Examining the Role of a Community-Led Structural Intervention in Shaping Mothering Among Sex Workers in India

Affilia ◽  
2020 ◽  
pp. 088610992093904
Author(s):  
Samira Ali ◽  
Sambuddha Chaudhuri ◽  
Toorjo Ghose ◽  
Smarajit Jana

The aim of this study is to explore the ways in which community-led structural interventions (CLSI) shape the mothering experiences of sex workers. In-depth semistructured interviews were conducted with 40 sex worker mothers from Kolkata, India. Participants were recruited from Durbar Mahila Samanwaya Committee (DMSC), a CLSI. Elements of constructivist grounded theory were employed. Results revealed DMSC mobilization (re)shaped mothering for female sex workers through (a) the subjective reorientation about establishing sex work as legitimate labor and disclosing sex worker identity and (b) access to material resources such as safe spaces, childcare networks, and educational opportunities. CLSI have the potential to influence the self-perception of communities that are marginalized and provide them with material resources that ultimately promote family well-being. While working with sex workers, it is imperative to understand their multiple, intersecting roles and co-develop community-based interventions not only with sex workers but their families as well.

BMJ Open ◽  
2021 ◽  
Vol 11 (3) ◽  
pp. e047632
Author(s):  
Helen Humphreys ◽  
Laura Kilby ◽  
Nik Kudiersky ◽  
Robert Copeland

ObjectivesTo explore the lived experience of long COVID with particular focus on the role of physical activity.DesignQualitative study using semistructured interviews.Participants18 people living with long COVID (9 men, 9 women; aged between 18–74 years; 10 white British, 3 white Other, 3 Asian, 1 black, 1 mixed ethnicity) recruited via a UK-based research interest database for people with long COVID.SettingTelephone interviews with 17 participants living in the UK and 1 participant living in the USA.ResultsFour themes were generated. Theme 1 describes how participants struggled with drastically reduced physical function, compounded by the cognitive and psychological effects of long COVID. Theme 2 highlights challenges associated with finding and interpreting advice about physical activity that was appropriately tailored. Theme 3 describes individual approaches to managing symptoms including fatigue and ‘brain fog’ while trying to resume and maintain activities of daily living and other forms of exercise. Theme 4 illustrates the battle with self-concept to accept reduced function (even temporarily) and the fear of permanent reduction in physical and cognitive ability.ConclusionsThis study provides insight into the challenges of managing physical activity alongside the extended symptoms associated with long COVID. Findings highlight the need for greater clarity and tailoring of physical activity-related advice for people with long COVID and improved support to resume activities important to individual well-being.


Author(s):  
Brooke S. West ◽  
◽  
Anne M. Montgomery ◽  
Allison R. Ebben

AbstractThe setting in which sex workers live and work is a critical element shaping health outcomes, in so far that different venues afford different sets of risk and protective factors. Understanding how contextual factors differ across venue types and influence health outcomes is thus essential to developing and supporting programmes promoting the rights and safety of people in sex work. In this chapter, we focus primarily on indoor workplaces, with the goals of: (1) elucidating unique social, economic, physical, and policy factors that influence the well-being of sex workers in indoor workplaces; (2) highlighting sex worker-led efforts in the Thai context through a case study of the organisation Empower Thailand; (3) describing best practices for indoor settings; and (4) developing a framework of key factors that must be addressed to improve the rights and safety of sex workers in indoor workplaces, and to support their efforts to organise. The chapter draws attention to convergences and divergences in key challenges that sex workers encounter in indoor venues in different global contexts, as well as opportunities to advance comprehensive occupational health and safety programmes. Indoor venues pose important potential for establishing and implementing occupational health and safety standards in sex work and also may provide substantial opportunity for collective organising given the close proximity of people working together. However, any efforts to improve the health and safety of sex workers must explicitly address the structural conditions that lead to power imbalances and which undermine sex worker agency and equality.


2019 ◽  
Vol 50 (3) ◽  
pp. 399-415
Author(s):  
Emily Furness ◽  
Ian W. Li ◽  
Lisa Patterson ◽  
Christopher G. Brennan-Jones ◽  
Robert H. Eikelboom ◽  
...  

Purpose Children who are deaf and hard of hearing (DHH) face a wide array of issues that can impact their mental health and well-being. This study aimed to explore the role of schools and classroom teachers in supporting the mental health and well-being of DHH children. Method A qualitative study comprising telephone and semistructured interviews with 12 mainstream school classroom teachers who directly support the education and well-being of DHH children was conducted. Thematic analysis was used to analyze the data. Result Classroom teachers indicated they play an important role in supporting the mental health and well-being of DHH children but identified a range of constraints to providing this support. Four themes were identified: (a) “culture of professional practice,” (b) “operationalized practice,” (c) “constraints to practice,” and (d) “solutions for constraints.” Conclusions Classroom teachers play an important role in supporting the mental health and well-being of DHH children but face several constraints in their practice, including limited training and awareness and access to resources. While further research is needed, this study suggests that classroom resources and teacher professional development are needed to enhance classroom teachers' understanding of how to support the mental health and well-being of DHH children.


