scholarly journals Girl Champ in eSwatini: A Strategic Marketing Campaign to Promote Demand for Sexual and Reproductive Health Services Among Young Women

2021 ◽  
Author(s):  
Marie A. Brault ◽  
Sarah Christie ◽  
Amanda Manchia ◽  
Khabonina Mabuza ◽  
Muhle Dlamini ◽  
...  

AbstractEfforts to engage adolescent girls and young women (AGYW) in HIV services have struggled, in part, due to limited awareness of services and stigma. Strategic marketing is a promising approach, but the impact on youth behavior change is unclear. We report findings from a mixed methods evaluation of the Girl Champ campaign, designed to generate demand for sexual and reproductive services among AGYW, and piloted in three clinics in the Manzini region of eSwatini. We analyzed and integrated data from longitudinal, clinic-level databases on health service utilization among AGYW before and after the pilot, qualitative interviews with stakeholders responsible for the implementation of the pilot, and participant feedback surveys from attendees of Girl Champ events. Girl Champ was well received by most stakeholders based on event attendance and participant feedback, and associated with longitudinal improvements in demand for HIV services. Findings can inform future HIV demand creation interventions for youth.

2019 ◽  
Vol 120 (5/6) ◽  
pp. 366-382 ◽  
Author(s):  
Joanna Weidler-Lewis ◽  
Wendy DuBow ◽  
Alexis Kaminsky ◽  
Tim Weston

Purpose This paper aims to investigate what factors influence women’s meaningful and equitable persistence in computing and technology fields. It draws on theories of learning and equity from the learning sciences to inform the understanding of women’s underrepresentation in computing as it investigates young women who showed an interest in computing in high school and followed-up with them in their college and careers. Design/methodology/approach The mixed-methods approach compares data from quantitative surveys and qualitative focus groups and interviews. The sample comes from database of 1,500 young women who expressed interest in computing by applying for an award for high schoolers. These women were surveyed in 2013 and then again in 2016, with 511 women identifying themselves as high schoolers in 2013 and then having graduated and pursued college or careers in the second survey. The authors also conducted qualitative interviews and focus groups with 90 women from the same sample. Findings The findings show that multiple factors influence women’s persistence in computing, but the best predictor of women’s persistence is access to early computing and programming opportunities. However, access and opportunities must be evaluated within broader social and contextual factors. Research limitations/implications The main limitation is that the authors measure women’s persistence in computing according to their chosen major or profession. This study does not measure the impact of computational thinking in women’s everyday lives. Practical implications Educators and policymakers should consider efforts to make Computer Science-for-All a reality. Originality/value Few longitudinal studies of a large sample of women exist that follow women interested in computing from high school into college and careers particularly from a critical educational equity perspective.


2012 ◽  
Vol 36 (10) ◽  
pp. 386-390
Author(s):  
Christine Healey ◽  
David Fearnley ◽  
Mandy Chivers ◽  
Ovais Wadoo ◽  
Peter Kinderman

Aims and methodNewly appointed consultant psychiatrists have reported that management and leadership is an area for which they are unprepared. Our aim was to evaluate the impact of a leadership development programme based on the principles of ‘action learning’ for higher trainees. A questionnaire survey was sent to 54 trainees and consultants who had attended the programme. Qualitative interviews were conducted with 15 participants using the concept of maximum variance sampling.ResultsThe relevance of the topics covered, the opportunity for free discussion and increased understanding of National Health Service policy were rated highest. At the end of a thematic analysis, themes were organised into four major categories: (a) lack of engagement with management during training; (b) the lasting impact of the leadership development programme; (c) understanding the larger organisational context; and (d) transition to consultant psychiatrist.Clinical implicationsThe findings suggest that programmes such as this can be successful in raising awareness and increasing engagement in medical leadership and management.


2015 ◽  
Vol 18 (1) ◽  
pp. 11-22
Author(s):  
Samra M. Khan

Over the past decades, traditional cities and their historic districts have been deteriorating steadily. The combination of modernity, congestion, old infrastructure and financial pressures have led to migration of people from old neighborhoods and their eventual decline and decay. In league with this loss of traditional cities, in Islamabad, the Central Development Authority (CDA) decided to revitalize the historic village of Saidpur. The project undertook to restore historical architecture, encourage tourism and reverse the cycle of decay by economic and social revival of the area. Saidpur is a small historic village, possibly 500 years old, located at the base of the Margalla Hills. The center of the village has old heritage buildings in the form of two mandirs (temple) and a dharamshala (sanctuary). These were neglected and undergoing rapid deterioration. The infrastructure of the area was underdeveloped, with open drains, unpaved pathways and no solid waste management system. This paper studies the process and results of this revitalization project analysing the impact of the project on the cultural, social and economic conditions of the village. The methodology of this study was based on qualitative interviews with the residents of the village, CDA officials and direct observation of the spaces (before and after renovation). The paper concludes that the local community must be the engine of any sustainable revitalization of cultural heritage. In the case of Saidpur Village, gentrification without community participation has threatened the social and historic cohesion of the area, leading to brutal transformation and marginalization of local residents. Keywords: Saidpur, renovation, sustainable revitalization, heritage, community.


