scholarly journals Between a woman and her fetus: Bedouin women mediators advance the health of pregnant women and babies in their society

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Rachel Sharaby ◽  
Hagit Peres

Abstract Introduction Bedouin women in Israel confront a challenging circumstance between their traditional patriarchal society and transition to modernity. In terms of reproductive health, they face grave disparities as women, pregnant women and mothers. In this article we aim to understand the challenges of Bedouin women who work as mediators in the promotion of Bedouin women’s perinatal health. We explore their challenges with the dual and often conflictual role as health peer-instructors-mediators in mother-and-child clinics, and also as members of a Bedouin community, embodying a status as women, mothers, and family caretakers. Drawn upon a feminist interpretative framework, the article describes their challenges in matters of perinatal health. Our research question is: how do women who traditionally suffer from blatant gender inequality utilize health-promotion work to navigate and empower themselves and other Bedouin women. Methods Based on an interpretive feminist framework, we performed narrative analysis on eleven in-depth interviews with health mediators who worked in a project in the Negev area of Israel. The article qualitatively analyses the ways in which Bedouin women mediators narrate their challenging situations. Results This article shows how difficult health mediators’ task may be for women with restricted education who struggle for autonomy and better social and maternal status. Through their praxis, women mediators develop a critical perspective without risking their commitments as women who are committed to their work as well as their society, communities, and families. These health mediators navigate their ways between the demands of their employer (the Israeli national mother and child health services) and their patriarchal Bedouin society. While avoiding open conflictual confrontations with both hegemonic powers, they also develop self-confidence and a critical and active approach. Conclusions The article shows the ways by which the mediator’s activity involved in perinatal health-promotion may utilize modern perinatal medical knowledge to increase women’s awareness and autonomy over their pregnant bodies and their role as caregivers. We hope our results will be applicable for other women as well, especially for women who belong to other traditional and patriarchal societies.

2016 ◽  
Vol 1 (2) ◽  
Author(s):  
Dewi Andang Prastika ◽  
Onny Setiani ◽  
Sri Sumarni

Abstract: Long Bean Leaves, Haemoglobin, Pregnancy Second Trimester. Anemia in pregnancy is called the 'potencial danger of mother and child' because anemia is a serious problem and need attention from all parties involved in maternal and child health services. WHO reported that the prevalence of anemia in pregnancy in the world amounted to 55% and tended to increase with increasing gestational age. To determine the effect of bean leaf consumption to increased hemoglobin levels of second trimester- pregnant women with anemia in Puskesmas Polanharjo working area. This research was Quasy experiment with a pretest posttest control group design. This research used a treatment group is the group of second trimester-pregnant women with anemia has given long bean leaves consumption as many as 15 respondents and the control group is the group of pregnant women with anemia second trimester without additional Fe tablet intake as many as 15 respondents. There is a difference between the average of hemoglobin levels before the intervention group consumed long beans leaves with an average of hemoglobin levels in the intervention group after consuming long beans leaves. By eating 350 grams of long beans leaves for one month (28 days) may help prevent anemia in pregnant women.


Nursing Open ◽  
2021 ◽  
Author(s):  
Mohammad Chehrazi ◽  
Mahbobeh Faramarzi ◽  
Somayeh Abdollahi ◽  
Maria Esfandiari ◽  
Shiva Shafie rizi

Author(s):  
Raymond D. Adams ◽  
Waldo E. Johnson

Conceptualized using critical race theory as a theoretical underpinning, this study analyzed the lived experiences of older, rural, African American male prostate cancer (hereafter referenced as PrCA) survivors’ faith and health promotion practices within Northeast Louisiana. Qualitative data from journaling, observations, and semi-structured interviews were obtained from ten older, African American male PrCA survivors residing in four rural parishes of Louisiana. The data analysis employed a two-stage approach known as Polkinghorne’s analysis of narratives and narrative analysis using an art-based methodological approach. Framed as composite character counterstories, survivors’ narratives revealed how survivors made sense of and gave meaning to their PrCA diagnosis, treatment, recovery, and survivorship. Specifically, their counterstories indicate that centering and honoring the unique and often taken-for-granted perspectives of older, rural, African American male PrCA survivors offered a deeper understanding of the multiple factors influencing their quality of life, as well as the sociostructural mechanisms impacting their survivorship care. Faith was examined as both a secular and sacred source of support that these men viewed as central to the acceptance of their diagnosis, treatment, recovery, and survivorship.


2021 ◽  
pp. 089011712110732
Author(s):  
Paul E. Terry

Each year the editorial team of the American Journal of Health Promotion selects our “Best of the Year List” of health promotion studies from the prior year. This editorial features the Editor’s Picks Awards, the Editor in Chief Awards, the Michael P. O’Donnell Award and the Dorothy Nyswander Award for the research and writing published in 2021 in this journal. Our criteria for selection includes: whether the study addresses a topic of timely importance in health promotion, the research question is clearly stated and the methodologies used are well executed; whether the paper is often cited and downloaded; if the study findings offer a unique contribution to the literature; and if the paper is well-written and enjoyable to read. Awardees in 2021 offered new insights into addressing discrimination against race or sexual identity, preferred sources of information about COVID-19 and the impact of community and workplace interventions on healthy lifestyles. This year’s award winning research spans from character to culture relative to improving well-being.


