Attendee Characteristics and in-session observations
In total, the virtual ANH2021 Research Conference attracted 566 unique attendees from 62 countries (Figure 2) and a wide range of disciplinary backgrounds (App. 2). There were an equal number of attendees from HICs (n=257) and LMICs (n=257) (Figure 3). Figure 3 shows that more than two-thirds of attendees (n=368; 65.0%) were women and none identified as non-binary. This proportion was greater among HIC attendees, of whom 82.2% (n=211) were women compared with 61.1% (n=157) of LMIC attendees.
The following values are presented as sample average accompanied by minimum and maximum values: mean (min, max). On average, attendees took part in an average of 2.4 sessions (min:1, max: 12) of the 14 on offer (17% of all sessions) (Figure 4) over three days. They remained in virtual sessions for an average of 65.4% (min, max: 0.8, 100%) of the total session duration (Figure 5). Forty percent of all attendees contributed to the chat (n=220) over the entire research conference (Figure 6). Among those who contributed to the chat at least once, the average number of posts per person was 2.1 per person per session (min, max: 1, 12) (Figure 6).
Women participated more than men: women attended on average 2.7 sessions (min, max: 1, 12 )(Figure 4), for 69.6% (min, max: 0.8, 100%) of the full session duration (Figure 5), and 44% of women (n=161) contributed to the chat box at least once (Figure 6). Meanwhile, men, attended on average 2.0 sessions (min, max: 1, 12) (Figure 4), for 63.6% (min, max: 0.8, 100%) of the duration (Figure 5), while 38% (n=161) contributed to the chat box at least once (Figure 6).
Grouping by country income category, our data show that HIC attendees joined more sessions and for longer, with a larger proportion contributing to the chat than LMIC attendees. HIC attendees joined 2.7 sessions each (min, max: 1, 11) (Figure 4), for 73.2% of the total duration (min, max: 0.8, 100%) (Figure 5), and 47% contributed to the chat (n=120). (Figure 6) LMIC attendees joined 2.3 sessions (min, max: 1, 7) (Figure 4), for 62.8% (min, max: 1.3%, 100%) (Figure 5) of the session durations, with 38% posting to the chat (n=97) (Figure 6).
Participants’ perceptions
In total, 14 ANH2021 attendees, six from HICs and eight from LMICs and 11 women (W) and 3 men (M), took part in the qualitative component of this study. Ten had previously attended in-person (AIP) and four attended online only (AOO). Participation characteristics are detailed in Table 1. No new codes arose from the fourth FGD data, thus we felt confident that thematic saturation had been achieved, in line with previous studies on thematic saturation31. Abbreviated characteristics of study participants follow each quote. Select quotes, unless otherwise stated, represent lager patterns in the data.
Table 1: Participation characteristics of qualitative sample
|
|
|
Women (n=11)
|
Men (n=3)
|
Total (n=14)
|
ANH2021 (n=566)
|
Mean sessions attended (min-max)
|
4.1 (1, 8)
|
2.3 (1, 5)
|
3.7 (1, 8)
|
2.4 (1, 11)
|
Mean duration of attendance/session
|
77.7% (45.8%,96.9%)
|
83.9% (73.3%,100%)
|
79.1% (45.8%,100%)
|
65.4% (0.8%,100%)
|
Contributed to the chat (n, %)
|
(6, 54.55%)
|
(1, 33.3%)
|
(7, 50%)
|
(225, 40%)
|
Previously attended in-person (n, %)
|
(7)
|
(3)
|
(10)
|
-
|
Attending online from different geographies and work environments
Making virtual conferences accessible across multiple time-zones, retaining attendees online and fostering meaningful social connections are key challenge for organisers, which can be partially tackled through innovative use of technological platforms. ANH2021’s programming catered for those in central and moderately Western and Eastern time-zones who could join during, before or after work, “The time zone, especially for those people where it was after five when the conference started, it helped them. They were finished with their office work, and they were still able to attend.” (FGD3, W, Uganda AOO) but created a geographical barrier to participation for people in far-Western and far-Eastern hemisphere time-zones, “It started sometimes at two or three in the morning. So, from a person living in the Western US, it wasn't great. Then think about all the West Coast and Latin America. You missed all that, too.” (FGD2, W, USA, AIP).
Limited institutional recognition of the value or legitimacy of virtual conferences meant that their managers were not likely to grant them time away from work to attend, “These virtual conferences, it's almost like they're just seen as you're watching Netflix at your desk or something” (FGD2, W, Zimbabwe, AOO). While several barriers to attend were lowered, attendees noted that the advantages came with challenges to active participation. For example, distractions due to simultaneous work and family obligations made scientific exchange less immersive.
“While I was effectively attending the session, somebody or my boss may call me and I might interact while attending side by side. On the other hand, if it was in-person, I may fully depart from my work. But in this case, I was handling both side by side. It has its own distracted nature.” (IDI3, M, Ethiopia, AIP).