Social Work ◽  
2021 ◽  
Author(s):  
Ayelet Gur ◽  
Leena Gnaeem-Badran ◽  
Michael Ashley Stein

Abstract Within Israeli Muslim society, men with intellectual disabilities are likely to marry nondisabled women through arranged marriages and create families. This article explores the role of grandparents with these families from the perspective of each family’s social worker. A thematic analysis was conducted of 19 semistructured interviews with Muslim social workers serving Muslim families with intellectually disabled fathers. Consistent with cultural norms, paternal grandparents are extremely involved in the lives of these couples and hold responsibilities in many aspects of these couples’ family lives. Social workers reported that the nondisabled wives, however, viewed the engagement as intrusive and controlling. Maternal grandparents’ contributions were crucially supportive, albeit limited by Muslim cultural norms that placed households under paternal family control. Social workers had conflicted feelings regarding paternal grandparent involvement. Social workers working with Muslim fathers with intellectual disabilities should promote supportive paternal grandparent involvement and ensure that such engagement does not undermine the autonomy or well-being of the nondisabled mothers. Practice guidelines are presented.


2021 ◽  
Vol 1 (1) ◽  
pp. 3-13
Author(s):  
Nick Kerman

There are growing calls for Universal Basic Income (UBI) as a means of reducing poverty and addressing the changing nature of work. UBI involves the provision of a cash payment to all adult citizens, which is sufficient to live on and either does not phase out as earnings increase or does so slowly for higher incomes. Despite many theorized benefits and beneficiaries of UBI, its implications for preventing and ending homelessness have not been explored. Accordingly, this article provides an overview on UBI and its evidence base, and then discusses how UBI could help to structurally prevent and end homelessness by reducing values-based exclusion in the provision of income supports, promoting choice in housing, facilitating workforce returns and buffering against automation job losses, and improving health and well-being. Like any transformative policy shift, there are also risks associated with UBI, which largely lie in the details of how it is designed and the political context in which it is implemented. Nevertheless, given its potential, now is the time to properly trial UBI as a structural intervention for preventing and ending homelessness.


2021 ◽  
Vol 9 (1) ◽  
pp. 4-11
Author(s):  
V. Babanov

The article considers the role of material resources as a productive factor in the system of national and international development goals and ensuring the life and well-being of the population. Material resources, as a substance derived from natural resources, have a unique property of accumulating all the components of utility, the primary source of which is nature and which is further transformed in productive processes into products useful to people, necessary for their life and growth of well-being.


2018 ◽  
Vol 35 (6) ◽  
pp. 412-421
Author(s):  
Samantha Blackburn ◽  
Ester Carolina Apesoa-Varano

Despite a well-documented need for school health programs (SHPs) among schoolchildren, there is little school health funding in California and limited research on the role of those who manage SHPs. This qualitative study investigated the work of a selected group of school health administrators (SHAs) in California. Study aims were to explore SHA job pathways and responsibilities, the contextual factors influencing their work, and how they get their work done, given limited funding for SHPs. Thirty in-depth, semistructured interviews were conducted with SHAs and their staff, supervisors, and deputy SHAs. The main themes and subthemes are (1) district hierarchies marginalize SHAs and (2) in response to this marginalization, SHAs engage in brokering strategies to get their work done, including (a) raising awareness, (b) cultivating powerful allies, and (c) adjusting to working conditions. Despite structural disempowerment, SHAs have developed strategies to secure political support for SHPs and school nurses.


2021 ◽  
pp. 073346482098489
Author(s):  
Arne Stinchcombe ◽  
Katherine Kortes-Miller ◽  
Kimberley Wilson

Promoting health and well-being for older adults is a priority among many jurisdictions worldwide. Canada’s population is aging and becoming increasingly diverse; one axis of a diverse aging population is aging members of lesbian, gay, bisexual, transgender, queer, and two-spirit (LGBTQ2S+) communities. We sought to examine the lived experiences of older LGBTQ2S+ people in Canada to understand the barriers and facilitators to healthy aging among members of these communities. A total of 10 focus groups were held in 10 cities from across Canada. Sixty-one older LGBTQ2S+ people (Mean age = 67) participated in the study. Data were analyzed using a constructivist grounded theory approach. Through analysis, we identified themes related to the importance of community capacity, resources, resilience, and personal histories in shaping aging experiences. The findings highlight the importance acknowledging diverse sexual and gender identities and the role of the life course in developing and implementing approaches that promote healthy aging.


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