scholarly journals Perceptions of minimum age at marriage laws and their enforcement: qualitative evidence from Malawi

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Andrea J. Melnikas ◽  
Nancy Mulauzi ◽  
James Mkandawire ◽  
Sajeda Amin
Keyword(s):  
Unintended Consequences ◽  
Child Marriage ◽  
Reproductive Health Services ◽  
Community Members ◽  
Group Discussions ◽  
Link Type ◽  
Unintended Effect ◽  
Minimum Age ◽  
Marriage Laws ◽  
Natal Home

Abstract Background Child marriage in Malawi is a significant problem with 42.1% of women 20–24 married by age 18. In 2017 the Malawi government formalized legislation to make marriage under age 18 illegal; violators are subject to fines. While leveraging laws to reduce child marriage is common, the enactment of laws and their enforcement has led to some novel practices. One such practice observed in Malawi is marriage withdrawal, where the community intervenes when a child marriage has taken place to force the girl to return to her natal home. Methods This paper is a qualitative analysis of perceptions regarding marriage withdrawal. We conducted focus group discussions and in-depth interviews with married and unmarried adolescents, parents of adolescents, and key community members in Mangochi and Nkhata Bay. Data were collected as part of an evaluation of the More Than Brides Alliance program aimed at delaying marriage and improving access to sexual and reproductive health services in Malawi. Results The knowledge that violation of marriage laws entails substantial fines is widespread and marriage withdrawals are seen by some respondents as a way of enforcing the spirit of child marriage laws while avoiding fines. Some respondents suggest that enforcement of marriage laws has an unintended effect of driving marriages underground. One important disconnect between the laws and the realities of child marriage practices in these communities is that the law holds parents responsible for the marriage and for preventing it, while parents do not necessarily exercise control, particularly when the marriage is precipitated by pregnancy. While parents and other adults view withdrawals as an acceptable resolution of a problematic child marriage, girls noted many drawbacks for withdrawn girls such as stigma and limited education and livelihood opportunities once withdrawn. Conclusions Our exploration of perceptions about marriage laws suggest that the imposition of fines may have some unintended consequences, both driving the practice underground and encouraging practices to evade fines, and may be associated with unintended consequences for adolescent girls. Programs to address child marriage should include other approaches that address more distal drivers including poverty and lack of alternatives to child marriage. Trial registration This work is part of an RCT registered August 4, 2016 in the AEA RCT registry identified as: AEARCTR-0001463. See: https://www.socialscienceregistry.org/trials/1463

Multi-level Barriers for Utilization of Youth Friendly Reproductive Health Services (YFRHS) among Youths

2020 ◽  
Vol 8 ◽  
pp. 95-108
Author(s):  
Shanti Prasad Khanal
Keyword(s):  
Reproductive Health ◽  
Health Services ◽  
Health System ◽  
System Level ◽  
Mixed Method Research ◽  
Reproductive Health Services ◽  
Group Discussions ◽  
Personal Level ◽  
Multi Level ◽  
Youth Friendly

 The present study aims to examine the multi-level barriers to utilize by the youth-friendly reproductive health services (YFRHS) among the school-going youths of the Surkhet valley of Nepal. This study is based on the sequential explanatory research design under mixed-method research. The quantitative data were collected using the self- administered questionnaire from the 249 youths, aged between the 15-24 years, those selected by using random sampling. The qualitative data were collected using the Focus Group Discussions (FGDs) from the 12 participants who were selected purposively. The study confirmed that school-going youths do not have appropriate utilization of YFHS due to multi-layered barriers. However, the utilization of the service was higher among females, those the older age group, studying in the upper classes, the upper castes, and married youths. The key findings and themes are recognized as multi-layered barriers including personal-level, health system-level, community-level, and policy-level on the entire socio-ecological field. Among them, the existing health system is the foremost barrier. Multi-level interventions are, therefore, required to increase the YFRHS utilization and improve concerns for school-going-youths.  

