2 - Contemporary Discourses in Qualitative Research: Lessons for Health Research in Nigeria
Corresponding Author(s) : Ali A. Abdullahi
African Sociological Review,
Vol. 16 No. 1 (2012): African Sociological Review
Abstract
Quantitative research has permeated and dominated health research in Nigeria. One of the oldest and the most commonly used quantitative research designs are KAP (knowledge, attitude and practice) surveys. Although KAP surveys are important approaches to assessing distribution of community knowledge in large-scale projects, such surveys are often inundated by challenges, especially with regard to accurate measurement and understanding of social construction of health and illness. This paper examines contemporary ontological, epistemological, axiological and methodological discourses in the qualitative research approach and argues for adequate utilisation of the qualitative approach in health research in Nigeria. The qualitative approach deepens understanding of cultural milieu regarding health beliefs and socio-cultural issues surrounding medical therapy, as well as health seeking behaviour. Therefore, this paper argues for a more participatory research methodology in the understanding of health, illness and disease in Nigeria. Some case studies of qualitative research from Nigeria and abroad were reviewed from which health researchers (clinical managers and health social scientists and public health experts) could learn. The paper is thus a contribution to the ongoing discourses in global qualitative health research.
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- Abdullahi, A.A., Saliman, T.S. and Abodunrin J.M. (2012). Developments in Qualitative research: A Journey into the Construction of Meaning. Paper presentedat the 17th Annual National Conference of the Nigerian Anthropological and Sociological Association held at the Nnamdi Azikwe University, Awka, November 5-9.
- Abdullahi, A.A. (2011). Towards a Sociology of Health Care Service Utilisation in the Case of Children with Malaria in Nigeria. A PhD Thesis Submitted to the Department of Sociology, University of Johannesburg, South Africa.
- Abdullahi, A. A. & Amzat, J. (2011). ‘Knowledge of Hypertension among the Staff of University of Ibadan, Nigeria’. Journal of Public Health and epidemiology, 3(5): 204-209.
- Abimbola, K. (2006). yoruba Culture: A Philosophical Account. Birmingham: Iroko Academic Publishers.
- Alaba, O. A. & Koch, S. F. (2008). Dynamic Health Care Decisions and Child Health in South Africa. Department of Economics Working Paper Series. Pretoria: University of Pretoria.
- Amzat, J. (2009). Home Management of Childhood Malaria and Treatment failure among Mothers of Under-five Children in Offa, Nigeria. PhD Thesis submitted to the Department of Sociology, University of Ibadan, Nigeria.
- Amzat, J. & Omololu, F. (2012). ‘The Basics of Sociological Paradigms’. In Ogundiya, I.S. and Amzat, J. (eds). Basics of the Social Sciences. Lagos: Malthouse Press. Babbie, E. (2005).
- The Basics of Social research, 3rd edition. London: Thomson Wadsworth. Beiersmann, C., Sanou, A., Wladarsch, E., De Allegri, M., Kouyaté, B., & Müller, O. (2007). ‘Malaria in Rural Burkina Faso: Local Illness Concepts, Patterns of Traditional Treatment and Influence on Health-Seeking Behaviour’. Malaria Journal, 6(106): 1-9.
- Bloomberg, L. D. & Volpe, M. (2008). Completing your Qualitative Dissertation: a roadmap from Beginning to end. London: Sage.
- Bloor, M. Frankland, J, Thomas, M and Robson, K. (2001). focus Groups in Social research. London: Sage.
- Blumer, H. (1969). Symbolic interactionism: Perspective and method. Englewood Cliffs, NJ: Prentice Hall.
- Boeije, H. (2010). Analysis in Qualitative research. London: Sage
- Bruni, A. & Gobo, G. (2005). ‘Qualitative Research in Italy’ (43 paragraphs)- Forum Qualitative Sozia/forschung/Forum: Qualitative Social Research [OnlineJournal], 6(3): Art 41 (accessed from
- http://www.qualitative-research.net/fqs-texte/3 05/05-3-41-e.htm on the 5th July, 2012).
