Participatory community-based women's group interventions have been successful in improving maternal and newborn survival. In rural Makwanpur, Nepal, exposure to these Participatory Learning and Action groups resulted in a thirty-percent reduction in neonatal mortality rate and significantly fewer maternal deaths. It is often theorised that participatory approaches are more likely to be sustained than top-down approaches, but this is rarely evaluated after the withdrawal of external support. We sought to understand how participatory learning and action (PLA) groups in Makwanpur fared after the supporting non-governmental organisation withdrew their support as well as factors affecting their sustainability. We used mixed methods, conducting a cross-sectional survey of 239 groups, thirty focus group discussions with group members and thirty key informant interviews within twelve-seventeen months after support was withdrawn. Eighty percent of groups were still active which suggests that PLA groups have a high chance of being sustained over time. Groups were more likely to be sustained if the group had local importance and members continued to acquire new knowledge. However, the participatory nature of the group and local embeddedness were not enough to sustain all groups. They also needed leadership capacity, a unifying activity such as a fund, and a strong belief in the value of their meeting to sustain. These key factors should be considered when seeking to enable sustainability of participatory interventions.

Community arts projects have long been used in community development. Nevertheless, despite many liberatory tales that have emerged, scholars caution that well-meaning organizations and artists may inadvertently become complicit in efforts that distract from fundamental inequities, instrumentalizing creative expression as a means to transform potentially dissident youth into productive and cooperative 'citizens'. This article examines how social circus - using circus arts with equity-seeking communities - has been affecting personal and community development among youth with marginalized lifestyles in Quebec, Canada. Employing a 'critical mixed methods' design, we analysed the impacts of the social circus methodology and partnership model deployed on transformation at the personal and community level. Our analysis suggests that transformation in this context is grounded in principles of using embodied play to re-forge habits and fortify an identity within community and societal acceptance through recognizing individual and collective creative contributions. The disciplinary dimension of the programme, however, equally suggests an imprinting of values of 'productivity' by putting marginality 'to work'. In the social circus programmes studied, tensions between the goal of better coping within the existing socioeconomic system and building skills to transform inequitable dynamics within dominant social and cultural processes, are navigated by carving out a space in society that offers alternative ways of seeing and engaging.

The main contributors to inequities in health relates to widespread poverty. Health cannot be achieved without addressing the social determinants of health, and the answer does not lie in the health sector alone. One of the potential pathways to address vulnerabilities linked to poverty, social exclusion, and empowerment of women is aligning health programmes with empowerment interventions linked to access to capital through microfinance and self-help groups. This paper presents a framework to analyse combined health and financial interventions through microfinance programmes in reducing barriers to access health care. If properly designed and ethically managed such integrated programmes can provide more health for the money spent on health care.

There has been much enthusiasm over the past 10 years for the potential contribution of social enterprises to the regeneration of disadvantaged urban areas. This enthusiasm has far outstripped the availability of empirical evidence. This paper reports a qualitative study of one social enterprise, a community café, and its contribution to building social capital in a disadvantaged urban area in London. The analysis reveals how the café builds 'bonding' and 'bridging' social capital whilst also addressing 'downside' social capital. Overall, the manager of the social enterprise played a considerable role in facilitating the development of social capital, thus emphasising the importance of individuals and their attitudes, skills, and background in urban regeneration. However, the role of the social enterprise in building 'linking' social capital was minor. In this instance, more effective mechanisms of community engagement need to be put in place in order to empower local residents and organisations.

Maternal and neonatal mortality rates are highest in the poorest countries, and financial barriers impede access to health care. Community loan funds can increase access to cash in rural areas, thereby reducing delays in care seeking. As part of a participatory intervention in rural Nepal, community women's groups initiated and managed local funds. We explore the factors affecting utilization and management of these funds and the role of the funds in the success of the women's group intervention. We conducted a qualitative study using focus group discussions, group interviews and unstructured observations. Funds may increase access to care for members of trusted 'insider' families adjudged as able to repay loans. Sustainability and sufficiency of funds was a concern but funds increased women's independence and enabled timely care seeking. Conversely, the perceived necessity to contribute may have deterred poorer women. While funds were integral to group success and increased women's autonomy, they may not be the most effective way of supporting the poorest, as the risk pool is too small to allow for repayment default.

In the United States, Centers for Independent Living (CILs) staff were at the frontlines of responding to the impact of the COVID-19 pandemic on rural people with disabilities. Growing out of the Independent Living (IL) Movement, CILs emphasize independence, autonomy, choice, and control for disabled people and do not typically have financial or other resources to give away. To better understand the experiences of CIL staff in using the CARES Act monies and serving rural people with disabilities, researchers at the Rural Institute for Inclusive Communities in collaboration with the Association for Programs in Rural Independent Living (APRIL) used thematic coding to analyze the transcripts of eight national online peer support meetings that were facilitated by APRIL. We found CIL staff described distributing financial assistance to cover essential household needs such as rent, utilities, internet access, and various items. In turn, they also shared that they grappled with conflicts created by the influx of CARES Act funding, which put CIL staff in the position of providing what some described as 'handouts' rather than CILs' usual work of providing consumers with a 'hand-up' through training and other non-financial supports. This project highlights a unique challenge CIL staff faced as they attempted to stay true to IL philosophy while concurrently meeting the needs of rural people with disabilities in crisis during the pandemic.