The utility of non-formal education in addressing the school dropout phenomenon : a case study of Asifundeni Secondary School in Makonde District Zimbabwe

2020 ◽  
Vol 1 (3) ◽  
pp. 41-69
Author(s):  
Francis Muchenje ◽  
◽  
Pedzisai Goronga
Keyword(s):  
Secondary School ◽  
Formal Education ◽  
Sampling Technique ◽  
School Dropout ◽  
School Level ◽  
Research Approach ◽  
Community Members ◽  
Group Discussions ◽  
Secondary School Level

The study sought to explore students' views on the utility of non-formal education in addressing the school dropout phenomenon at secondary school level. Qualitative research approach was adopted and a case study design was utilised. The population consisted of all the students in the non-formal programme at the school from which a sample of 11 students (2 male and 9 female) was selected through purposive stratified sampling technique. Data were gathered through structured in-depth interviews and focus group discussions. Non-formal education was seen to address the school dropout phenomenon by providing school drop outs with an opportunity to continue their education and hence becomes a form of empowerment. A number of challenges such as lack of adequate tuition in some subjects, lack of conducive learning environment as well as negative perception of non-formal education held by pupils in the formal stream and community members were identified. The study recommends that the Ministry of Primary and Secondary Education should review the staffing situation in schools to ensure the availability of teachers in the various subjects in the non-formal stream. Schools should make an effort to provide appropriate learning facilities for students in the nonformal stream. Furthermore, schools should conscientise their communities on the importance of non-formal education.

scholarly journals Maternal Vaccination in Uganda: Exploring Pregnant Women, Community Leaders and Healthcare Workers’ Perceptions

Vaccines ◽  
2021 ◽  
Vol 9 (6) ◽  
pp. 552
Author(s):  
Phiona Nalubega ◽  
Emilie Karafillakis ◽  
Lydia Atuhaire ◽  
Pamela Akite ◽  
Flavia Zalwango ◽  
...  
Keyword(s):  
Side Effects ◽  
Pregnant Women ◽  
Healthcare Workers ◽  
Community Leaders ◽  
Community Members ◽  
Group Discussions ◽  
Maternal Vaccination ◽  
Key Informant ◽  
Maternal Immunisation ◽  
The Government

Background: We investigated pregnant women, community leaders, healthcare workers (HCWs) and programme managers’ perceptions of maternal vaccination in Kampala, Uganda. Methods: We conducted focus group discussions, key informant interviews and in-depth discussions with HCWs (3), community leaders (3), pregnant women (8) and programme managers (10) between November 2019 and October 2020. Data were analysed thematically. Results: Pregnant women, community leaders and some HCWs had limited maternal immunisation knowledge. There was confusion over what constitutes a vaccine. Pregnant women may not receive vaccines because of mistrust of government; use of expired vaccines; reliance on traditional medicine; religious beliefs; fear of side effects; HCWs attitudes; and logistical issues. The key facilitators of maternal vaccination were a desire to prevent diseases, positive influences from HCWs and information about vaccine side effects. Community leaders and some pregnant women highlighted that pregnant women do not make decisions about maternal vaccination independently and are influenced by different individuals, including other pregnant women, older people, partners, relatives (parents), community leaders, HCWs and the government. Conclusions: Our results indicate that public health messaging should target all community members, including partners and parents of pregnant women as well as HCWs, to improve knowledge of and confidence in maternal vaccines.