- Byrne, B. (2004). ‘Qualitative Interviewing’. In Seal, C. (ed). researching Society and Culture, 2nd edition. London: Sage.
- Corbetta, P. (2003). Social research: Theory, Methods and Techniques. London: Sage. Creswell, J. W (2007). Qualitative inquiry and research Design: Choosing among five Approaches. Second Edition. Thousand Oaks: Sage Publications.
- Denzin, N., & Lincoln, Y. (Eds.) (2000). Handbook of Qualitative research. London Sage Publications.
- Denzin, N. K., & Lincoln, Y. S. (Eds.). (2003). Collecting and interpreting Qualitative Materials. London: Sage.
- Dyer, C. 1995. Beginning research in Psychology: a Practical Guide to research Methods and Statistics. Oxford, Blackwell Publishers.
- Ehigie, B. S., & Ehigie, R. I. (2005). ‘Applying Qualitative Methods in Organizations: A Note for Industrial/Organizational Psychologists’. The Qualitative report, 10(3): 621-638.
- Elit, L., Jimenez, W., McAlpine, J., Ghatage, P., Miller, D., & Plante, M. (2011).‘Cervical Cancer Prevention in Low-Resource Settings’. J Obstet Gynaecol Can 33(3): 272-279.
- Geertz, C. (1973). The interpretation of Cultures. New York: Basic Books. From Neuman, WL. (2007).
- Basic of Social research: Qualitative and Quantitative Approaches. 2nd edition. New York: Pearson.
- Gorard, S., & Taylor, C. (2004). Combining Methods in educational and Social research.London: Open University Press.
- Guba, E. G., & Lincoln, Y. S. (1989). fourth Generation evaluation. Newbury Park, CA: Sage.
- Gysels, M., Shipman, C.,& Higginson, I. J.(2008).‘Is the Qualitative Research Interview an Acceptable Medium for Research with Palliative Care Patients and Careers?’. BMC Medical ethics, 9(7): 1-6.
- Hausmann-Muela,S.,Ribera,J.M.& Nyamonga,I.(2003).Health Seeking Behaviourandthe Health System response. DCPP Working Paper, 14:1-37.
- Healy, M., & Perry, C. (2000). ‘Comprehensive Criteria to judge Validity and Reliability of Qualitative Research within the Realism Paradigm’. Qualitative Market research – An international Journal, 3(3), 118-126.
- Hesse-Biber, S. N., & Leavy, P. (Eds.). (2004). Approaches to Qualitative research: a reader on Theory and Practice. Oxford: Oxford University Press.
- Hopkins, W. G. (2000). Quantitative research Design. United Kingdom: Greg Atkinson, Jup, V. (2006). The Sage Dictionary of Social research Methods. London: Sage Publications.
- Kelle, U., & Erzberger, C. (2004). ‘Qualitative and Quantitative Methods: Not in Opposition’. In Flick, U, von Kardorff, E and Steinke, I. (eds.). A Companion to Qualitative research. London: Sage Publications. Pp. 172-177.
- Keller, C. Fleury, J. Perez, A. Ainsworth, B and Vaughan, L. (2008). ‘Using Visual Method to Uncover Context’. Qualitative Health research, 18(3): 428-436.
- Kleinman, A., Eisenberg, L., & Good, B. (2006). ‘Culture, Illness, and Care: Clinical Lessons from Anthropologic and Cross-Cultural Research’. The Journal of Lifelong Learning in Psychiatry, 4(1): 140-149.
- Krauss, SE. (2005). ‘Research Paradigms and Meaning Making: A Primer’. The Qualitative report. 10(4): 758-770. Also available @ http://www.nova.edu/ssss QR/QR10-4/krauss.pdf
- LeCompte, M. D., & Goetz, J. P. (1982). ‘Problems of Reliability and Validity in Ethnographic Research’. review of educational research, 51: 31-60.