Curationis ◽  
2016 ◽  
Vol 39 (1) ◽  
Author(s):  
Mondli Miya ◽  
Tennyson Mgutshini

Background: The South African government intervened by implementing the prevention of mother–to-child transmission programme (PMTCT) to curb the HIV transmission from mother to child during and after pregnancy. The PMTCT programme has been at the forefront of global prevention efforts since 1998. Without treatment, the risk of transmission ranges from one in five to one in two newborns; however, the risk of mother-to-child transmission can be reduced to as low as 2%–5% with evidenced interventions. Sub-Saharan Africa, and most particularly South Africa, is the most affected by the pandemic despite having the largest financial investment in PMTCT services across the continent.Objectives: The objectives of the study were to describe and explore the female perspectives of male inclusion in the prevention of mother-to-child HIV transmission programme in KwaZulu-Natal.Methodology: A qualitative, descriptive, explorative study was conducted through in-depth individual interview of pregnant women until data saturation.Results: The findings of the study revealed that the existing design of public hospitals was not wholly conducive to facilitating male inclusion in maternal and child health services. Resources were largely insufficient to support the participation of pregnant mothers and any attempts to support the inclusion of males needed to be based on a clear increase in service provision.Conclusion: The study recommended male partners’ inclusion in the prevention of mother- to-child HIV transmission to support effective management of HIV in pregnancy and PMTCT programmes. The inclusion of men will provide the holistic support needed by pregnant women on PMTCT programmes.


2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
K Wretlind ◽  
M Magnusson ◽  
M Hallmyr

Abstract The aim was to, in an oral health promoting setting in low socioeconomic areas, implement a method aiming at improving quality of work by assessing both formative and summative results. The overall aim is to decrease health inequity. Methods Five teams of dental hygienists (n = 5) and dental nurses (n = 3), who operated in socioeconomic low-status areas, participated. The teams were performing health promoting activities on arenas as for example family-centrals. These teams were introduced on how to report health promoting activities according to the Health Equilibrium Methodology (HEM), which is based on Social Cognitive Theory. Following questions were put and answered in every report: Which health determinants were targeted? Did any person seem to perceive him-/herself excluded? Did anything unexpected happen? What to think about next time? Quantitative data were also documented: Almost six-hundred individuals were included in a total of 36 reports. Of these 50% were adults/parents and the rest children, most of them between 1-6 years old. The reports were written directly into a database after every activity and then processed by a facilitator and later discussed with the teams in workshops every third month. Results Analysis of the reports shows that the implementation of health promoting activities according to HEM included the following: -Identification of important health determinants. - Attention on how to get everyone involved and if anything unexpected happened. - Suggestions for change for the next time. Throughout the workshops the team-members exchanged experiences. Conclusions The HEM-method facilitates depicting and discussing the process of health promotion with focus on health equity. Thereby the method has a potential to support development of high-quality health-promoting activities in populations with low socioeconomic status. It may also lead to a better professional self-confidence.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Karen Forde ◽  
Leesa Costello ◽  
Amanda Devine ◽  
Ros Sambell ◽  
Ruth Wallace

Abstract Background Outside-of-school-hours-care (OSHC) services are well positioned to influence the health behaviours of 489, 800 Australian children, and are an important setting for health promotion given the current rates of childhood overweight and obesity and associated health risks. OSHC Professionals are ideally placed to become positive influencers in this setting, although they may require training and support to confidently perform this role. This study piloted a multifaceted intervention strategy to increase OSHC Professional’s confidence and competencies, to support a health promoting OSHC environment with a nutrition and physical activity focus. Methods A mixed methods approach was used. Nineteen OSHC Professionals participated in the study, including a face-to-face workshop, supported by a closed Facebook group and website. Role adequacy (self-confidence) and legitimacy (professional responsibility) were measured pre and post workshop and evaluated using non-parametric statistics. Facebook interactions were monitored, and four participants undertook qualitative exit interviews to discuss their experiences with the intervention. Results Pre-workshop 68% of participants had not received any OSHC-specific health promotion training. Post-workshop significant improvements in confidence about menu planning, accessing nutrition information, activities and recipes was observed (P < 0.05 for all). A significant improvement was observed in role support and role related training (P < 0.05). A high level of support and interaction was observed between participants on Facebook and the website was reported a useful repository of information. Conclusions Health promotion training, combined with positive social connections, shared learning experiences, and a website improved OSHC Professionals confidence and capacity to provide a health promoting OSHC environment. Health promotion professional development for OSHC professionals should be mandated as a minimum requirement, and such learning opportunities should be scaffolded with support available through social media interactions and website access.


