scholarly journals Female Genital Schistosomiasis (FGS) in Cameroon: A formative epidemiological and socioeconomic investigation in eleven rural fishing communities

2021 ◽  
Vol 1 (10) ◽  
pp. e0000007
Author(s):  
Makia Christine Masong ◽  
Godlove Bunda Wepnje ◽  
Ntsinda Tchoffo Marlene ◽  
Victoria Gamba ◽  
Marie-Therese Mengue ◽  
...  
Keyword(s):  
Participant Observation ◽  
Health Spending ◽  
Female Reproductive Tract ◽  
Fishing Communities ◽  
Adult Women ◽  
Cervical Lesions ◽  
Cross Sectional ◽  
Women And Girls ◽  
Depth Interviews ◽  
Female Genital

Background Female Genital Schistosomiasis (FGS) is most often caused by presence of Schistosoma haematobium eggs lodged in the female reproductive tract which results in chronic fibrosis and scarring. In Cameroon, despite high community prevalences of urine-patent S. haematobium infections, FGS has yet to be studied in depth. To shed light on the clinical prevalence and socioeconomic effects of FGS, we undertook a formative community-based epidemiological and qualitative survey. Method A cross sectional multidisciplinary study of 304 girls and women from 11 remote rural fishing communities in Cameroon was undertaken using parasitological sampling, clinical colposcopy, and interviews. The lived experiences of those with FGS were documented using a process of ethnography with participant observation and in-depth interviews. Result Amongst 304 women and girls aged >5 years (Median age: 18; Interquartile range: 9.6–28), 198 females were eligible for FGS testing and 58 adult women were examined by clinical colposcopy. Of these, 34 were positive for FGS (proportion: 58.6%; 95% CI: 45.8–70.4), younger girls showing a higher FGS prevalence, and older women not shedding eggs showing a pattern for cervical lesions from earlier infection. In a subset of women with FGS selected purposively (12/58), in-depth interviews with participant observation revealed out-of-pocket expenditures of up to 500USD related health spending for repeated diagnosis and treatment of gynecological illnesses, and 9 hours daily lost reproductive labour. Psychosocial unrest, loss in social capital, and despair were linked with sub-fertility and persistent vaginal itch. Conclusion With our first formative evidence on prevalence, socioeconomic effects and experiences of FGS amongst women and girls in Cameroon, we have clarified to a new level of detail the deficit in provision of and access to peripheral health services in remote areas of Cameroon. Using this information, there is now strong evidence for national programs and services on women’s health and schistosomiasis to update and revise policies targeted on prevention and management of FGS. We therefore stress the need for regular provision of Praziquantel treatment to adolescent girls and women in S. haematobium endemic areas, alongside better access to tailored diagnostic services that can detect FGS and appropriately triage care at primary health level.

scholarly journals Effects of COVID-19 Pandemic on Female Genital Mutilation/Cutting and Child, Early or Forced Marriages in Kenya, Uganda, Ethiopia and Senegal

2021 ◽  
Author(s):  
Tammary Esho ◽  
Dennis J. Matanda ◽  
Timothy Abuya ◽  
Sintayehu Abebe ◽  
Yeshitila Hailu ◽  
...  
Keyword(s):  
Female Genital Mutilation ◽  
Cross Sectional Study ◽  
Talk Shows ◽  
Cross Sectional ◽  
Genital Mutilation ◽  
Alternative Approaches ◽  
Women And Girls ◽  
Harmful Traditional Practices ◽  
Depth Interviews ◽  
Female Genital

