scholarly journals Lived Experiences of Adolescent Mothers Attending Mbale Regional Referral Hospital: A Phenomenological Study

2020 ◽  
Vol 2020 ◽  
pp. 1-11
Author(s):  
Violet Chemutai ◽  
Julius Nteziyaremye ◽  
Gabriel Julius Wandabwa
Keyword(s):  
Focus Group ◽  
Adolescent Mothers ◽  
Lived Experiences ◽  
Phenomenological Study ◽  
Maternal Mortality Ratio ◽  
Simple Random Sampling ◽  
High Risk Group ◽  
Further Education ◽  
Sub Saharan Africa ◽  
Contributing Factors

Background. Adolescence is a period of transition from childhood to adulthood, and is a critical stage in ones’ development. It is characterized by immense opportunities and risks. By 2016, 16% of the world’s population was of adolescents, with 82% residing in developing countries. About 12 million births were in 15–19 year olds. Sub-Saharan Africa, particularly East Africa, has high adolescent pregnancy rates, as high as 35.8% in eastern Uganda. Maternal mortality ratio (MMR) attributable to 15–19 years olds is significant with 17.1% of Uganda’s MMR 336/100.000 live births being in this age group. Whereas research is awash with contributing factors to such pregnancies, little is known about lived experiences during early motherhood. This study reports the lived experiences of adolescent mothers attending Mbale Hospital. Materials and Methods. A phenomenological study design was used in which adolescent mothers that were attending Young Child Clinic were identified from the register and simple random sampling was used to select participants. We called these mothers by way of phone numbers and asked them to come for focus group discussions that were limited to 9 mothers per group and lasting about 45 minutes–1 hour. Ethical approval was sought and informed written consent obtained from participants. At every focus group discussion, the data which had largely been taken in local languages was transcribed and translated verbatim into English. Results. The research revealed that adolescent mothers go through hard times especially with the changes of pregnancy and fear of unknown during intrapartum and immediate postpartum period and are largely treated negatively by family and other community members in addition to experiencing extreme hardships during parenting. However, these early mothers’ stress is alleviated by the joy of seeing their own babies. Conclusion. Adolescent motherhood presents a high risk group and efforts to support them during antenatal care with special adolescent ANC clinics and continuous counseling together with their household should be emphasized to optimize outcome not only during pregnancy but also thereafter. Involving these mothers in technical courses to equip them with skills that can foster self-employment and providing support to enable them pursue further education should be explored.

scholarly journals Lived Experiences Of Adolescent Mothers Attending Mbale Regional Referral Hospital: A Phenomenological Study

2020 ◽  
Author(s):  
Chemutai Violet ◽  
Julius Goodwill Nteziyaremye ◽  
Gabriel Wandabwa Julius
Keyword(s):  
Focus Group ◽  
Adolescent Mothers ◽  
Lived Experiences ◽  
Phenomenological Study ◽  
Group Discussion ◽  
Maternal Mortality Ratio ◽  
Simple Random Sampling ◽  
Sub Saharan Africa ◽  
Contributing Factors ◽  
Sub Saharan

Abstract Introduction Adolescence is a period of transition from childhood to adulthood and is thus a critical in ones’ development characterized by opportunities and risks. By 2016, 16% of the World’s population was of adolescents with 82% residing in developing countries. About 12million births are due to 15-19 year olds. Sub-Saharan Africa particularly East Africa has high adolescent pregnancy rates with ranges as high as 35.8% in Eastern Uganda. Of Uganda’s maternal mortality ratio of 336/100.000 live births, 17.1% were attributable to adolescents aged 15-19 years. Whereas research is awash with contributing factors to such pregnancies, little is known about their lived experiences during early motherhood. We therefore set to study the lived experiences of adolescent mothers attending our hospital. Methods A phenomenological study design was used in which adolescent mothers that were attending Young child clinic were identified from the register and simple random sampling used to select participants. We called these mothers by way of phone numbers and asked them to come for Focus group discussions that were limited to 9 mothers per group and lasting about 45minutes – 1hour. Ethical approval was sought for this study and mothers were consented prior to taking part. At every focus group discussion the data which had largely been taken in local languages was transcribed and translated verbatim into English. Results The research revealed that adolescent mothers go through hard times especially with the changes of pregnancy, fear of unknown during intrapartum and immediate postpartum period and largely treated negatively by parents, community members and their colleagues. They experience extreme hardships in parenting. However these early mothers’ stress is alleviated by the joy of seeing their own babies. Conclusion Adolescent mothers present a high risk mother group and efforts to support them during Antenatal care with special adolescent ANC clinics and continuous counseling together with their household should be emphasized to optimize outcome not only during pregnancy but also thereafter. Parents should endeavor to provide for the girl child. Skilling of such mothers and optimizing avenues to pursue education should be explored.

