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Stakeholders’ views on addressing adverse childhood experiences in the Maghreb: A participatory approach

Fadi Baghdadi, Christopher Hands, Kamal Belherkate, Siham Hamadi Boubiett, Vimala Crispin, Sana El Mhamdi, Ann John Orcid Logo, Ashra Khanon, El Houssein Bedidi Seyid, Abdellah Soussi, Helen Snooks Orcid Logo

Children and Youth Services Review, Volume: 169, Start page: 108096

Swansea University Authors: Fadi Baghdadi, Ann John Orcid Logo, Ashra Khanon, Helen Snooks Orcid Logo

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DOI (Published version): 10.1016/j.childyouth.2024.108096

Abstract

BackgroundAdverse Childhood Experiences (ACEs) are traumatic events with lasting impacts on health and wellbeing into adulthood. Countries in the Maghreb have some of the highest rates of ACEs in the world, though there is minimal local research from the region.ObjectiveTo gather perspectives from l...

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Published in: Children and Youth Services Review
ISSN: 0190-7409
Published: Elsevier BV 2025
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Countries in the Maghreb have some of the highest rates of ACEs in the world, though there is minimal local research from the region.ObjectiveTo gather perspectives from local stakeholders to inform the development of effective and sustainable local programmes that address the high rates of ACEs across the Maghreb.Participants and settingWe conducted nine Participatory Learning and Action (PLA) workshops with 86 stakeholders in Nouakchott (Mauritania), Taroudant (Morocco) and Mahdia (Tunisia). We conducted three PLA workshops in each country with: 1) Parents of children at risk of ACEs (n&#x202F;=&#x202F;29); 2) Non-governmental organisations staff (n&#x202F;=&#x202F;31); and 3) Senior professionals (n&#x202F;=&#x202F;26).MethodsPLA workshops consisted of Participatory Rank Methodology (PRM) activities to understand the factors influencing children&#x2019;s exposure to ACEs and a case vignette activity to understand stakeholders&#x2019; perceptions of the available resources to protect children from ACEs. We coded and analysed data using thematic and narrative analysis.ResultsFactors influencing children&#x2019;s exposure to ACEs highlighted by stakeholders through the PRM exercises included parenting skills, access to services, and marginalisation of single mothers and their children. Responses to case vignettes varied by country, with stakeholders in Mauritania and Tunisia expecting response from government and community networks, while in Morocco the emphasis was on community networks only.ConclusionLocal stakeholders proposed strengethening community networks to mitigate ACEs in the Maghreb. Findings demonstrate the importance of family stability, accessible government services, and community support for reducing children&#x2019;s exposure to ACEs. Further research is required to develop tailored programmes addressing regional challenges.</abstract><type>Journal Article</type><journal>Children and Youth Services Review</journal><volume>169</volume><journalNumber/><paginationStart>108096</paginationStart><paginationEnd/><publisher>Elsevier BV</publisher><placeOfPublication/><isbnPrint/><isbnElectronic/><issnPrint>0190-7409</issnPrint><issnElectronic/><keywords>Adverse childhood experiences; Child maltreatment; Participatory research; Mauritania; Morocco; Tunisia</keywords><publishedDay>1</publishedDay><publishedMonth>2</publishedMonth><publishedYear>2025</publishedYear><publishedDate>2025-02-01</publishedDate><doi>10.1016/j.childyouth.2024.108096</doi><url/><notes/><college>COLLEGE NANME</college><department>Medical School</department><CollegeCode>COLLEGE CODE</CollegeCode><DepartmentCode>MEDS</DepartmentCode><institution>Swansea University</institution><apcterm>SU Library paid the OA fee (TA Institutional Deal)</apcterm><funders>This work was supported by the Higher Education Funding Council for Wales [RIG1041-152, 2022].