, J., Mtenga, S., Sharp, J., Strachan, Z., and Gray, C.
Subjects:H Social Sciences > H Social Sciences (General)
N Fine Arts > NX Arts in general
R Medicine > RA Public aspects of medicine
College/School:College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > Social Scientists working in Health and Wellbeing
Journal Name:BMJ Global Health
Publisher:BMJ Publishing Group
ISSN:2059-7908
ISSN (Online):2059-7908
Published Online:21 May 2020
Copyright Holders:Copyright © 2020 The Authors
First Published:First published in BMJ Global Health 5:e001987
Publisher Policy:Reproduced under a Creative Commons License

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Project CodeAward NoProject NamePrincipal InvestigatorFunder's NameFunder RefLead Dept
302373Culture and bodies: an interdisciplinary approach to non-communicable disease prevention in Malawi and TanzaniaLucinda GrayMedical Research Council (MRC)MC_PC_MR/R024448/1Arts - English Literature