A Descriptive Analysis of Cohesion within Virtual and Physical Small Groups of Mothers in Bandwidth-Constrained Communities in Cape Town.

Abstract

Isolation contributes to deteriorating health outcomes during the first 1000 days of a child's life (the period from conception to two years). Mothers and their growing babies are at risk of pregnancy-related complications and malnutrition during this sensitive period due to inadequate information. This study describes how a faith-based organization (FBO) in Cape Town leverages available resources in both physical and virtual spaces to support mothers through antenatal classes. We observed seven small groups in their physical spaces, interviewed seven mothers and analyzed fifteen WhatsApp chat groups to understand the group structure, dynamics, and interactions. When the model was introduced to the mothers in the physical and virtual spaces simultaneously, cohesion was achieved and sustained. However, during the COVID-19 pandemic, where strong indications of stress and isolation were evident, a strange paradox was noted: all groups showed weak ties (with minimal communication among members). It was hard to explain the non-commitment despite efforts from the moderators to encourage sharing among mothers. We identified two underlying causes: a minimal sense of belonging to the group and bandwidth constraints. Further analysis showed that bandwidth constraints digitally excluded some mothers from active participation. These findings indicated the need for HCI and technology designers to design less bandwidth-intensive interactive platforms for inclusivity.