Investigating the Lived Experiences of Working Couples about Marital Conflicts: A Phenomenological Study

2021 ◽  
Author(s):  
Rohollah Rahimi ◽  
Hossien Salimi Bajestani ◽  
Mohammad Asgari
Keyword(s):  
Gender Stereotypes ◽  
Marital Conflict ◽  
Lived Experiences ◽  
Phenomenological Study ◽  
High Risk Group ◽  
Interpretive Phenomenology ◽  
Marital Conflicts ◽  
Financial Conflict ◽  
Work Family ◽  
Working Couples

Aim: The purpose of this study was to extract the lived experiences of working couples from marital conflicts. Methods: This study was conducted with a qualitative approach using interpretive phenomenology. In this study, researchers interviewed 12 working couples with marital conflicts using purposeful sampling. Interviews were analyzed using interpretive phenomenology. Findings: Analyzing the data from the interviews led to the identification of the 14 main themes: financial conflict, inappropriate interactions in social media, lack of participation in house chores, ineffective communication, inability in reciprocal empathy and expression,  lack of time management,  conflict of roles and responsibilities, cognition vulnerability, adherence to gender stereotypes, inability to manage tasks at job and work environment, work-family conflict, power struggles, ultra-personal destructive factors and belief and ethical problems, 55 primary and 12 secondary themes in the lived experiences of working couples from marital conflicts. Conclusion: A dual-career family is a place where couples are more likely to enter into marital conflicts if they do not realize fairness in various areas of family and work. The results of the present study showed that the families of career couples may be a high-risk group in terms of conflict, and this factor indicates the need for a negotiating role in the relationship between this type of couple. This highlights the need for special couple therapy for these couples. The results of the present study also showed that ineffective communication, cognitive vulnerability, work-family interaction, financial conflict and lack of participation in home affairs, were the most common causes of marital conflict; so it is recommended that preventive and educational programs for couples include the abovementioned factors.

scholarly journals Protocol for a scoping review to identify and map in-service education and training materials for midwifery care in sub-Saharan Africa from 2000 to 2020

BMJ Open ◽  
2021 ◽  
Vol 11 (3) ◽  
pp. e047118
Author(s):  
Joanne Welsh ◽  
Mechthild M Gross ◽  
Claudia Hanson ◽  
Hashim Hounkpatin ◽  
Ann-Beth Moller
Keyword(s):  
Scoping Review ◽  
Maternal Mortality Ratio ◽  
Newborn Care ◽  
Education And Training ◽  
Sub Saharan Africa ◽  
Midwifery Care ◽  
Training Materials ◽  
Service Training ◽  
Sub Saharan ◽  
And Training

IntroductionMaternal and neonatal mortality are disproportionally high in low-and middle-income countries. In 2017 the global maternal mortality ratio was estimated to be 211 per 100 000 live births. An estimated 66% of these deaths occurred in sub-Saharan Africa. Training programmes that aim to prepare providers of midwifery care vary considerably across sub-Saharan Africa in terms of length, content and quality. To overcome the shortfalls of pre-service training and support the provision of quality care, in-service training packages for providers of midwifery care have been developed and implemented in many countries in sub-Saharan Africa. We aim to identify what in-service education and training materials have been used for providers of midwifery care between 2000 and 2020 and map their content to the International Confederation of Midwives’ Essential Competencies for Midwifery Practice (ICM Competencies), and the Lancet Midwifery Series Quality Maternal and Newborn Care (QMNC) framework.Methods and analysisA search will be conducted for the years 2000–2020 in Cumulative Index of Nursing and Allied Health Literature, PubMed/MEDLINE, Social Sciences Citation Index, African Index Medicus and Google Scholar. A manual search of reference lists from identified studies and a hand search of literature from international partner organisations will be performed. Information retrieved will include study context, providers trained, focus of training and design of training. Original content of identified education and training materials will be obtained and mapped to the ICM Competencies and the Lancet Series QMNC.Ethics and disseminationA scoping review is a secondary analysis of published literature and does not require ethical approval. This scoping review will give an overview of the education and training materials used for in-service training for providers of midwifery care in sub-Saharan Africa. Mapping the content of these education and training materials to the ICM Competencies and The Lancet Series QMNC will allow us to assess their appropriateness. Findings from the review will be reflected to stakeholders involved in the design and implementation of such materials. Additionally, findings will be published in a peer-reviewed journal, and used to inform the design and content of an in-service training package for providers of midwifery care as part of the Action Leveraging Evidence to Reduce perinatal morTality and morbidity (ALERT) study, (https://alert.ki.se/) a multi-country study in Benin, Malawi, Tanzania and Uganda.Trial registration numberPACTR202006793783148; Post-results.