- Liebenberg, L. (2009). ‘The Visual Image as Discussion Point: Increasing Validity in Boundary Crossing Research’. Qualitative research, 9(4): 441-467.
- Martinez, R. G. (2005). ‘What’s Wrong with me?: Cervical Cancer in Venezuela- Living in the Borderlands of Health, Disease, and Illness’. Social Science and Medicine, 61: 797–808.
- Marvasti, A. B. (2004). Qualitative research in Sociology: An introduction. London: Sage Publications.
- Mason, P. (2005). ‘Visual Data in Applied Qualitative Research: Lessons from Experience’. Qualitative research, 5(3): 325-346.
- Mason, J. (2002). Qualitative researching, second edition. London: Sage.
- Maxwell, J. A. (1996). Qualitative research Design: An interactive Approach. London: Sage Publication.
- Maxwell, J. A. (1992). ‘Understanding and Validity in Qualitative Research’. Harvard educational review, 62: 279-300.
- Miller, S. I., & Fredericks, M. (1996). Qualitative research Methods: Social epidemiology and Practical enquiry. New York: Peter Lang.
- Neuman, W. L. (2007). Basic of Social research: Qualitative and Quantitative Approaches. 2nd edition. New York: Pearson.
- O’Flynn, N., & Britten, N. (2000). ‘Menorrhagia in General Practice: Disease or Illness’. Social Science & Medicine 50:651 – 661.
- Oguonu, T., Okafor, H. U., & Obu, H. A. (2005). ‘Caregivers’ Knowledge, Attitude and Practice on Childhood Malaria and Treatment in Urban and Rural Communities in Enugu, South- East Nigeria’.
- Public Health, 119: 409-414. Ojikutu, R. K. (2010). ‘Malaria and Child Survival in Nigeria: Beyond the Stethoscope’. international Journal of Academic research, 2(2): 21-28.
- Okeke, C. O., & Ume, T. A. (2004). ‘Some Epistemological Issues in the Conduct of Social and Behavioural Studies in the Faculty of Education of Nigerian Universities’. The African Symposium, 4(1): 19-38.
- Onwuegbuzie, A. J.,& Daniel, L. G.(2002).‘A Framework for Reporting and Interpreting Internal Consistency Reliability Estimates’. Journal of Measurement and evaluation Counseling and Development, 35: 89-103.
- Ospina, S. (2004). ‘Qualitative Research’. In Goethals, G. Sorenson, G and MacGregor, J. (eds.). encyclopedia of Leadership. London: Sage (accessed from http:/wagner.nyu.edu/leadership/publications/files/Qualitative_Research.pdf on the 24th of June, 2012).
- Reynolds, J., Kizito, J., Ezumah, N., Mangesho, P., Allen, E., & Chandler, C. (2011). ‘Quality Assurance of Qualitative Research: a Review of the Discourse’. Health research Policy and Systems. 9:43.
- Ritzer, G. (2011). Sociological Theory. 8th Edn, NY: McGraw-Hill.
- Schulze, S. (2003).‘Views on the Combination of Qualitative and Quantitative Research Approaches’. Progressio, 25(2): 8-20.
- Schurink, W. (2012). Challenges Qualitative inquiry Posed when Undertaking Masters and Doctoral Studies. Seminar Paper Presented to Postgraduate Students, Department of Sociology and Anthropology, University of Johannesburg, South Africa. 8th February (power point).
- Seidman, I. (2006). interviewing as a Qualitative research: A Guide for researchers in education and the Social Sciences. 3rd Edition. New York: Teachers’ College Press.
- Sharma, V. R. (2008). ‘When to Seek Health Care: A Duration Analysis for Malaria Patients in
- Nepal’. Social Science and Medicine, 66: 2486-2494.
- Strydom, H., Fouche, C. B., & Delport, C. S. L. (2002). research at Grassroots for the Social Sciences and Human Service Profession. 2nd Edition. Pretoria: JL Van Schaik Edu.