Abstract Background The effects of COVID-19 on harmful traditional practices such Female Genital Mutilation/Cutting (FGM/C) and Child, Early or Forced Marriages (CEFM) have not been well documented. We examined how the COVID-19 pandemic has affected FGM/C and CEFM in Kenya, Uganda, Senegal, and Ethiopia. Methods A cross-sectional study design with a mixed methods approach was used. Household surveys targeting women and men aged 15–49 years in Kenya (n = 312), Uganda (n = 278), Ethiopia (n = 251), and Senegal (n = 208) were conducted. Thirty-eight in-depth interviews with programme implementers and policymakers were carried out in Kenya (n = 17), Uganda (n = 9), Ethiopia (n = 8), and Senegal (n = 4). Results In Kenya, the COVID-19 pandemic has contributed to the increase in both FGM/C and CEFM cases. Minimal increase of FGM/C cases was reported in Uganda and a significant increase in CEFM cases. In Ethiopia, the COVID-19 pandemic had a limited effect on changes in FGM/C and CEFM. In Senegal, there were minimal effects of COVID-19 on the number of FGM/C and CEFM cases. The pandemic has negatively affected implementation of interventions by the justice and legal system, the health system, and civil societies. Conclusions The pandemic has had varied effects on FGM/C and CEFM across the four countries. Across the four countries, the pandemic has negatively affected implementation of interventions by the various sectors that are responsible for preventing and responding to FGM/C and CEFM. This calls for innovative approaches in intervening in the various communities to ensure that women and girls at risk of FGM/C and CEFM or in need of services are reached during the pandemic. Evidence on how effective alternative approaches such as the use of call centres, radio talk shows and the use of local champions as part of risk communication in preventing and responding to FGM/C and CEFM amid COVID-19 is urgently required.

scholarly journals Diagnoses and Procedures of Inpatients with Female Genital Mutilation/Cutting in Swiss University Hospitals: A Cross-Sectional Study

2021 ◽  
Author(s):  
Mathilde Horowicz ◽  
Sara Cottler-Casanova ◽  
Jasmine Abdulcadir
Keyword(s):  
Female Genital Mutilation ◽  
International Classification Of Diseases ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
University Hospitals ◽  
Cross Sectional ◽  
Genital Mutilation ◽  
Classification Of Diseases ◽  
Women And Girls ◽  
Female Genital

Abstract Background: Female genital mutilation/Cutting (FGM/C) can result in short and long-term complications, which can impact physical, psychological and sexual health. Our objective was to obtain descriptive data about the most frequent health conditions and procedures associated with FGM/C in Swiss university hospitals inpatient women and girls with a diagnosis of FGM/C. Our research focused on the gynaecology and obstetrics departments. Methods: We conducted an exploratory descriptive study to identify the health outcomes of women and girls with a coded FGM/C diagnose who had been admitted to Swiss university hospitals between 2016 and 2018. Four of the five Swiss university hospitals provided anonymized data on primary and secondary diagnoses coded with the International Classification of Diseases (ICD) and interventions coded in their medical files. Results: Between 2016 and 2018, 207 inpatients had a diagnosis of FGM/C. The majority (96%) were admitted either to gynaecology or obstetrics divisions with few genito-urinary and psychosexual conditions coded.Conclusions: FGM/C coding capacities in Swiss university hospitals are low, and some complications of FGM/C are probably not diagnosed. Pregnancy and delivery represent key moments to identify and offer medical care to women and girls who live with FGM/C. Trial registration: This cross-sectional study (protocol number 2018-01851) was conducted in 2019, and approved by the Swiss ethics committee.

scholarly journals The Perception of African Immigrant Women Living in Spain Regarding the Persistence of FGM

2021 ◽  
Vol 18 (24) ◽  
pp. 13341
Author(s):  
Ousmane Berthe-Kone ◽  
María Isabel Ventura-Miranda ◽  
Sara María López-Saro ◽  
Jessica García-González ◽  
José Granero-Molina ◽  
...  
Keyword(s):  
Immigrant Women ◽  
Public Health Issue ◽  
African Origin ◽  
Global Public Health ◽  
False Beliefs ◽  
Genital Mutilation ◽  
Women And Girls ◽  
Sub Saharan ◽  
Depth Interviews ◽  
Female Genital

Approximately 200 million women and girls have undergone female genital mutilation (FGM) worldwide. Migration has spread the practice of FGM around the world, thus making it a global public health issue. The objective of this descriptive qualitative study was to explore the perceptions of Sub-Saharan immigrant women in Spain in relation to the causes of the persistence of FGM. In-depth interviews were carried out with 13 female FGM survivors of African origin, followed by inductive data analysis using ATLAS.ti software. Two main themes emerged from the analysis: (1) A family ritual symbolic of purification and (2) a system of false beliefs and deception in favour of FGM. The FGM survivors living in Europe are aware that FGM is a practice that violates human rights yet persists due to a system of false beliefs rooted in family traditions and deception that hides the reality of FGM from young girls or forces them to undergo the practice. The ritualistic nature of FGM and the threat of social exclusion faced by women who have not had it performed on them contributes to its persistence nowadays.