Voices After Disaster

2021 ◽  
Author(s):  
Roger Few ◽  
Mythili Madhavan ◽  
Narayanan N.C. ◽  
Kaniska Singh ◽  
Hazel Marsh ◽  
...  
Keyword(s):  
Indian Institute ◽  
Community Members ◽  
Policy And Practice ◽  
Group Discussions ◽  
East Anglia ◽  
Other Information ◽  
The Media ◽  
Institute Of Technology ◽  
The University ◽  
Disaster Narratives

This document is an output from the “Voices After Disaster: narratives and representation following the Kerala floods of August 2018” project supported by the University of East Anglia (UEA)’s GCRF QR funds. The project is carried out by researchers at UEA, the Indian Institute for Human Settlements (IIHS), the Indian Institute of Technology (IIT), Bombay, and Canalpy, Kerala. In this briefing, we provide an overview of some of the emerging narratives of recovery in Kerala and discuss their significance for post-disaster recovery policy and practice. A key part of the work was a review of reported recovery activities by government and NGOs, as well as accounts and reports of the disaster and subsequent activities in the media and other information sources. This was complemented by fieldwork on the ground in two districts, in which the teams conducted a total of 105 interviews and group discussions with a range of community members and other local stakeholders. We worked in Alleppey district, in the low-lying Kuttanad region, where extreme accumulation of floodwaters had been far in excess of the normal seasonal levels, and in Wayanad district, in the Western Ghats, where there had been a concentration of severe flash floods and landslides.

scholarly journals “Why Don’t You Go Into Suburbs? Why Are You Targeting Us?”: Trust and Mistrust in HIV Vaccine Trials in South Africa

2018 ◽  
Vol 13 (5) ◽  
pp. 525-536 ◽  
Author(s):  
Siyabonga Thabethe ◽  
Catherine Slack ◽  
Graham Lindegger ◽  
Abigail Wilkinson ◽  
Douglas Wassenaar ◽  
...  
Keyword(s):  
Vaccine Trial ◽  
Hiv Vaccine ◽  
Community Advisory Board ◽  
Future Research ◽  
Community Members ◽  
Group Discussions ◽  
Hiv Vaccine Trials ◽  
Vaccine Trials ◽  
Community Stakeholders ◽  
Site Staff

Trust is a key element of high-quality stakeholder relations, which are themselves essential for the success of HIV vaccine trials. Where trust is absent, community stakeholders might not volunteer to become involved in key trial activities, and potential participants might not volunteer for enrollment. We explored site staff and Community Advisory Board (CAB) members’ experiences of trust/mistrust among community members and potential participants. We analyzed 10 focus group discussions with site staff and CAB members at two active South African HIV vaccine trial sites. We report on key characteristics perceived to contribute to the trustworthiness of communicators, as well as factors associated with mistrust. Attributes associated with trustworthy communicators included shared racial identity, competence, and independence (not being “captured”). Key foci for mistrust included explanations about site selection, stored samples, vaccination, and Vaccine Induced Sero-Positivity (VISP). Our findings suggest that community members’ trust is not necessarily global, in which trials are trusted or not; rather, it appears fairly nuanced and is impacted by various perceived attributes of communicators and the information they provide. We make recommendations for clinical trial site stakeholders invested in building trust and for future research into trust at these sites.

scholarly journals An asset-based participatory community analysis of natural hazards in Naphuno, Greater Tzaneen Municipality, Limpopo province, South Africa

2020 ◽  
Vol 12 (1) ◽  
Author(s):  
Allucia L. Shokane ◽  
Hanna Nel
Keyword(s):  
Natural Hazards ◽  
Community Analysis ◽  
Limpopo Province ◽  
Participatory Action ◽  
Community Members ◽  
Group Discussions ◽  
Daily Lives ◽  
Individual Interviews ◽  
Resilient Communities ◽  
Asset Based Community Development