- Trochim, W. M. (2000). The research methods knowledge base. Retrieved September 20, 2011, from http://www.socialresearchmethods.net/kb/Visual Sociology Vol. 16(1), pp. 75-88.
- Vygotsky, L. (1987). Thought and language (A. Kozulin, Ed.). Cambridge, MA: MIT Press. Wicks, A., & Whiteford, G. (2006). Conceptual and Practical Issues in Qualitative Research: Reflections on a Life History Study. faculty of Health and Behavioural Sciences’ Papers. University of Wollongong.
- Yates, S. J. (2004). Doing Social Science research. London: Sage.
References
Abdullahi, A.A., Saliman, T.S. and Abodunrin J.M. (2012). Developments in Qualitative research: A Journey into the Construction of Meaning. Paper presentedat the 17th Annual National Conference of the Nigerian Anthropological and Sociological Association held at the Nnamdi Azikwe University, Awka, November 5-9.
Abdullahi, A.A. (2011). Towards a Sociology of Health Care Service Utilisation in the Case of Children with Malaria in Nigeria. A PhD Thesis Submitted to the Department of Sociology, University of Johannesburg, South Africa.
Abdullahi, A. A. & Amzat, J. (2011). ‘Knowledge of Hypertension among the Staff of University of Ibadan, Nigeria’. Journal of Public Health and epidemiology, 3(5): 204-209.
Abimbola, K. (2006). yoruba Culture: A Philosophical Account. Birmingham: Iroko Academic Publishers.
Alaba, O. A. & Koch, S. F. (2008). Dynamic Health Care Decisions and Child Health in South Africa. Department of Economics Working Paper Series. Pretoria: University of Pretoria.
Amzat, J. (2009). Home Management of Childhood Malaria and Treatment failure among Mothers of Under-five Children in Offa, Nigeria. PhD Thesis submitted to the Department of Sociology, University of Ibadan, Nigeria.
Amzat, J. & Omololu, F. (2012). ‘The Basics of Sociological Paradigms’. In Ogundiya, I.S. and Amzat, J. (eds). Basics of the Social Sciences. Lagos: Malthouse Press. Babbie, E. (2005).
The Basics of Social research, 3rd edition. London: Thomson Wadsworth. Beiersmann, C., Sanou, A., Wladarsch, E., De Allegri, M., Kouyaté, B., & Müller, O. (2007). ‘Malaria in Rural Burkina Faso: Local Illness Concepts, Patterns of Traditional Treatment and Influence on Health-Seeking Behaviour’. Malaria Journal, 6(106): 1-9.
Bloomberg, L. D. & Volpe, M. (2008). Completing your Qualitative Dissertation: a roadmap from Beginning to end. London: Sage.
Bloor, M. Frankland, J, Thomas, M and Robson, K. (2001). focus Groups in Social research. London: Sage.
Blumer, H. (1969). Symbolic interactionism: Perspective and method. Englewood Cliffs, NJ: Prentice Hall.
Boeije, H. (2010). Analysis in Qualitative research. London: Sage
Bruni, A. & Gobo, G. (2005). ‘Qualitative Research in Italy’ (43 paragraphs)- Forum Qualitative Sozia/forschung/Forum: Qualitative Social Research [OnlineJournal], 6(3): Art 41 (accessed from
http://www.qualitative-research.net/fqs-texte/3 05/05-3-41-e.htm on the 5th July, 2012).
Byrne, B. (2004). ‘Qualitative Interviewing’. In Seal, C. (ed). researching Society and Culture, 2nd edition. London: Sage.
Corbetta, P. (2003). Social research: Theory, Methods and Techniques. London: Sage. Creswell, J. W (2007). Qualitative inquiry and research Design: Choosing among five Approaches. Second Edition. Thousand Oaks: Sage Publications.