BMJ Open ◽  
2018 ◽  
Vol 8 (10) ◽  
pp. e021647 ◽  
Author(s):  
David Walker ◽  
Duncan Wagstaff ◽  
Dermot McGuckin ◽  
Cecilia Vindrola-Padros ◽  
Nicholas Swart ◽  
...  

IntroductionPerioperative complications have a lasting effect on health-related quality of life and long-term survival. The Royal College of Anaesthetists has proposed the development of perioperative medicine (POM) services as an intervention aimed at improving postoperative outcome, by providing better coordinated care for high-risk patients. The Perioperative Medicine Service for High-risk Patients Implementation Pilot was developed to determine if a specialist POM service is able to reduce postoperative morbidity, failure to rescue, mortality and cost associated with hospital admission. The service involves individualised objective risk assessment, admission to a postoperative critical care unit and follow-up on the surgical ward by the POM team. This paper introduces the service and how it will be evaluated.Methods and analysis of the evaluationA mixed-methods evaluation is exploring the impact of the service. Clinical effectiveness of the service is being analysed using a ‘before and after’ comparison of the primary outcome (the PostOperative Morbidity Score). Secondary outcomes will include length of stay, validated surveys to explore quality of life (EQ-5D) and quality of recovery (Quality of Recovery-15 Score). The impact on costs is being analysed using ‘before and after’ data from the Patient-Level Information and Costing System and the National Schedule of Reference Costs. The perceptions and experiences of staff and patients with the service, and how it is being implemented, are being explored by a qualitative process evaluation.Ethics and disseminationThe study was classified as a service evaluation. Participant information sheets and consent forms have been developed for the interviews and approvals required for the use of the validated surveys were obtained. The findings of the evaluation are being used formatively, to make changes in the service throughout implementation. The findings will also be used to inform the potential roll-out of the service to other sites.


2021 ◽  
Vol 3 ◽  
Author(s):  
Toan Ha ◽  
Stephen L. Schensul ◽  
Jean J. Schensul ◽  
Trang Nguyen ◽  
Nam Nguyen

Background: Young migrant workers working in the industrial zones (IZ) in low and middle-income countries are at risk for HIV and other sexually transmitted diseases. This study examines the sex-related risks of young women migrant workers in the IZ in Vietnam.Materials and Methods: This cross-sectional survey was conducted among 1,061 young migrant women working in the IZ park in Hanoi, Vietnam. Multivariate logistic regression analysis was used to identify factors associated with HIV testing and condom use at last sex.Results: A total of 1,061 young women migrant workers completed the survey in which 652 participants consented to take the initial rapid HIV test. All but one participant tested negative indicating a HIV prevalence of 150 (95% CI: 27–860) per 100,000 population among this population. There were no differences in sexual behavior, use of sexual and reproductive health services, HIV knowledge, perceived HIV risk or alcohol use between those who were HIV tested and those not tested. Single participants reported high rates of first sex while living in the IZ and high rates of condom use during the first-time sex, however, they had low levels of condom use at last sex. While the majority of married participants used the SRH/HIV services, nearly 80% of the single participants who reported having sex never used SRH/HIV services since living in the IZ. However, single participants were over 4 times more likely to use condoms at last sex compared to married participants (OR = 4.67; 95%CI = 2.96–7.85). Participants with vocational school or higher education was more likely to use condom (OR = 2.19; 95%CI = 1.05–4.57). Neither HIV knowledge or alcohol use were associated with condom use.Conclusions: Although HIV prevalence is very low among young women workers in the IZ in Vietnam, a significant number of them engaged in risky sexual behavior and low levels of condom use at last sex as well as low level of using SRH/HIV services highlights a need to develop interventions that provide tailored-made and cultural appropriate SRH education for unmarried female migrant workers to prevent risky sexual behaviors, sexually transmitted diseases and unwanted pregnancy.


