107 research outputs found
Sort by
In Their Eyes: HIV prevention from an Islamic perspective in Lamu, Kenya.
Get PDFDespite efforts to curb the spread of HIV amongst the youth and its positive indication of success in Kenya, the epidemic continues to pose serious challenges to these efforts amongst all demographic groupings across Kenya. This article presents findings of a qualitative study involving 45 youth and 23 Islamic leaders from Lamu, Kenya. The study looked at participant’s perceptions of HIV/AIDS. It also explored participant’s perceptions on what they see as the factors influencing HIV transmission amongst the Lamu youth. Additionally a literature review was used together with the study findings to identify elements for an Islamic based HIV prevention intervention. Our findings indicated that both the youth and religious leaders’ perceptions of HIV/AIDS comprise a mixture of facts and misconceptions. The participants identified idleness, drug abuse and premarital sex as key factors contributing to the risk of HIV infection amongst the Lamu youth. The symbiotic relationship between religious leaders and youth on various aspects of daily practices was evident throughout the study thereby suggesting the importance of working with both in addressing HIV/AIDS in Lamu.
Global Health Equity and Advocacy: The roles of international Non-Governmental Organizations
Get PDFInternational health equity and community empowerment are promoted through local and global collaborations with non-governmental organizations (NGO’s). Civil society organizations and inter-agency partnerships assume central roles in addressing global health inequity, within the context of national health and social systems, local realities and priorities. Community health promotion through public-private collaboration by NGO’s on health needs assessments and fund-raising is designed to increase support for local programs in the United States. This paper compares health promotion and advocacy roles of an international non-governmental organization in global and local arenas, based on community case studies by the author in rural Hungary and North Texas from 2009 to 2011, using ethnographic and qualitative research methods. Findings confirm the need for systematic evaluation of the effects of complex socioeconomic, political and multi-ethnic contexts, and the impacts of prevention programs and healthcare on health equity
Afro-Brazilian Religions and Ethnic Identity Politics in the Brazilian Public Health Arena
Get PDFIn this article, I examine the ways in which health activists from Afro-Brazilian religions deploy ethnic identity politics within the Brazilian public health arena to gain recognition and respect for their beliefs and practices, as well as public health goods for their communities. I also discuss the creation and enactment of “culturally competent” healthcare initiatives for members of Afro-Brazilian religions. Finally, I examine the tension between universal particular identity frames that emerges within the political discourses of health activists from Afro-Brazilian religions. Throughout, I place this case study in dialogue with similar scholarship on minority health politics and cultural competence initiatives in other parts of the world
Health Care and Women\u27s Empowerment: The role of Self Help Groups
Get PDFOver the last couple of decades the concept of Self Help Groups (SHGs) and its potential as an effective tool to alleviate poverty and empower women has garnered considerable interest worldwide. Considering the importance given by policy makers across various nations to the group approach while conceptualizing, formulating and implementing any scheme or programme for the welfare of marginalized and underprivileged sections of the society (especially women), we identified the need to critically examine and explore the role of SHGs in the empowerment of women with a special emphasis on health status. To date, the functioning of SHGs has essentially been viewed only from an economic perspective. The existing approach puts encourages the economic development of women, with SHGs a mechanism to achieving this. However, how these economic benefits are being translated into the change in women’s status, particularly their health status, remains unexplored and ultimately unaddressed. This working research paper attempts to review the scope and limitations of SHGs in improving women’s health and empowerment based upon empirical work undertaken in the Jharkhand state of India. Our paper also explores the extent to which SHGs can be involved in attaining better health status for women, and thereby point the way for further research.
Mothers and Children: Designing research toward integrated care for both
Get PDFIn this paper we examine pragmatic corollaries to the design and implementation of Millennium Development Goals (MDG) 4 and 5. The first corollary we analyze is how the timeframe imposed on the MDGs affects choices about how to implement health care interventions to meet those goals, which we look at specifically in terms of the trade-off between strengthening a health care system or increasing mass campaigns. The second corollary is that, in the allocation of resources, those choices must often be made between providing health care interventions for certain members of the population as opposed to others. We analyze aspects of these unintentional effects of the MDGs, and then offer a model for designing research on the provision of maternal and child health that does aim to take them into account
The Identity Work and Health of Intensive Motherhood
Get PDFThe French government strictly frames the health of mothers, establishing specific protocols of maternal healthcare during pregnancy and childbirth, as well as for baby care. Intensive mothers seek to free themselves from a state controlled health care system, and seek to undertake their own therapeutic of pregnancy on the fringes of standardized procedures. Their behaviors enable them to operate an identity work as mothers, and as intensive mothers in particular. These women, use health as a tool to construct their identity as an individual, and, likewise, as part of a couple and a group. But what characterizes the health choices of intensive mothers and what are the hallmarks to intensive motherhood? How is a specific parental identity formed? And how, moreover, do more natural health behaviors enable intensive parents to assert themselves as individuals within an everchanging society?
Beyond Patienthood: Integrative medicine, healing environments and the journey toward new selfhood.
Get PDFThe purpose of this study is to learn about the relationship between participation in an integrative medicine program and the impact upon the social identities of seven individuals with cancer. Data were collected via semi-structured, face-to-face interviews and observations in the clinic space, and analyzed using a constant comparison method. All of the participants reported a change in their social identities as they transitioned between illness and wellness. The sub-themes that emerged included: the use of complementary and alternative medicine (CAM) as a means of fighting cancer after chemotherapy ended, maintaining health becoming a main occupation, and the “cancer filter” through which all other experiences are viewed, shaping the post-treatment phase of life. Overall, findings suggest that seeking CAM played a role in the participants’ transitions from selves defined by patient status, to new selves, with new perspectives
Translating Universal Health Care for the Homeless: Barriers and potential facilitating factors for accessing health care amongst street dwellers in India
Get PDFUrban health policy has remained a neglected area in India, and amongst the urban poor, the homeless remain the most deprived, neglected and stigmatized group. While they suffer from a large burden of disease, there are a variety of reasons that prevent them from accessing the available health care services – particularly in the public health sector. These barriers have been poorly understood and documented. This report, based upon a detailed study of homeless participants in New Delhi, India, seeks to highlight the systemic changes that would be required within public health systems to enable street dwellers to avail of their services and realise the conceptual ambit of \u27 health for all\u27 in the context of homeless persons.
The Gendering of Cancer Survivorship
Get PDFThis article examines the relationship between gender and cancer survivorship. I argue that gender is as critical as a category of analysis for understanding cancer survivorship as it is missing from survivorship studies, particularly as concerns the identificatory basis of survivor culture and clinical studies regarding survivors’ quality of life (QOL). This under-studied question of the gendering of survivorship is critical because the consequences of the social production of disease is far-reaching, from the nature of medical research to social awareness, to funding to the well-being of cancer survivors themselves