Delivering water services during protracted armed conflicts: How development agencies can overcome barriers to collaboration with humanitarian actors

2019 ◽  
Vol 101 (912) ◽  
pp. 1067-1089
Author(s):  
Edoardo Borgomeo
Keyword(s):  
Service Delivery ◽  
Armed Conflict ◽  
Armed Conflicts ◽  
Sub Saharan Africa ◽  
Contributing Factors ◽  
Emergency Relief ◽  
Organizational Goals ◽  
Post Conflict ◽  
Development Agencies ◽  
Sub Saharan

AbstractThis note discusses the challenges of water service delivery before, during and after protracted armed conflict, focusing on barriers that may impede successful transition from emergency to development interventions. The barriers are grouped according to three major contributing factors (three “C”s): culture (organizational goals and procedures), cash (financing practices) and capacity (know-how). By way of examples, the note explores ways in which development agencies can overcome these barriers during the three phases of a protracted armed conflict, using examples of World Bank projects and experiences in the Middle East and Sub-Saharan Africa. Before the crisis, development agencies need to work to prevent armed conflict. In a situation of active armed conflict or when conflict escalates, development agencies need to remain engaged as much as possible, as this will speed up post-conflict recovery. When conflict subsides, development agencies need to balance the relative effort placed on providing urgently needed emergency relief and water supply and sanitation services with the effort placed on re-establishing sector oversight roles and capacity of local institutions to oversee and manage service delivery in the long term.

Focus Group Methods for Formative Research in Child Survival: An Ivoirian Example

1988 ◽  
Vol 8 (4) ◽  
pp. 297-316 ◽  
Author(s):  
Deborah Glik ◽  
Andrew Gordon ◽  
William Ward ◽  
Kale Kouame ◽  
Mahbi Guessan
Keyword(s):  
Focus Group ◽  
Program Planning ◽  
Child Survival ◽  
Sub Saharan Africa ◽  
Focus Group Interviews ◽  
Education Planning ◽  
Group Methods ◽  
Interview Methods ◽  
Sub Saharan ◽  
Group Interviews

The study reported here represents the ongoing development of focus group interview methods in support of health education planning for child survival programs in the CCCD project in Sub-Saharan Africa. Using illustrative examples from a field experience in Cote d'Ivoire, methods that enhance the usefulness and validity of focus group interviews for health program planning are discussed.

Disability and Social Exclusion

2017 ◽  
Vol 29 (1) ◽  
pp. 22-43 ◽  
Author(s):  
Elina I. Tobias ◽  
Sourav Mukhopadhyay
Keyword(s):  
Qualitative Research ◽  
Focus Group ◽  
Social Exclusion ◽  
Lived Experiences ◽  
Research Approach ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Daily Lives ◽  
Community Activities ◽  
Individual Interviews

This article explores the experiences of social exclusion of individuals with visual impairment (IWVI) as they negotiate their daily lives in their homes and societal settings in the Oshana and Oshikoto regions of Namibia. Employing qualitative research approach, this research tried to better understand the lived experiences of IWVI. Nine IWVI with ages ranging from 30 to 90 years were initially engaged in focus group discussions, followed by semi-structured in-depth individual interviews. The findings of this research indicated that IWVI experience exclusion from education, employment and social and community participation as well as relationships. Based on these findings, we suggest more inclusive policies to address social exclusion of IWVI. At the same time, this group of individuals should be empowered to participate in community activities to promote interaction with people without visual impairments.

scholarly journals “They Do Not Care about Us Anymore”: Understanding the Situation of Older People in Ghana

2021 ◽  
Vol 18 (5) ◽  
pp. 2337
Author(s):  
Joseph Asumah Braimah ◽  
Mark W. Rosenberg
Keyword(s):  
Older People ◽  
Lived Experiences ◽  
Climatic Factors ◽  
Sub Saharan Africa ◽  
Structural Factors ◽  
Sanitation Services ◽  
Poor Access ◽  
Access To Water ◽  
Sub Saharan ◽  
Sharing Circles

While existing research acknowledges copious challenges faced by older adults (people aged 60 and over) in Ghana and most countries in sub-Saharan Africa, they fail to situate the lived experiences of this vulnerable group within the broader context of health geography and public health. This paper draws insights from ecological systems theory and the “geographies of older people” literature to examine the lived experiences of older people in Ghana. Data for the study were gathered using interviews (42) and sharing circles (10). Our findings reveal a complex mix of experiences consistent with the different levels of the environment. Dominant themes include access to social support, functional impairment and poor health status, social status, poor access to water and sanitation services, food insecurity, economic insecurity, and caregiving burden. These findings support the wide-held notion that the experiences of older people are complex and produced by the interplay of both individual and structural factors. Our findings demonstrate that sociocultural, economic, political, and climatic factors are important consideration in promoting elderly wellbeing and quality of life in Ghana.

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