2011 ◽  
Vol 5 (8) ◽  
pp. 1970
Author(s):  
Estela Maria Leite Meirelles Monteiro ◽  
Andréa Rosane Sousa Silva ◽  
Carlos Alberto Domingues do Nascimento ◽  
Andrea Ferreira Lopes Diniz Maia ◽  
Paula Danielle de Azevedo Araujo ◽  
...  

ABSTRACTObjective: to investigate the maternal breastfeeding practice of pregnant women and breastfeeding mothers in a deprivation of liberty situation. Method: this is a descriptive qualitative study using convenience samples. A questionnaire was applied to 13 pregnant women and breastfeeding mothers on January and February 2008 in a women's penalcolony in the city of Recife, Pernambuco, Brazil. The testimonies were recorded and transcribed, and the analysis of results was based on the Collective Subject Discourse technique. This study was approved by the Research Ethics Committee of Hospital Universitario Osvaldo Cruz (HUOC) of Universidade Estadual de Pernambuco (UPE), under the Opinion 138/2007. Results: it was observed that women’s reaction with regard to a confirmed pregnancy is related to the support they receive from their partners and family members. In their perception, one realizes conflicting feelings of wishing to be close to their children and protecting them from the reality experienced in the penitentiary system. Conclusion: the need for a professional qualification in health care considering both the issue of citizenship and the health promotion of the binomial mother-child became apparent. Descriptors: maternal breastfeeding; prison; mother-child relationships; health education; nursing.RESUMOObjetivo: investigar a prática do aleitamento materno de gestantes e nutrizes em situação de privação de liberdade. Método: trata-se de um estudo qualitativo descritivo que utiliza amostragens por conveniência. Aplicou-se questionário com 13 gestantes e nutrizes nos meses de janeiro e fevereiro de 2008 em uma colônia penal feminina da cidade de Recife-PE. Os depoimentos foram gravados e transcritos, e a análise dos resultados baseou-se na técnica do Discurso do Sujeito Coletivo. O estudo foi aprovado pelo Comitê de Ética e Pesquisa do Hospital Universitário Osvaldo Cruz (HUOC) da Universidade Estadual de Pernambuco (UPE), sob o Parecer n. 138/2007. Resultados: foi observado que a reação das mulheres diante da confirmação da gravidez está relacionada ao apoio que elas recebem dos seus companheiros e familiares. Na percepção delas, nota-se a presença de sentimentos conflitantes entre o desejo de estar próximas a seus filhos e o de protegê-los da realidade imposta pelo sistema penitenciário. Conclusão: evidencia-se a necessidade de uma formação profissional em saúde comprometida com a questão da cidadania e com a promoção à saúde do binômio mãe-filho. Descritores: aleitamento materno; prisão; relações mãe-filho; educação em saúde; enfermagem.RESUMENObjetivo: Investigar acerca del Amamantamiento Materno en gestante y amas de leche en situación de privación de libertad. Método: se trata de un estudio descriptivo, cualitativo que utiliza muestras por conveniencia. Se realizó un cuestionario a 13 mujeres gestantes y amas de leche durante los meses de enero a febrero de 2008 en una colonia penal femenina de la ciudad de Recife (Pernambuco, Brasil). Los testimonios se grabaron y transcribieron, y el análisis de los resultados se basó en el Discurso del Sujeto Colectivo. El estudio se aprobó por el Comité de Ética y Pesquisa del Hospital Universitario Osvaldo Cruz (HUOC) de la Universidad Estadual de Pernambuco (UPE), bajo parecer nº 138/2007. Resultados: se observó que la reacción de las mujeres ante la confirmación de embarazo se relaciona con el apoyo que tengan de sus compañeros y familiares. En la percepción de las mismas, se percibe la presencia de sentimientos conflictivos entre el deseo de estar cerca de sus hijos y el de protegerlos de la realidad impuesta por el sistema penitenciario. Conclusión: queda evidente la necesidad de una formación profesional en sanidad implicada en cuestiones de ciudadanía y con la promoción de la salud del binomio madre-hijo. Descriptores: amamantamiento materno; prisiones; relaciones madre-hijo; educación en salud; enfermería.


2021 ◽  
Author(s):  
Patrizia Moretti ◽  
Giulia Menculini ◽  
Lucia Gonfia

Sleep disturbances and changes in circadian rhythms are commonly observed in pregnant women. These disorders can result from anatomical, physiological, psychological, and hormonal alterations that can influence sleeping during this phase. Sleep disorders during pregnancy can be responsible for detrimental effects on both mother and foetus. In this chapter we will focus on the epidemiology of sleep disorders, physiological sleep mechanisms and their alterations during pregnancy, as well as on risk factors for sleep disorders in pregnancy. We will then focus of the most frequent sleep disorders during pregnancy, also considering eventual adverse implications for both mother and child, prognosis, and possible pharmacological and non-pharmacological treatments.


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