Do we form or deform? Qualitative Investigation in Public Hospitals of Madrid

2019 ◽  
Author(s):  
María Jesús Gómez Camuñas ◽  
Purificación González Villanueva
Keyword(s):  
Participant Observation ◽  
Scientific Evidence ◽  
Theory And Practice ◽  
Public Hospitals ◽  
The Other ◽  
The Novel ◽  
Business Growth ◽  
Small Hospital ◽  
Student Learn ◽  
Depth Interviews

<div><i>Background</i>: the creative capacities and the knowledge of the employees are components of the intellectual capital of the company; hence, their training is a key activity to achieve the objectives and business growth. <i>Objective</i>: To understand the meaning of learning in the hospital from the experiences of its participants through the inquiry of meanings. <i>Method</i>: Qualitative design with an ethnographic approach, which forms part of a wider research, on organizational culture; carried out mainly in 2 public hospitals of the Community of Madrid. The data has been collected for thirteen months. A total of 23 in-depth interviews and 69 field sessions have been conducted through the participant observation technique. <i>Results</i>: the worker and the student learn from what they see and hear. The great hospital offers an unregulated education, dependent on the professional, emphasizing that they learn everything. Some transmit the best and others, even the humiliating ones, use them for dirty jobs, focusing on the task and nullifying the possibility of thinking. They show a reluctant attitude to teach the newcomer, even if they do, they do not have to oppose their practice. In short, a learning in the variability, which produces a rupture between theory and practice; staying with what most convinces them, including negligence, which affects the patient's safety. In the small hospital, it is a teaching based on a practice based on scientific evidence and personalized attention, on knowing the other. Clearly taught from the reception, to treat with caring patience and co-responsibility in the care. The protagonists of both scenarios agree that teaching and helping new people establish lasting and important personal relationships to feel happy and want to be in that service or hospital. <i>Conclusion</i>: There are substantial differences related to the size of the center, as to what and how the student and the novel professional are formed. At the same time that the meaning of value that these health organizations transmit to their workers is inferred through the training, one orienting to the task and the other to the person, either patient, professional or pupil and therefore seeking the common benefit.</div>

A gap between Law and Practice: A Community’s Perception of Unmarried Women’s Abortion Options in Nepal

2014 ◽  
Vol 12 (2) ◽  
pp. 24-30
Author(s):  
Simone Christensen Hald ◽  
Ditte Aagaard Sondergaard
Keyword(s):  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Safe Abortion ◽  
Community Attitudes ◽  
Abortion Law ◽  
Premarital Sexual Activity ◽  
Premarital Sexual ◽  
The Right ◽  
Changing Attitudes ◽  
Depth Interviews

Background In 2002, the Nepalese abortion law went from being highly restrictive to fully liberal. This study aimed to explore a local community’s perception of the situation for unmarried Nepalese women wanting to practice their legal right to abortion.Methods The study comprised a cross-sectional survey and in-depth interviews with men and women above the age of 16 years living in the Makwanpur District, Nepal. The final data included 55 questionnaires and 16 interviews. The questionnaire data was univariate analysed, while a condensation of meaning analysis was carried out on the interviews.Results The overall awareness of abortion being legal was high, although the extent of knowledge of the specific legal grounds varied. Unmarried women were believed to have access to abortion services, although they risked stigmatisation due to their marital status. The community attitude towards these women having abortions was very negative, hence it differed from the legal acceptance of all women having the right to abortion. This was explained by societal norms on premarital sexual activity. Generally, the participants felt that changing attitudes would be difficult but possible over time.Conclusion A considerable gap exists between the legal acceptance of abortion and community attitudes when it comes to unmarried women as this group encounters barriers when wanting to practice their right. Therefore, these barriers need to be addressed to allow unmarried Nepalese women access to safe abortion services without the risk of being stigmatised.One possible alternative is educational initiatives such as disseminating information vigorously through mass media to create awareness.DOI: http://dx.doi.org/10.3126/hprospect.v12i2.9869 Health Prospect Vol.12(2) 2013: 24-30