</funders><projectreference/><lastEdited>2025-01-28T15:57:54.5886235</lastEdited><Created>2024-12-18T17:31:50.8197284</Created><path><level id="1">Faculty of Medicine, Health and Life Sciences</level><level id="2">Swansea University Medical School - Health Data Science</level></path><authors><author><firstname>Fadi</firstname><surname>Baghdadi</surname><order>1</order></author><author><firstname>Christopher</firstname><surname>Hands</surname><order>2</order></author><author><firstname>Kamal</firstname><surname>Belherkate</surname><order>3</order></author><author><firstname>Siham Hamadi</firstname><surname>Boubiett</surname><order>4</order></author><author><firstname>Vimala</firstname><surname>Crispin</surname><order>5</order></author><author><firstname>Sana El</firstname><surname>Mhamdi</surname><order>6</order></author><author><firstname>Ann</firstname><surname>John</surname><orcid>0000-0002-5657-6995</orcid><order>7</order></author><author><firstname>Ashra</firstname><surname>Khanon</surname><order>8</order></author><author><firstname>El Houssein Bedidi</firstname><surname>Seyid</surname><order>9</order></author><author><firstname>Abdellah</firstname><surname>Soussi</surname><order>10</order></author><author><firstname>Helen</firstname><surname>Snooks</surname><orcid>0000-0003-0173-8843</orcid><order>11</order></author></authors><documents><document><filename>68601__33427__7aee762da2694747a7dec0f80139f53c.pdf</filename><originalFilename>68601.VoR.pdf</originalFilename><uploaded>2025-01-28T15:56:38.2782606</uploaded><type>Output</type><contentLength>557929</contentLength><contentType>application/pdf</contentType><version>Version of Record</version><cronfaStatus>true</cronfaStatus><documentNotes>&#xA9; 2024 The Authors. 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spelling 2025-01-28T15:57:54.5886235 v2 68601 2024-12-18 Stakeholders’ views on addressing adverse childhood experiences in the Maghreb: A participatory approach eba9bb478b589955aa9e749a0f0e7186 Fadi Baghdadi Fadi Baghdadi true false ed8a9c37bd7b7235b762d941ef18ee55 0000-0002-5657-6995 Ann John Ann John true false 1f0f14742e3a36e8fd6d29f59374a009 Ashra Khanon Ashra Khanon true false ab23c5e0111b88427a155a1f495861d9 0000-0003-0173-8843 Helen Snooks Helen Snooks true false 2024-12-18 MEDS BackgroundAdverse Childhood Experiences (ACEs) are traumatic events with lasting impacts on health and wellbeing into adulthood. Countries in the Maghreb have some of the highest rates of ACEs in the world, though there is minimal local research from the region.ObjectiveTo gather perspectives from local stakeholders to inform the development of effective and sustainable local programmes that address the high rates of ACEs across the Maghreb.Participants and settingWe conducted nine Participatory Learning and Action (PLA) workshops with 86 stakeholders in Nouakchott (Mauritania), Taroudant (Morocco) and Mahdia (Tunisia). We conducted three PLA workshops in each country with: 1) Parents of children at risk of ACEs (n = 29); 2) Non-governmental organisations staff (n = 31); and 3) Senior professionals (n = 26).MethodsPLA workshops consisted of Participatory Rank Methodology (PRM) activities to understand the factors influencing children’s exposure to ACEs and a case vignette activity to understand stakeholders’ perceptions of the available resources to protect children from ACEs. We coded and analysed data using thematic and narrative analysis.ResultsFactors influencing children’s exposure to ACEs highlighted by stakeholders through the PRM exercises included parenting skills, access to services, and marginalisation of single mothers and their children. Responses to case vignettes varied by country, with stakeholders in Mauritania and Tunisia expecting response from government and community networks, while in Morocco the emphasis was on community networks only.ConclusionLocal stakeholders proposed strengethening community networks to mitigate ACEs in the Maghreb. Findings demonstrate the importance of family stability, accessible government services, and community support for reducing children’s exposure to ACEs. Further research is required to develop tailored programmes addressing regional challenges. Journal Article Children and Youth Services Review 169 108096 Elsevier BV 0190-7409 Adverse childhood experiences; Child maltreatment; Participatory research; Mauritania; Morocco; Tunisia 1 2 2025 2025-02-01 10.1016/j.childyouth.2024.108096 COLLEGE NANME Medical School COLLEGE CODE MEDS Swansea University SU Library paid the OA fee (TA Institutional Deal) This work was supported by the Higher Education Funding Council for Wales [RIG1041-152, 2022]. 2025-01-28T15:57:54.5886235 2024-12-18T17:31:50.8197284 Faculty of Medicine, Health and Life Sciences Swansea University Medical School - Health Data Science Fadi Baghdadi 1 Christopher Hands 2 Kamal Belherkate 3 Siham Hamadi Boubiett 4 Vimala Crispin 5 Sana El Mhamdi 6 Ann John 0000-0002-5657-6995 7 Ashra Khanon 8 El Houssein Bedidi Seyid 9 Abdellah Soussi 10 Helen Snooks 0000-0003-0173-8843 11 68601__33427__7aee762da2694747a7dec0f80139f53c.pdf 68601.VoR.pdf 2025-01-28T15:56:38.2782606 Output 557929 application/pdf Version of Record true © 2024 The Authors. This is an open access article under the CC BY license. true eng http://creativecommons.org/licenses/by/4.0/
