3 research outputs found
DAS DORES E DOS SUPLÍCIOS - A PUNIÇÃO DOS CORPOS EM UALALAPI, DE UNGULANI BA KA KHOSA
No full textThis paper aims to analyse how the violence in the punishment of bodies happens in the text Ualalapi (2018) written by Mozambican author Ugulani Ba Ka Khosa,showing itself as an incursion that converges literature and history in a challenging fiction model: historiographic metafiction.It contains an interesting exemplification of the postmodern textual typology worked by Linda Hutcheon. Furthermore, it is proposed to analysehow power relations are manifested between the Imperator Ngungunhane and four highlighted characters: Domia, her father Mputa, Damboia e Manua. The analysis proposal is anchored in the power relations worked by Michel Foucault, as well as in what he defines as violence relations, also expanding to what Marilena Chaui theorizes, when she differentiates power relations and violence relations. Due to the interpretative possibilities, this paper also references other authors, who provide peculiar analyzes of the characters defined here. In Ualalapi, the violence, besides to be a conductive thread, is an instrument for maintaining power and its intricate relationships.Este trabalho tem como objetivo analisar como a violência na punição dos corpos acontece no texto Ualalapi (2018), do autor moçambicano Ugulani Ba Ka Khosa, mostrando-se como uma incursão que converge literatura e história em um modelo de ficção desafiador: a metaficção historiográfica. Nela se encontra uma interessante exemplificação da tipologia textual pós-moderna trabalhada por Linda Hutcheon. Além disso, propõe-se analisar como as relações de poder se manifestam entre o imperador Ngungunhane e quatro personagens destacadas: Domia, seu pai Mputa, Damboia e Manua. A proposta de análise ancora-se nas relações de poder trabalhadas por Michel Foucault, bem como naquilo que define como relações de violência, ampliando-se, também, ao que teoriza Marilena Chaui, quando diferencia relações de poder das de violência. Pela possibilidade de interpretativa, outros autores são acionados, considerando-se as análises peculiares às personagens aqui definidas. Em Ualalapi, a violência, além de fio condutor, é instrumento de manutenção de poder e de suas emaranhadas relações
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Birth companionship in a government health system: a pilot study in Kigoma, Tanzania
Get PDFBackground
Having a companion of choice throughout childbirth is an important component of good quality and respectful maternity care for women and has become standard in many countries. However, there are only a few examples of birth companionship being implemented in government health systems in low-income countries. To learn if birth companionship was feasible, acceptable and led to improved quality of care in these settings, we implemented a pilot project using 9 intervention and 6 comparison sites (all government health facilities) in a rural region of Tanzania.
Methods
The pilot was developed and implemented in Kigoma, Tanzania between July 2016 and December 2018. Women delivering at intervention sites were given the choice of having a birth companion with them during childbirth. We evaluated the pilot with: (a) project data; (b) focus group discussions; (c) structured and semi-structured interviews; and (d) service statistics.
Results
More than 80% of women delivering at intervention sites had a birth companion who provided support during childbirth, including comforting women and staying by their side. Most women interviewed at intervention sites were very satisfied with having a companion during childbirth (96–99%). Most women at the intervention sites also reported that the presence of a companion improved their labor, delivery and postpartum experience (82–97%). Health providers also found companions very helpful because they assisted with their workload, alerted the provider about changes in the woman’s status, and provided emotional support to the woman. When comparing intervention and comparison sites, providers at intervention sites were significantly more likely to: respond to women who called for help (p = 0.003), interact in a friendly way (p < 0.001), greet women respectfully (p < 0.001), and try to make them more comfortable (p = 0.003). Higher proportions of women who gave birth at intervention sites reported being “very satisfied” with the care they received (p < 0.001), and that the staff were “very kind” (p < 0.001) and “very encouraging” (p < 0.001).
Conclusion
Birth companionship was feasible and well accepted by health providers, government officials and most importantly, women who delivered at intervention facilities. The introduction of birth companionship improved women’s experience of birth and the maternity ward environment overall
Abstracts of Tanzania Health Summit 2020
Get PDFThis book contains the abstracts of the papers/posters presented at the Tanzania Health Summit 2020 (THS-2020) Organized by the Ministry of Health Community Development, Gender, Elderly and Children (MoHCDGEC); President Office Regional Administration and Local Government (PORALG); Ministry of Health, Social Welfare, Elderly, Gender, and Children Zanzibar; Association of Private Health Facilities in Tanzania (APHFTA); National Muslim Council of Tanzania (BAKWATA); Christian Social Services Commission (CSSC); & Tindwa Medical and Health Services (TMHS) held on 25–26 November 2020. The Tanzania Health Summit is the annual largest healthcare platform in Tanzania that attracts more than 1000 participants, national and international experts, from policymakers, health researchers, public health professionals, health insurers, medical doctors, nurses, pharmacists, private health investors, supply chain experts, and the civil society. During the three-day summit, stakeholders and decision-makers from every field in healthcare work together to find solutions to the country’s and regional health challenges and set the agenda for a healthier future.
Summit Title: Tanzania Health SummitSummit Acronym: THS-2020Summit Date: 25–26 November 2020Summit Location: St. Gasper Hotel and Conference Centre in Dodoma, TanzaniaSummit Organizers: Ministry of Health Community Development, Gender, Elderly and Children (MoHCDGEC); President Office Regional Administration and Local Government (PORALG); Ministry of Health, Social Welfare, Elderly, Gender and Children Zanzibar; Association of Private Health Facilities in Tanzania (APHFTA); National Muslim Council of Tanzania (BAKWATA); Christian Social Services Commission (CSSC); & Tindwa Medical and Health Services (TMHS)