Informalitas Dalam Formalitas: Sebuah Kajian Budaya Organisasi Perusahaan Keluarga

2018 ◽  
Vol 3 (2) ◽  
pp. 200
Author(s):  
Hardiyanti Munsi ◽  
Ahmad Ismail
Keyword(s):  
Cultural Values ◽  
Family Business ◽  
Participant Observation ◽  
National Level ◽  
Ideal Types ◽  
The Family ◽  
Formal Organizations ◽  
Religious Aspects ◽  
Depth Interviews ◽  
Big Men

This article intends to identify and to describe the unique structure and the managing style that owns primordial characteristics, that is giving significance to kinship, religion, and local Bugis cultural values, which made up the cultural system of PT. Hadji Kalla family business. Theoritically, this research was inspired from Weberian perspective on the ideal types of bureaucracy, that observes organizations (in this case is the family business) as one of the socio-cultural phenomena which is neutral and value-free, that is place aside its subjective aspects. The research was conducted in two locations, the head office and one of the branch offices using qualitative approach that relies on participant observation, in-depth interviews, and literature studies. The results of the research shows that the family business of PT. Hadji Kalla that has advanced into national level still prioritizes kinship, ethnicity, and religious aspects in the daily activities of the company. The value even take parts in providing the company’s colour to the urban societies in various districts where the company stands. This means that although the society has undergone transformations, it doesn’t mean that the primordial value, and the elements that exist outside of businesses (such as kinship, big men, religion, cultural values, and interest) do not influence the activities that are held in formal organizations. Therefore, the interventions of subjective aspects will always appear, followed with the application of the modern management system that is implemented by PT. Hadji Kalla company.

Adopting a mojo mindset: Training newspaper reporters in mobile journalism

Journalism ◽  
2021 ◽  
pp. 146488492199628
Author(s):  
Anja Salzmann ◽  
Frode Guribye ◽  
Astrid Gynnild
Keyword(s):  
Thematic Analysis ◽  
Participant Observation ◽  
Publishing House ◽  
Three Dimensions ◽  
Specific Training ◽  
New Production ◽  
Visual Storytelling ◽  
Training Course ◽  
News Organizations ◽  
Depth Interviews

Due to the visual turn in journalism and the emergence of mobile journalism, many newspaper journalists have had to change the way they work and learn to use new tools. To face these changes, traditional news organizations apply different strategies to increase staff competencies in using new production tools and creating innovative content in new formats. In this paper, we investigate how a specific training arrangement was experienced by a group of 40 print editors and journalists in a German regional publishing house. The journalists were introduced to audio-visual storytelling and reporting with smartphones in a 2-week training course. The training arrangements were studied using participant observation and in-depth interviews, followed by a thematic analysis of the data. The study indicates that for print journalists and editors, the transition from the print to the mojo mindset depends on three dimensions: (i) mastering mojo skills, (ii) adopting visual thinking and (iii) integrating ethical and legal awareness.

scholarly journals Social entrepreneurship and social enterprise phenomenon: toward a collective approach to social innovation in Tunisia

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Bechir Fridhi
Keyword(s):  
Social Entrepreneurship ◽  
Social Innovation ◽  
Participant Observation ◽  
Social Entrepreneurs ◽  
New Ideas ◽  
Entrepreneurial Action ◽  
Collective Construction ◽  
Depth Interviews ◽  
Real Challenge ◽  
Collective Dimension

AbstractThis article aims to understand the extent to which social entrepreneurship (SE) contributes to the construction of a collective dimension linked to social innovation (SI). We aim to propose new ideas that can deliver insights into the SE phenomenon. This research is also distinct from entrepreneurial ecosystems as its development already requires some successful entrepreneurial action and to do it, the structuring and consolidation of an entrepreneurial ecosystem constitutes a real challenge for the development of SI.This work has been based on a participant observation of eight major events dedicated to social entrepreneurship or the shared economy. In-depth interviews with Tunisian social entrepreneurs were also conducted in order to enrich our corpus. The results show the necessary cooperation of social entrepreneurs for a sustainable and responsible social innovation. Indeed, the analysis emphasizes that the viability and sustainability of a social innovation rests essentially on a collective construction, beyond common social values.

