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This paper offers an approach to understanding dramatic social change, entwined with belief revision and shifting knowledge. It explores the interplay between rapidly changing material and ideological conditions through the concept of a rupture. Ruptures are breakdowns in existing social and epistemic practices and relations: periods which call into question what is normalized, such that something else can grow through the cracks. Ruptures do not guarantee any particular replacement, but rather facilitate the emergence of new practices and understandings of the world. Ruptures thus create conditions of possibility for people to explore new social relations and ideas. To develop this idea, this paper draws on Franz Fanon's writings on the Algerian anti-colonial revolution (1954–1962), as a paradigmatic rupture, as well as two smaller-scale ruptures: the student-worker movements over 2015–2016 in South Africa (#FeesMustFall) and Brazil (the primavera secundarista). In their respective contexts, each movement has substantively challenged prevailing practices and understandings that had been hegemonic. [ABSTRACT FROM AUTHOR]

Civil society engagement around health care and population health improvement is an important driver towards Health for All. Research can improve the effectiveness of health activism by examining the resources, structures and strategies of civil society engagement. However, research to support such engagement faces epistemological and methodological challenges which call for specific research strategies. A four year multi-country study was undertaken by the People's Health Movement, a global network working for health for all. The research took place in six countries (Brazil, Colombia, DR Congo, India, Italy, South Africa) and globally, and was directed to understanding five domains of civil society engagement: movement building; campaigning and advocacy; capacity building; knowledge generation, access and use; and engaging with governance. The research plan and methods of data collection and analysis were tailored to address the objective of improving activist practice, while negotiating research challenges identified during the design phase. Results include insights into the practice of civil society engagement in relation to the five domains of activist practice, as well as experience gained in managing six methodological challenges which we describe as: making meaning, aligning research and action, managing power relations, valuing experiential knowledges, chaos and contingency, challenging preconceptions. Researching activism can produce useful insights into practice as well as support continuous improvement in the effectiveness of such activism. However, there are significant methodological challenges that can be addressed through appropriate strategies. More research, building on the approach described in this paper, can contribute to more effective civil society activism for health. [ABSTRACT FROM AUTHOR]