Flexibility and equitable access
Despite challenges presented by time-zones and concentrating online, the flexibility to attend from one’s own home was unanimously perceived as an improvement for equitable access. Attending alongside existing work and family obligations and reduced cost of attending made it easier for women to attend,
“Online, for the ladies like myself with kids, you're still able to attend. So, I'm also thinking that ladies who are pregnant at that time were also able to participate. If it was face to face perhaps maybe they would not travel” (FGD4, W, Uganda, AOO).
In addition to gender equity, participants commented that the virtual format may reduce racial inequities, “So in as much as possible, I see some barriers -especially with regards to equity- reduced from the women's perspective, but also if you look at other social barriers in terms of race, colour, I think that [the virtual format] helps.“ - (FGD4, W, Uganda, AO). But this was also attributed to the strong sense of community fostered by the ANH Academy over time "I think there's some kind of power asymmetry that is slightly decreased in this particular conference compared to other conferences, and it might just be by the fact that not everybody is one colour.” (FGD4, W, USA, AIP).
With no travel-related barriers -including geopolitics, visa and vaccination requirements, and cost of travel- it was easier for researchers and practitioners from LMICs to attend. Geopolitics was a barrier for in-person conference attendance, as represented by substantial barriers to cross the borders between India (where ANH was held in 2019 in-person) and Pakistan (where ANH2021 was intended to be held, were it not virtual). Participants speculated that “In India, I've been denied visas to go to Pakistan before in the past for work… that may have been a barrier for me to travel there.” (FGD4, W, USA, AIP) and related previous experiences of visa-rejection, “I haven't attended any in person. Unfortunately, I couldn't get a visa for India the last time [for ANH 2019].” (FGD3, W, Pakistan, AOO).
Online participation substantially reduced cost of joining the event, which particularly enabled early-career and LMIC researchers who have limited access to funding and travel support to attend, “Definitely, financially it reduced barriers. I mean, I was a student through to the last one… all of those administrative issues of getting the support for travel and conference attendance and all of that was ... not even existent,” (FGD4, W, USA, AIP).
Technology
In assessing the use of technology, no study participants viewed it as an adequate replacement for in-person connectivity, but they appreciated advancements in technology that enhanced interactivity, improved the efficiency of exchanging resources, or afforded them confidence to pose questions live or through the chat box. Respondents noted that the extent to which people could benefit from technological innovations depends upon age, technological competency, internet quality and stability.
Study participants agreed that, on a functional level, the Zoom chat box increased the efficiency of exchanging resources and assisted knowledge exchange, “The knowledge sharing happened more, and it was quick, and the links were available in the chat box immediately, so you can access the links and articles.” (FGD2, W, India, AIP) but were ambivalent about the experience of contributing to the chat. Some participants voiced substantial concerns, signalling a sense of detachment and inability to form lasting connections online:
“In most cases, when I see that guy from his profile and I wanted to chat with him or with her I was not able to chat like I wanted to talk in-person. That was a problem which I faced. So the virtual platform may not be as such effective in creating colleagues which you are communicating face to face or in-person. It is for short period. For the moment, you may chat, you may talk, but it may not be long lasting” (IDI3, M, Ethiopia, AIP)
Other participants believed that the chat created attendee-led discussions offering insights from a greater volume of people “there's a lot of people comment to other questions, so it's not the speaker that answers… there's actually strangely more of a group interaction” – (FGD2, female, Zimbabwe, AOO) compared with in-person, “I think it was easier with these chat box, like everyone could give an input... I think you can share more than when you are in person …when you are in person you speak with the one, two, three people, but not with 100 at the same time.” (FGD2, W, Italy, AOO). The anonymity online afforded early-career researchers the confidence to pose questions and present their research findings, actions which they reflected would have been limited by seniority power dynamics in-person:
“Yeah, it was easier to ask questions or put our comments in the chat box than in person, because social desirability, social acceptance issues. Like should I ask this question? Will it look not good or is the question not very relevant? So these kind of thoughts, definitely the inhibitions came down and yes, even for presentation when you are not facing the real audience you can be more-free to put your posters and express, definitely. These are the advantages of virtual mode, definitely” (FGD2 , W, India, AIP)
The ability to benefit from technological connections was influenced by the quality and stability of their internet connection, “Internet can be a barrier by itself. There are certain times during the day where attending a conference becomes almost impossible because your Internet access is really bad“ (FGD4, W, Uganda, AOO). Internet access has geographical implications for equity of access, “Being in a developing country and having Internet challenges maybe limits your participation, but also the time zone [limits your participation]” (FGD4, W, Uganda, AOO,) with another noting that this was particularly apparent during lock-down when colleagues did not have access to internet services through their university or place of work, “I work with an international Institute. A lot of our national partners are still unable to join the meetings because they need airtime or bandwidth, particularly during the lockdown.” (FGD2, W, Zimbabwe, AOO).