Denzin, N., & Lincoln, Y. (Eds.) (2000). Handbook of Qualitative research. London Sage Publications.
Denzin, N. K., & Lincoln, Y. S. (Eds.). (2003). Collecting and interpreting Qualitative Materials. London: Sage.
Dyer, C. 1995. Beginning research in Psychology: a Practical Guide to research Methods and Statistics. Oxford, Blackwell Publishers.
Ehigie, B. S., & Ehigie, R. I. (2005). ‘Applying Qualitative Methods in Organizations: A Note for Industrial/Organizational Psychologists’. The Qualitative report, 10(3): 621-638.
Elit, L., Jimenez, W., McAlpine, J., Ghatage, P., Miller, D., & Plante, M. (2011).‘Cervical Cancer Prevention in Low-Resource Settings’. J Obstet Gynaecol Can 33(3): 272-279.
Geertz, C. (1973). The interpretation of Cultures. New York: Basic Books. From Neuman, WL. (2007).
Basic of Social research: Qualitative and Quantitative Approaches. 2nd edition. New York: Pearson.
Gorard, S., & Taylor, C. (2004). Combining Methods in educational and Social research.London: Open University Press.
Guba, E. G., & Lincoln, Y. S. (1989). fourth Generation evaluation. Newbury Park, CA: Sage.
Gysels, M., Shipman, C.,& Higginson, I. J.(2008).‘Is the Qualitative Research Interview an Acceptable Medium for Research with Palliative Care Patients and Careers?’. BMC Medical ethics, 9(7): 1-6.
Hausmann-Muela,S.,Ribera,J.M.& Nyamonga,I.(2003).Health Seeking Behaviourandthe Health System response. DCPP Working Paper, 14:1-37.
Healy, M., & Perry, C. (2000). ‘Comprehensive Criteria to judge Validity and Reliability of Qualitative Research within the Realism Paradigm’. Qualitative Market research – An international Journal, 3(3), 118-126.
Hesse-Biber, S. N., & Leavy, P. (Eds.). (2004). Approaches to Qualitative research: a reader on Theory and Practice. Oxford: Oxford University Press.
Hopkins, W. G. (2000). Quantitative research Design. United Kingdom: Greg Atkinson, Jup, V. (2006). The Sage Dictionary of Social research Methods. London: Sage Publications.
Kelle, U., & Erzberger, C. (2004). ‘Qualitative and Quantitative Methods: Not in Opposition’. In Flick, U, von Kardorff, E and Steinke, I. (eds.). A Companion to Qualitative research. London: Sage Publications. Pp. 172-177.
Keller, C. Fleury, J. Perez, A. Ainsworth, B and Vaughan, L. (2008). ‘Using Visual Method to Uncover Context’. Qualitative Health research, 18(3): 428-436.
Kleinman, A., Eisenberg, L., & Good, B. (2006). ‘Culture, Illness, and Care: Clinical Lessons from Anthropologic and Cross-Cultural Research’. The Journal of Lifelong Learning in Psychiatry, 4(1): 140-149.
Krauss, SE. (2005). ‘Research Paradigms and Meaning Making: A Primer’. The Qualitative report. 10(4): 758-770. Also available @ http://www.nova.edu/ssss QR/QR10-4/krauss.pdf
LeCompte, M. D., & Goetz, J. P. (1982). ‘Problems of Reliability and Validity in Ethnographic Research’. review of educational research, 51: 31-60.
Liebenberg, L. (2009). ‘The Visual Image as Discussion Point: Increasing Validity in Boundary Crossing Research’. Qualitative research, 9(4): 441-467.
Martinez, R. G. (2005). ‘What’s Wrong with me?: Cervical Cancer in Venezuela- Living in the Borderlands of Health, Disease, and Illness’. Social Science and Medicine, 61: 797–808.
Marvasti, A. B. (2004). Qualitative research in Sociology: An introduction. London: Sage Publications.
Mason, P. (2005). ‘Visual Data in Applied Qualitative Research: Lessons from Experience’. Qualitative research, 5(3): 325-346.