Author(s):  
Julia Kazana-McCarthy

In the context of greater strains imposed by the post-2008 global financial crisis, it has become more commonplace for young people to live with their parents for extended periods. Beyond a domination of Anglophone research, far less is known about whether these experiences of living with parents vary in countries with different economic and cultural contexts. This article focuses on young women in contemporary Greece – a society undergoing radical social restructuring in the wake of the post-2008 economic crisis. Drawing on qualitative interviews with young university-educated women in urban Greece (n=36), the article argues that the current fiscal crisis alongside long-standing patriarchal norms place a significant burden on the lives of these young women. It concludes that evaluation of the impact of financial crisis on the living arrangements of young people should carefully assess the interaction of the gender and cultural aspects of family lives.


Sociologija ◽  
2019 ◽  
Vol 61 (2) ◽  
pp. 210-226 ◽  
Author(s):  
Siyka Kovacheva ◽  
Darena Hristozova

Migration abroad has become a significant part of the life experiences of a growing number of Bulgarian youths, since the regime change in 1989. In this paper we explore the effect of migration on the life transitions of two generations of young Bulgarians - the ?Transition? generation o f those who had their formative years in the 1990s during the country?s transition from state socialism to a market economy and the ?Accession? generation of those who grew up after the country joined the EU in 2007 in a somewhat better economic situation. Taking into consideration the impact of the social context in the sending country in two different historical periods (before and after 2007) a nd in the receiving countries we focus on the differences of the transition paths of lower and higher skilled female migrants within the two migrant generations. The paper draws on a data base of 42 qualitative interviews with Bulgarian migrants living in EU countries that were conducted in 2017 and an in -depth analysis of the life trajectories of four women belonging to the two migrant generations. Our findings suggest that facing different structural constraints in their countries of departure and reception, young people employ diverse strategies of settling down, achieving success and attaining happiness. In the process they transform their social ties and national identities.


2020 ◽  
Author(s):  
Ariel Deardorff

AbstractIntroductionAs biomedical research becomes more data-intensive, computational reproducibility is a growing area of importance. Unfortunately, many biomedical researchers have not received formal computational training and often struggle to produce results that can be reproduced using the same data, code, and methods. Programming workshops can be a tool to teach new computational methods, but it is not always clear whether researchers are able to use their new skills to make their work more computationally reproducible.MethodsThis mixed methods study consisted of in-depth interviews with 14 biomedical researchers before and after participation in an introductory programming workshop. During the interviews, participants described their research workflows and responded to a quantitative checklist measuring reproducible behaviors. The interview data was analyzed using a thematic analysis approach, and the pre and post workshop checklist scores were compared to assess the impact of the workshop on computational reproducibility of the researchers’ workflows.ResultsPre and post scores on a checklist of reproducible behaviors did not increase in a statistically significant manner. The qualitative interviews revealed that several participants had made small changes to their workflows including switching to open source programming languages for their data cleaning, analysis, and visualization. Overall many of the participants indicated higher levels of programming literacy and an interest in further training. Factors that enabled change included supportive environments and an immediate research need, while barriers included collaborators that were resistant to new tools and a lack of time.ConclusionWhile none of the participants completely changed their workflows, many of them did incorporate new practices, tools, or methods that helped make their work more reproducible and transparent to other researchers. This indicate that programming workshops now offered by libraries and other organizations contribute to computational reproducibility training for researchers


2017 ◽  
Vol 27 (7) ◽  
pp. 539-546 ◽  
Author(s):  
Beth Fylan ◽  
Gerry Armitage ◽  
Deirdre Naylor ◽  
Alison Blenkinsopp

IntroductionThere are risks to the safety of medicines management when patient care is transferred between healthcare organisations, for example, when a patient is discharged from hospital. Using the theoretical concept of resilience in healthcare, this study aimed to better understand the proactive role that patients can play in creating safer, resilient medicines management at a common transition of care.MethodsQualitative interviews with 60 cardiology patients 6 weeks after their discharge from 2 UK hospitals explored patients’ experiences with their discharge medicines. Data were initially subjected to an inductive thematic analysis and a subsequent theory-guided deductive analysis.ResultsDuring interviews 23 patients described medicines management resilience strategies in two main themes: identifying system vulnerabilities; and establishing self-management strategies. Patients could anticipate problems in the system that supplied them with medicines and took specific actions to prevent them. They also identified when errors had occurred both before and after medicines had been supplied and took corrective action to avoid harm. Some reported how they had not foreseen problems or experienced patient safety incidents. Patients recounted how they ensured information about medicines changes was correctly communicated and acted upon, and described their strategies to enhance their own reliability in adherence and resource management.ConclusionPatients experience the impact of vulnerabilities in the medicines management system across the secondary–primary care transition but many are able to enhance system resilience through developing strategies to reduce the risk of medicines errors occurring. Consequently, there are opportunities—with caveats—to elicit, develop and formalise patients’ capabilities which would contribute to safer patient care and more effective medicines management.


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