“Men are the head; women are the neck”: examining dynamics between female agency and cultural nuances

When conducting research in lower-income settings such as rural Ghana, it is vital to ensure that community entry activities are prioritised and local processes are followed. There are both formal and traditional systems to respect and engage with, and this can then allow for smooth progress and participant engagement. In this commentary, we explore the lessons observed and learnt from a recent study, where the study aims to empower female voices, but also aligns this with cultural expectations. Female participants, especially in vulnerable communities, have little to no voice in the literature and policy-making, thus it is important that we go about research appropriately to allow for their participation. Thus, it is imperative to listen and learn from local researchers and balance the need for female empowerment with cultural norms.