Mason, J. (2002). Qualitative researching, second edition. London: Sage.
Maxwell, J. A. (1996). Qualitative research Design: An interactive Approach. London: Sage Publication.
Maxwell, J. A. (1992). ‘Understanding and Validity in Qualitative Research’. Harvard educational review, 62: 279-300.
Miller, S. I., & Fredericks, M. (1996). Qualitative research Methods: Social epidemiology and Practical enquiry. New York: Peter Lang.
Neuman, W. L. (2007). Basic of Social research: Qualitative and Quantitative Approaches. 2nd edition. New York: Pearson.
O’Flynn, N., & Britten, N. (2000). ‘Menorrhagia in General Practice: Disease or Illness’. Social Science & Medicine 50:651 – 661.
Oguonu, T., Okafor, H. U., & Obu, H. A. (2005). ‘Caregivers’ Knowledge, Attitude and Practice on Childhood Malaria and Treatment in Urban and Rural Communities in Enugu, South- East Nigeria’.
Public Health, 119: 409-414. Ojikutu, R. K. (2010). ‘Malaria and Child Survival in Nigeria: Beyond the Stethoscope’. international Journal of Academic research, 2(2): 21-28.
Okeke, C. O., & Ume, T. A. (2004). ‘Some Epistemological Issues in the Conduct of Social and Behavioural Studies in the Faculty of Education of Nigerian Universities’. The African Symposium, 4(1): 19-38.
Onwuegbuzie, A. J.,& Daniel, L. G.(2002).‘A Framework for Reporting and Interpreting Internal Consistency Reliability Estimates’. Journal of Measurement and evaluation Counseling and Development, 35: 89-103.
Ospina, S. (2004). ‘Qualitative Research’. In Goethals, G. Sorenson, G and MacGregor, J. (eds.). encyclopedia of Leadership. London: Sage (accessed from http:/wagner.nyu.edu/leadership/publications/files/Qualitative_Research.pdf on the 24th of June, 2012).
Reynolds, J., Kizito, J., Ezumah, N., Mangesho, P., Allen, E., & Chandler, C. (2011). ‘Quality Assurance of Qualitative Research: a Review of the Discourse’. Health research Policy and Systems. 9:43.
Ritzer, G. (2011). Sociological Theory. 8th Edn, NY: McGraw-Hill.
Schulze, S. (2003).‘Views on the Combination of Qualitative and Quantitative Research Approaches’. Progressio, 25(2): 8-20.
Schurink, W. (2012). Challenges Qualitative inquiry Posed when Undertaking Masters and Doctoral Studies. Seminar Paper Presented to Postgraduate Students, Department of Sociology and Anthropology, University of Johannesburg, South Africa. 8th February (power point).
Seidman, I. (2006). interviewing as a Qualitative research: A Guide for researchers in education and the Social Sciences. 3rd Edition. New York: Teachers’ College Press.
Sharma, V. R. (2008). ‘When to Seek Health Care: A Duration Analysis for Malaria Patients in
Nepal’. Social Science and Medicine, 66: 2486-2494.
Strydom, H., Fouche, C. B., & Delport, C. S. L. (2002). research at Grassroots for the Social Sciences and Human Service Profession. 2nd Edition. Pretoria: JL Van Schaik Edu.
Trochim, W. M. (2000). The research methods knowledge base. Retrieved September 20, 2011, from http://www.socialresearchmethods.net/kb/Visual Sociology Vol. 16(1), pp. 75-88.
Vygotsky, L. (1987). Thought and language (A. Kozulin, Ed.). Cambridge, MA: MIT Press. Wicks, A., & Whiteford, G. (2006). Conceptual and Practical Issues in Qualitative Research: Reflections on a Life History Study. faculty of Health and Behavioural Sciences’ Papers. University of Wollongong.
Yates, S. J. (2004). Doing Social Science research. London: Sage.