Meaningful social and academic connections
Study participants agreed that it was difficult to concentrate for extended periods online, “By the time you start holding people online for more than two hours, the law of diminishing return will set in, the fatigue will set in.” (IDI2, M, Nigeria, AIP) owing to the monotony and social detachment of virtual setting, “Online it became so monotonous like each and every day we will be having virtual conferences… or review meetings online. So, it was boring” (FGD3, W, India, AIP). Consequently, they were very selective about their participation and most felt they had limited capacity to authentically engage with the full duration of presentations and with other attendees. This contributed to virtual interactions feeling more transactional or functional than in-person. The lack of opportunities for informal follow-up interactions limited intellectual exchange, as illustrated by one study participant:
“There's a knowledge of insights that come from interaction and discussion after the session, by which, the attendees, probably, in their own private and more relaxed interaction, they could dish out their respective understanding and go on with individual facts that may even shape their research objectives later on…And that way, it's more productive than being restricted to a virtual session that has a time slot” ( IDI2, M, Nigeria, AIP2)
Participants who previously attended ANH conferences in-person agreed that, in-person conferences present long-term benefits for networking and learning by situating one’s own and colleagues’ research in cultural and social knowledge exchange, “When we attend such events in-person, you are learning a lot, you know, the geography, the demography and the other social aspects of the community, or the attendee, or the hosting country.” (IDI2, M, Nigeria AIP) and “you get a sense of what people are working on, what excites them, frustrates them, you know who the players are. You can't do that online. So, that entire layer of a conference just disappears, and that's sad. So, to me, that's the biggest loss.” (IDI1, M, Belgium, AIP).
Most perceived networking as more effective in-person, “I know that there were a lot of efforts to replicate a networking environment, but it just wasn't the same [virtually].” (FGD4, female, USA, AIP); some found it very challenging, “The idea of trying to network online was just like, yeah, I can't do this. I tried once and it was very awkward for me” (FGD4, W, USA, AIP) or made no attempt to network in the virtual platform, “So nobody was reaching out to me and I didn't want to reach out to anybody. There was nobody.” (FGD1, W, USA, AIP ). Thus, the ability to form meaningful connections was limited:
“Creating a friendship or the professional intimacy is very important in-person rather than online. I made friends from Nepal [in-person conference, Kathmandu, 2017] and still we are communicating. But in case of virtual meeting platform, I attended two of the ANH academy weeks which were online and I didn't get such intimacy” (IDI, M Nigeria, AIP Hyderabad, India 2019).
There was a perceived dissonance between increased volume of attendance in the virtual conference alongside reduced strength and value of connections, “What you lose, because the intention of this is really mentorship and linkages, is more than what you gain. You increase access to the material [online], but you really want to strengthen linkages and have an enduring effect” (FGD1, W, USA, AIP).
While study participants noted the importance of connecting in-person, some made meaningful connections virtually. Two early career attendees recounted meeting their fellowship mentors at the virtual conference, “In my case it is definitely meaningful because I got my host [ANH Academy] mentor” (FGD4, W, Italy, AIP) and another recounted applying for a grant with other conference attendees.
The virtual setting was perceived to disrupt traditional hierarchies of in-person conferences – particularly across seniority – by increasing the number of early-career, LMIC, and women researchers and reducing their inhibitions to communicate with more senior experts. Disrupted hierarchies in the virtual setting was perceived by a few participants as enabling them to connect and network more freely, “Online, it did break down barriers and it also allowed me to connect to people and find out more, which I wouldn't have had. So I think it was much more inclusive that way.” (FGD2 , W, India, AIP). It contributed to a valuable repositioning of broader academic power:
“We’re also in a space, I think, in the world where there's a bit of pivoting towards academia to just not be all about connecting with seniors and all of that. It's been empowering to meet other people that I feel inspired by in my same sort of level of career, to apply for things together that you find other people are also interested in. The idea is not entirely shut down by a senior colleague who may or may not have interest in that field. So, in that way it's been meaningful.” (FGD2, W, USA, AIP).
Several study participants reflected on the positive dimensions of disciplinary and geographic diversity, early-career representation, and a sense of pre-existing community through in-person conferences both among attendees and organisers that was maintained virtually “I think there's an effort obviously to create a certain kind of community and culture for this particular conference that is clear even in the virtual space.” ( GD2, W, USA, AIP). However, participants noted that some predominant power dynamics of in-person conferences persist online, arising from disproportionate HIC institutional decision-making power and seniority, “And I think that power definitely lies in geography of institution and seniority” (FGD3 , W, USA, AIP) and English-language dominance, “Language, whether you're online or in person, can be a barrier of participation regardless” (FGD2, W, USA, AIP).
Despite the limitations, participants were unanimous that the virtual format must continue because of its potential to widen participation in scientific knowledge production:
“I think this is the only community which does such kind of a thing in virtual mode and keeping our interests in mind. I could have never imagined this sort of a thing. For me, it's a blessing really. I don't know why LSTHM, or anybody is doing it, but for me, it's a real blessing. So, I couldn't have asked for anything better. And please never stop the ANH. I always put this request please never stop it because it's really a blessing.” (FGD2, W, India, AIP).