Natural hazards disrupt the daily lives of people and communities. Consequently, social workers, like any other stakeholders, deal with community predicaments arising from the effects of natural hazards. The social relief distress (SRD) programme of government utilises needs-based, top-down government-driven interventions in communities affected by natural hazards, focused on what communities lack, as opposed to what communities have. This research study involved a community that experienced natural hazards, such as flooding, hail, lightning and windstorms, which destroyed property and livelihoods during the period 2014–2015. Eight experts and 12 affected community members participated in a qualitative participatory action research analysis study between 2016 and 2017. Guided by the asset-based community development (ABCD) approach, the affected community participated in a collaborative manner in the analysis of the consequences of natural hazards within the community. Data were collected through semi-structured individual interviews and focus group discussions, and analysed thematically. The findings confirmed the traumatic effects of natural hazards, such as loss of property, crops and livestock, physical injuries and even death. The main finding established that natural hazards should be managed in a collaborative way between formal experts of natural hazards and community members through ABCD principles and methods in building resilient communities.

scholarly journals The Meaning of Having an Autistic Child in Malay Family Indonesia

2019 ◽  
Vol 8 (2) ◽  
pp. 73-80
Author(s):  
Cau Kim Jiu ◽  
Somporn Rungreangkulkij
Keyword(s):  
Autistic Child ◽  
Health Workers ◽  
Ethnographic Study ◽  
Autistic Children ◽  
Community Members ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Study Results ◽  
Second Category ◽  
Depth Interviews

The condition of families with autistic children raises many views and judgments both from family and society. This ethnographic study aimed to describe the meaning of families and communities towards families with autistic children. Data were collected through focus group discussions and in-depth interviews. Key informants come from families who have autistic children and community members recruited by purposive sampling, while the data were analyzed using thematic analysis. This study results generate  two categories of perception of the meaning of having autistic children.  The first category was made by the families which comprises four themes such as 1) A test from God, 2) Destiny of God, 3) Autistic children different with other children, and 4) Children who need intensive helping. The second category was the perception made by the community members which consists of two themes, such as 1) Test for family, and 2) An autistic child as a holy child. This study further shows that  culture is believed to determine how families and the members of the community perceive and interpret the existence of autistic children in the families so that it is very important for health workers to understand the culture that exists in the community.

Understandings of depression among community members and primary healthcare attendees in rural Ethiopia: A qualitative study

2021 ◽  
pp. 136346152110643
Author(s):  
Bethlehem Tekola ◽  
Rosie Mayston ◽  
Tigist Eshetu ◽  
Rahel Birhane ◽  
Barkot Milkias ◽  
...  
Keyword(s):  
Primary Care ◽  
Depressive Disorders ◽  
Medical Intervention ◽  
Community Members ◽  
Group Discussions ◽  
Individual Interviews ◽  
Rural Ethiopia ◽  
Primary Care Settings ◽  
Prevalence Of Depression ◽  
Community Data

Available evidence in Africa suggests that the prevalence of depression in primary care settings is high but it often goes unrecognized. In this study, we explored how depression is conceptualized and communicated among community members and primary care attendees diagnosed with depression in rural Ethiopia with the view to informing the development of interventions to improve detection. We conducted individual interviews with purposively selected primary care attendees with depression (n = 28; 16 females and 12 males) and focus group discussions (FGDs) with males, females, and priests (n = 21) selected based on their knowledge of their community. Data were analyzed using thematic analysis. None of the community members identified depression as a mental illness. They considered depressive symptoms presented in a vignette as part of a normal reaction to the stresses of life. They considered medical intervention only when the woman's condition in the vignette deteriorated and “affected her mind.” In contrast, participants with depression talked about their condition as illness. Symptoms spontaneously reported by these participants only partially matched symptoms listed in the current diagnostic criteria for depressive disorders. In all participants’ accounts, spiritual explanations and traditional healing were prominent. The severity of symptoms mediates the decision to seek medical help. Improved detection may require an understanding of local conceptualizations in order to negotiate an intervention that is acceptable to affected people.

scholarly journals 1666. Community Beliefs about Ebola and Implications for Disease Control in Eastern Democratic Republic of the Congo