scholarly journals A cross-sectional study on pelvic floor symptoms in women living with Female Genital Mutilation/Cutting

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Alzbeta Binkova ◽  
Marion Uebelhart ◽  
Patrick Dällenbach ◽  
Michel Boulvain ◽  
Angèle Gayet-Ageron ◽  
...  
Keyword(s):  
Pelvic Floor ◽  
Female Genital Mutilation ◽  
Cross Sectional Study ◽  
Background Information ◽  
Sectional Study ◽  
Cross Sectional ◽  
Genital Mutilation ◽  
Pelvic Floor Symptoms ◽  
The Impact ◽  
Female Genital

Abstract Background Female Genital Mutilation/Cutting (FGM/C) concerns over 200 million women and girls worldwide and is associated with obstetric trauma and long-term urogynaecological and psychosexual complications that are often under-investigated and undertreated. The aim of this study was to assess the pelvic floor distress and the impact of pelvic floor and psychosexual symptoms among migrant women with different types of FGM/C. Methods This cross-sectional study was conducted between April 2016 and January 2019 at the Division of Gynaecology of the Geneva University Hospitals. The participants were interviewed on socio-demographic and background information, underwent a systematic gynaecological examination to assess the presence and type of FGM/C and eventual Pelvic Organ Prolapse (POP), and completed six validated questionnaires on pelvic floor and psychosexual symptoms (PFDI-20 and PFIQ7 on pelvic floor distress and impact, FISI and WCS on faecal incontinence and constipation, PISQ-IR and FGSIS on sexual function and genital self-image). The participants’ scores were compared with scores of uncut women available from the literature. The association between selected variables and higher scores for distress and impact of pelvic floor symptoms was assessed using univariate and multivariable linear regression models. Results 124 women with a mean age of 31.5 (± 7.5), mostly with a normal BMI, and with no significant POP were included. PFDI-20 and PFIQ-7 mean (± SD) scores were of 49.5 (± 52.0) and 40.7 (± 53.6) respectively. In comparison with the available literature, the participants’ scores were lower than those of uncut women with pelvic floor dysfunction but higher than those of uncut women without such disorders. Past violent events other than FGM/C and forced or arranged marriage, age at FGM/C of more than 10, a period of staying in Switzerland of less than 6 months, and nulliparity were significantly associated with higher scores for distress and impact of pelvic floor symptoms, independently of known risk factors such as age, weight, ongoing pregnancy and history of episiotomy. Conclusions Women with various types of FGM/C, without POP, can suffer from pelvic floor symptoms responsible for distress and impact on their daily life. Trial registration. The study protocol was approved by the Swiss Ethics Committee on research involving humans (protocol n°15-224).

scholarly journals Intersection of the Religious and the Secular: The Cemetery Festival in Latvia

Religions ◽  
2021 ◽  
Vol 12 (2) ◽  
pp. 69
Author(s):  
Anita Stasulane
Keyword(s):  
Participant Observation ◽  
Religious Tradition ◽  
Soviet Period ◽  
Main Research ◽  
Religious Ritual ◽  
Secular Society ◽  
The Relationship ◽  
Depth Interviews ◽  
Ritual Practices ◽  
Research Tools

This article addresses the commemoration of the deceased by examining a peculiar Latvian religious tradition—the cemetery festival. Latvian society is moving down the path to secularization. Participation in religious ritual practices could be expected to decrease in a predominately secular society. Nevertheless, the tradition of the cemetery festival practiced in Latvia shows that the relationship between the religious and the secular is much more complex than simply being in opposition to each other. The analysis is based on data obtained by undertaking fieldwork at cemeteries in Latvia. Participant observation and qualitative in-depth interviews were the main research tools used in the fieldwork. Through an analysis of the fieldwork data, this article explains, first, how honoring of the deceased currently takes place in Latvia; second, the factors which have determined the preservation of the cemetery festival tradition despite the forced secularization of the Soviet period and the general secularization encountered today; third, the relationship between religious and secular activities and their transformation at the cemetery festival.

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