title Stakeholders’ views on addressing adverse childhood experiences in the Maghreb: A participatory approach
spellingShingle Stakeholders’ views on addressing adverse childhood experiences in the Maghreb: A participatory approach
Fadi Baghdadi
Ann John
Ashra Khanon
Helen Snooks
title_short Stakeholders’ views on addressing adverse childhood experiences in the Maghreb: A participatory approach
title_full Stakeholders’ views on addressing adverse childhood experiences in the Maghreb: A participatory approach
title_fullStr Stakeholders’ views on addressing adverse childhood experiences in the Maghreb: A participatory approach
title_full_unstemmed Stakeholders’ views on addressing adverse childhood experiences in the Maghreb: A participatory approach
title_sort Stakeholders’ views on addressing adverse childhood experiences in the Maghreb: A participatory approach
author_id_str_mv eba9bb478b589955aa9e749a0f0e7186
ed8a9c37bd7b7235b762d941ef18ee55
1f0f14742e3a36e8fd6d29f59374a009
ab23c5e0111b88427a155a1f495861d9
author_id_fullname_str_mv eba9bb478b589955aa9e749a0f0e7186_***_Fadi Baghdadi
ed8a9c37bd7b7235b762d941ef18ee55_***_Ann John
1f0f14742e3a36e8fd6d29f59374a009_***_Ashra Khanon
ab23c5e0111b88427a155a1f495861d9_***_Helen Snooks
author Fadi Baghdadi
Ann John
Ashra Khanon
Helen Snooks
author2 Fadi Baghdadi
Christopher Hands
Kamal Belherkate
Siham Hamadi Boubiett
Vimala Crispin
Sana El Mhamdi
Ann John
Ashra Khanon
El Houssein Bedidi Seyid
Abdellah Soussi
Helen Snooks
format Journal article
container_title Children and Youth Services Review
container_volume 169
container_start_page 108096
publishDate 2025
institution Swansea University
issn 0190-7409
doi_str_mv 10.1016/j.childyouth.2024.108096
publisher Elsevier BV
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str Swansea University Medical School - Health Data Science{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}Swansea University Medical School - Health Data Science
document_store_str 1
active_str 0
description BackgroundAdverse Childhood Experiences (ACEs) are traumatic events with lasting impacts on health and wellbeing into adulthood. Countries in the Maghreb have some of the highest rates of ACEs in the world, though there is minimal local research from the region.ObjectiveTo gather perspectives from local stakeholders to inform the development of effective and sustainable local programmes that address the high rates of ACEs across the Maghreb.Participants and settingWe conducted nine Participatory Learning and Action (PLA) workshops with 86 stakeholders in Nouakchott (Mauritania), Taroudant (Morocco) and Mahdia (Tunisia). We conducted three PLA workshops in each country with: 1) Parents of children at risk of ACEs (n = 29); 2) Non-governmental organisations staff (n = 31); and 3) Senior professionals (n = 26).MethodsPLA workshops consisted of Participatory Rank Methodology (PRM) activities to understand the factors influencing children’s exposure to ACEs and a case vignette activity to understand stakeholders’ perceptions of the available resources to protect children from ACEs. We coded and analysed data using thematic and narrative analysis.ResultsFactors influencing children’s exposure to ACEs highlighted by stakeholders through the PRM exercises included parenting skills, access to services, and marginalisation of single mothers and their children. Responses to case vignettes varied by country, with stakeholders in Mauritania and Tunisia expecting response from government and community networks, while in Morocco the emphasis was on community networks only.ConclusionLocal stakeholders proposed strengethening community networks to mitigate ACEs in the Maghreb. Findings demonstrate the importance of family stability, accessible government services, and community support for reducing children’s exposure to ACEs. Further research is required to develop tailored programmes addressing regional challenges.
published_date 2025-02-01T08:30:18Z
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