2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S609-S609
Author(s):  
Qaasim Mian ◽  
Kasereka Masumbuko Claude ◽  
Michael Hawkes
Keyword(s):  
Ebola Virus ◽  
Democratic Republic ◽  
Traditional Healers ◽  
Control Measures ◽  
Community Members ◽  
Group Discussions ◽  
Major Barrier ◽  
Modes Of Transmission ◽  
Infection Control Measures ◽  
Republic Of The Congo

Abstract Background The current Ebola epidemic in Eastern Democratic Republic of the Congo (DRC) has surpassed 1,300 cases and 800 deaths. Social resistance is a major barrier to control efforts, and invites an exploration of community beliefs around Ebola and its origins. Methods Mixed-methods study, using focus group discussions (FGDs) with key community informants and a 19-item survey questionnaire broadly sampling the outbreak zone. Results Between 4 to 17 August, 2018, we conducted 4 FGDs (20 participants) and surveyed 286 community members across Eastern DRC. FGDs revealed a widespread rumor in Mangina early in the epidemic of two twins bewitched by their aunt after eating her cat, who developed bleeding symptoms and triggered the epidemic. However, this myth appeared to dissipate as the epidemic progressed and biomedical transmission became generally accepted (medical syncretism). In our survey, 6% of respondents endorsed supernatural origins of Ebola. This subgroup did not differ from other respondents in terms of knowledge of biomedical modes of transmission or resistant attitudes toward infection control measures, but was more likely to believe that traditional healers could cure Ebola. Wild animals of the forest were recognized as sources of the Ebola virus by 53% of survey respondents. Our findings suggest that skepticism and/or denial of the biomedical discourse, coupled with and mistrust and fear of ETUs may fuel “underground” transmission of Ebola outside western-style medical facilities, as patients seek care from traditional healers, who are ill-equipped to deal with a highly contagious biohazard. Conclusion A deeper understanding of beliefs around Ebola origins may illuminate strategies to engage communities in control efforts. Disclosures All authors: No reported disclosures.

Medical Perspective of Childhood Marriage in Nigeria: Body of Evidence from 2013 Nigeria Demographic and Health Survey

2019 ◽  
Vol 15 (3) ◽  
pp. 188-195
Author(s):  
Audu Alayande ◽  
Bahijjatu Bello-Garko ◽  
Zubaida Abubakar ◽  
Hafsat Kagara ◽  
Islamiyat A. Nuhu
Keyword(s):  
Health Survey ◽  
Female Circumcision ◽  
Child Survival ◽  
Antenatal Clinic ◽  
Skilled Birth Attendance ◽  
Demographic And Health Survey ◽  
Sub Saharan Africa ◽  
Child Marriage ◽  
Reproductive Health Services ◽  
Birth Attendance

Background: Available data from South Asia and sub-Saharan Africa indicates that 12% and 34% of girls were married at age 15years and 18years respectively. This practice of child marriage may debar countries from achieving the Sustainable Development Goals. Objective: To extract and present disaggregated indices in the 2013 Nigeria Demographic and Health Survey (NDHS) on the effect of child marriage on health. Method: This desk review study extracted disaggregated maternal and child health indices on married females aged 15-19 years from the 2013 NDHS. Results: The result showed that married females aged 15-19 years were short, thin, and least likely to receive prophylactic Vitamin A dose postpartum and deworming medication at last pregnancy. Also, while awareness for Family Planning (FP) was high, its utilization was poor at only 1.2%. Their Antenatal clinic attendance, facility delivery, skilled birth attendance at delivery and post natal service utilization were lowest. Similarly, mortality of children under 5 was highest amongst these mothers. Although violence during pregnancy was highest amongst this group, nevertheless more than 20% of them agreed that the practice of female circumcision should be continued. Conclusion: These findings depict some of the negative outcomes of child marriage on maternal and child survival which require integrated multisectoral interventions to ensure that all girls have access to timely sexual reproductive health services and information.</P>

Sign in / Sign up

Export Citation Format

Share Document